Subthalamic deep brain stimulation for the treatment of Parkinson disease

Mandat, Tomasz; Tykocki, Tomasz; Koziara, Henryk; Koziorowski, Dariusz; Brodacki, Bogdan; Rola, Rafał; Bonicki, Wiesław; Nauman, Paweł

doi:10.1016/s0028-3843(14)60057-8

Cited by 19 publications

(15 citation statements)

References 29 publications

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“…the Stn is currently the preferred target structure used for DBS treatment in patients with advanced PD [17,18]. Besides, different groups have reported that the stimulation of the Zi is an alternative target for DBS [19,20].…”

Section: Introductionmentioning

confidence: 99%

Visualisation of the Zona Incerta for Deep Brain Stimulation at 3.0 Tesla

et al. 2012

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Section: Introductionmentioning

confidence: 99%

Visualisation of the Zona Incerta for Deep Brain Stimulation at 3.0 Tesla

et al. 2012

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“…The subthalamKerl HU et al . Zona incerta at 7 Tesla ic nucleus (STN) represents the commonly chosen target site to suppress resting tremor in patients with PD [1,5,6] . Despite the improvements in motor function, several clinical trails have yielded information about negative limbic effects of STN DBS, including depression, apathy, and decreased cognitive function [7,8] .…”

Section: Deep Brain Stimulation (Dbs)mentioning

confidence: 99%

Imaging for deep brain stimulation: The zona incerta at 7 Tesla

Kerl

Gerigk²,

Brockmann³

et al. 2013

WJR

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AIM:To evaluate different promising magnetic resonance imaging (MRI) methods at 7.0 Tesla (T) for the pre-stereotactic visualization of the zona incerta (ZI). METHODS:Two neuroradiologists qualitatively and quantitatively examined T2-turbo spin-echo (T2-TSE), T1-weighted gradient-echo, as well as FLASH2D-T2Star and susceptibility-weighted imaging (SWI) for the visualization of the ZI at 7.0 T MRI. Delineation and image quality for the ZI were independently examined using a 6-scale grading system. Inter-rater reliability using Cohen's kappa coefficient (κ ) were assessed. Contrast-tonoise ratios (CNR), and signal-to-noise ratios (SNR) for the ZI were calculated for all sequences. Differences in delineation, SNR, and CNR between the sequences were statistically assessed using a paired t -test. For the anatomic validation the coronal FLASH2D-T2Star images were co-registered with a stereotactic atlas (Schaltenbrand-Wahren). RESULTS:The rostral part of the ZI (rZI) could easily be identified and was best and reliably visualized in the coronal FLASH2D-T2Star images. The caudal part was not definable in any of the sequences. No major artifacts in the rZI were observed in any of the scans. FLASH2D-T2Star and SWI imaging offered significant higher CNR values for the rZI compared to T2-TSE images (P > 0.05). The co-registration of the coronal FLASH2D-T2Star images with the stereotactic atlas schema (Schaltenbrand-Wahren) confirmed the correct localization of the ZI in all cases.CONCLUSION: FLASH2D-T2Star imaging (particularly coronal view) provides the reliable and currently optimal visualization of the rZI at 7.0 T. These results can facilitate a better and more precise targeting of the caudal part of the ZI than ever before.

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“…Polish reports on deep brain stimulation fail to include any mention of the treatment of SD in any patient suffering from generalized dystonia. Polish publications on GPi stimulation in the management of dystonia confirm that the method has been both effective and safe for the treatment of diverse motor disorders including advanced Parkinson disease over the past several years [33][34][35].…”

Section: Deep Brain Stimulation In the Treatment Of Status Dystonicusmentioning

confidence: 96%

The neurosurgical treatment of patients in dystonic state – Overview of the literature

Sobstyl

Sławek

Ząbek

2014

Neurologia i Neurochirurgia Polska

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Treatment options for patients in dystonic state include sedation, artificial ventilation, intrathecal baclofen infusions and stereotactic procedures. The main aim of this overview is the presentation and assessment of stereotactic procedures applied for treating patients in severe dystonic state. We performed literature overview starting from 1998 to 2012 with case reports regarding all patients treated by stereotactic procedures for dystonic state. We were able to find 15 articles describing 22 patients. Ablative procedures were described in 5 articles (3 thalamotomies, 3 pallidotomies) and were done in 6 patients. In the remaining 10 articles, globus pallidus internus stimulation was utilized in another 16 patients. We can conclude that bilateral pallidal deep brain stimulation seems to be the best stereotactic target for patients in dystonic state.

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Subthalamic deep brain stimulation for the treatment of Parkinson disease

Abstract: Cardinal symptoms of Parkinson's disease can be safely and effectively treated with STN DBS in selected group of patients.

Cited by 19 publications

References 29 publications

Visualisation of the Zona Incerta for Deep Brain Stimulation at 3.0 Tesla

Visualisation of the Zona Incerta for Deep Brain Stimulation at 3.0 Tesla

Imaging for deep brain stimulation: The zona incerta at 7 Tesla

The neurosurgical treatment of patients in dystonic state – Overview of the literature

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