Two cases of ischemia associated with subthalamic nucleus stimulator implantation for advanced Parkinson's disease
Deep brain stimulation is generally a safe and effective method of alleviating motor impairment in advanced‐stage Parkinson's disease patients. However, adverse events of surgery have been noted, such as hemorrhage, infection, seizures, and device failure. In this report, we describe 2 cases of...
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| Veröffentlicht in: | Movement disorders 2006-09, Vol.21 (9), p.1477-1483 |
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| creator | Novak, Kevin E. Nenonene, Emmanuel K. Bernstein, Lawrence P. Vergenz, Sandra Medalle, Gina Prager, Jordan M. Eller, Theodore W. Cozzens, Jeffrey W. Rezak, Michael |
| description | Deep brain stimulation is generally a safe and effective method of alleviating motor impairment in advanced‐stage Parkinson's disease patients. However, adverse events of surgery have been noted, such as hemorrhage, infection, seizures, and device failure. In this report, we describe 2 cases of the unusual adverse event of ischemia associated with subthalamic nucleus stimulator implantation. We present the intraoperative neurological symptoms, microelectrode recording data, imaging findings, and other correlated events. In the first case, the clinical effects of ischemia were evident intraoperatively and coincided with silence during microelectrode recording from the ischemic region. In the second case, the timing of the ischemic event could not be determined precisely but also was associated with a difficult mapping. Subcortical ischemia may be an underrecognized event that confounds neurophysiological mapping of deep brain structures and affects clinical outcomes. © 2006 Movement Disorder Society |
| doi_str_mv | 10.1002/mds.20947 |
| format | Article |
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However, adverse events of surgery have been noted, such as hemorrhage, infection, seizures, and device failure. In this report, we describe 2 cases of the unusual adverse event of ischemia associated with subthalamic nucleus stimulator implantation. We present the intraoperative neurological symptoms, microelectrode recording data, imaging findings, and other correlated events. In the first case, the clinical effects of ischemia were evident intraoperatively and coincided with silence during microelectrode recording from the ischemic region. In the second case, the timing of the ischemic event could not be determined precisely but also was associated with a difficult mapping. Subcortical ischemia may be an underrecognized event that confounds neurophysiological mapping of deep brain structures and affects clinical outcomes. © 2006 Movement Disorder Society</description><identifier>ISSN: 0885-3185</identifier><identifier>EISSN: 1531-8257</identifier><identifier>DOI: 10.1002/mds.20947</identifier><identifier>PMID: 16721751</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Biological and medical sciences ; Caudate Nucleus - blood supply ; Cerebral Infarction - diagnosis ; Cerebral Infarction - etiology ; Cerebral Infarction - physiopathology ; complications ; deep brain stimulation ; Deep Brain Stimulation - adverse effects ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Diffusion Magnetic Resonance Imaging ; Dominance, Cerebral - physiology ; Electrodes, Implanted - adverse effects ; Female ; Humans ; Image Processing, Computer-Assisted ; ischemia ; Male ; Medical sciences ; microelectrode recording ; Microelectrodes ; Neurology ; Neurons - physiology ; Parkinson Disease - physiopathology ; Parkinson Disease - rehabilitation ; Parkinson's disease ; Risk Factors ; Stereotaxic Techniques ; subthalamic nucleus ; Subthalamic Nucleus - physiopathology ; Surgery, Computer-Assisted ; Thalamic Diseases - diagnosis ; Thalamic Diseases - etiology ; Thalamic Diseases - physiopathology ; Tomography, X-Ray Computed ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Movement disorders, 2006-09, Vol.21 (9), p.1477-1483</ispartof><rights>Copyright © 2006 Movement Disorder Society</rights><rights>2006 INIST-CNRS</rights><rights>(c) 2006 Movement Disorder Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4227-3f60ec0297e8162a55acf59d184be463e18acacb240d8d6b7c5fbc9ba8db8d3b3</citedby><cites>FETCH-LOGICAL-c4227-3f60ec0297e8162a55acf59d184be463e18acacb240d8d6b7c5fbc9ba8db8d3b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmds.20947$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmds.20947$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18214227$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16721751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Novak, Kevin E.</creatorcontrib><creatorcontrib>Nenonene, Emmanuel K.</creatorcontrib><creatorcontrib>Bernstein, Lawrence P.</creatorcontrib><creatorcontrib>Vergenz, Sandra</creatorcontrib><creatorcontrib>Medalle, Gina</creatorcontrib><creatorcontrib>Prager, Jordan M.</creatorcontrib><creatorcontrib>Eller, Theodore W.</creatorcontrib><creatorcontrib>Cozzens, Jeffrey W.</creatorcontrib><creatorcontrib>Rezak, Michael</creatorcontrib><title>Two cases of ischemia associated with subthalamic nucleus stimulator implantation for advanced Parkinson's disease</title><title>Movement disorders</title><addtitle>Mov. Disord</addtitle><description>Deep brain stimulation is generally a safe and effective method of alleviating motor impairment in advanced‐stage Parkinson's disease patients. However, adverse events of surgery have been noted, such as hemorrhage, infection, seizures, and device failure. In this report, we describe 2 cases of the unusual adverse event of ischemia associated with subthalamic nucleus stimulator implantation. We present the intraoperative neurological symptoms, microelectrode recording data, imaging findings, and other correlated events. In the first case, the clinical effects of ischemia were evident intraoperatively and coincided with silence during microelectrode recording from the ischemic region. In the second case, the timing of the ischemic event could not be determined precisely but also was associated with a difficult mapping. Subcortical ischemia may be an underrecognized event that confounds neurophysiological mapping of deep brain structures and affects clinical outcomes. © 2006 Movement Disorder Society</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Caudate Nucleus - blood supply</subject><subject>Cerebral Infarction - diagnosis</subject><subject>Cerebral Infarction - etiology</subject><subject>Cerebral Infarction - physiopathology</subject><subject>complications</subject><subject>deep brain stimulation</subject><subject>Deep Brain Stimulation - adverse effects</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Diffusion Magnetic Resonance Imaging</subject><subject>Dominance, Cerebral - physiology</subject><subject>Electrodes, Implanted - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>ischemia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>microelectrode recording</subject><subject>Microelectrodes</subject><subject>Neurology</subject><subject>Neurons - physiology</subject><subject>Parkinson Disease - physiopathology</subject><subject>Parkinson Disease - rehabilitation</subject><subject>Parkinson's disease</subject><subject>Risk Factors</subject><subject>Stereotaxic Techniques</subject><subject>subthalamic nucleus</subject><subject>Subthalamic Nucleus - physiopathology</subject><subject>Surgery, Computer-Assisted</subject><subject>Thalamic Diseases - diagnosis</subject><subject>Thalamic Diseases - etiology</subject><subject>Thalamic Diseases - physiopathology</subject><subject>Tomography, X-Ray Computed</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0885-3185</issn><issn>1531-8257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtvFDEQhC0EIkvgwB9AvgDiMIkf47HnGAUIoAQiEZSj1X6M1jCPxT3Dkn-Pwy7khDi1ZH3V1a4i5ClnR5wxcTwEPBKsrfU9suJK8soIpe-TFTNGVZIbdUAeIX5ljHPFm4fkgDdacK34iuSr7UQ9YEQ6dTShX8chAQXEySeYY6DbNK8pLm5eQw9D8nRcfB8XpDinYelhnjJNw6aHcYY5TSPtygOEHzD6or6E_C2NOI0vkYaEsTg9Jg866DE-2c9D8uXtm6vTd9X5p7P3pyfnla-F0JXsGhY9E62OhjcClALfqTZwU7tYNzJyAx68EzULJjROe9U53zowwZkgnTwkL3Z7N3n6vkSc7VD-F_tyaZwWtI1pmWyY_C8oONdCMl3AVzvQ5wkxx85uchog31jO7G0TtjRhfzdR2Gf7pYsbYrgj99EX4PkeAPTQd7kElvCOM4Lf5lC44x23TX28-bejvXj9-Y91tVMknOPPv4rShG201MpefzyzH_Rle90qYy_kL00ZsTY</recordid><startdate>200609</startdate><enddate>200609</enddate><creator>Novak, Kevin E.</creator><creator>Nenonene, Emmanuel K.</creator><creator>Bernstein, Lawrence P.</creator><creator>Vergenz, Sandra</creator><creator>Medalle, Gina</creator><creator>Prager, Jordan M.</creator><creator>Eller, Theodore W.</creator><creator>Cozzens, Jeffrey W.</creator><creator>Rezak, Michael</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200609</creationdate><title>Two cases of ischemia associated with subthalamic nucleus stimulator implantation for advanced Parkinson's disease</title><author>Novak, Kevin E. ; Nenonene, Emmanuel K. ; Bernstein, Lawrence P. ; Vergenz, Sandra ; Medalle, Gina ; Prager, Jordan M. ; Eller, Theodore W. ; Cozzens, Jeffrey W. ; Rezak, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4227-3f60ec0297e8162a55acf59d184be463e18acacb240d8d6b7c5fbc9ba8db8d3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Caudate Nucleus - blood supply</topic><topic>Cerebral Infarction - diagnosis</topic><topic>Cerebral Infarction - etiology</topic><topic>Cerebral Infarction - physiopathology</topic><topic>complications</topic><topic>deep brain stimulation</topic><topic>Deep Brain Stimulation - adverse effects</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Diffusion Magnetic Resonance Imaging</topic><topic>Dominance, Cerebral - physiology</topic><topic>Electrodes, Implanted - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>ischemia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>microelectrode recording</topic><topic>Microelectrodes</topic><topic>Neurology</topic><topic>Neurons - physiology</topic><topic>Parkinson Disease - physiopathology</topic><topic>Parkinson Disease - rehabilitation</topic><topic>Parkinson's disease</topic><topic>Risk Factors</topic><topic>Stereotaxic Techniques</topic><topic>subthalamic nucleus</topic><topic>Subthalamic Nucleus - physiopathology</topic><topic>Surgery, Computer-Assisted</topic><topic>Thalamic Diseases - diagnosis</topic><topic>Thalamic Diseases - etiology</topic><topic>Thalamic Diseases - physiopathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Novak, Kevin E.</creatorcontrib><creatorcontrib>Nenonene, Emmanuel K.</creatorcontrib><creatorcontrib>Bernstein, Lawrence P.</creatorcontrib><creatorcontrib>Vergenz, Sandra</creatorcontrib><creatorcontrib>Medalle, Gina</creatorcontrib><creatorcontrib>Prager, Jordan M.</creatorcontrib><creatorcontrib>Eller, Theodore W.</creatorcontrib><creatorcontrib>Cozzens, Jeffrey W.</creatorcontrib><creatorcontrib>Rezak, Michael</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Movement disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Novak, Kevin E.</au><au>Nenonene, Emmanuel K.</au><au>Bernstein, Lawrence P.</au><au>Vergenz, Sandra</au><au>Medalle, Gina</au><au>Prager, Jordan M.</au><au>Eller, Theodore W.</au><au>Cozzens, Jeffrey W.</au><au>Rezak, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two cases of ischemia associated with subthalamic nucleus stimulator implantation for advanced Parkinson's disease</atitle><jtitle>Movement disorders</jtitle><addtitle>Mov. Disord</addtitle><date>2006-09</date><risdate>2006</risdate><volume>21</volume><issue>9</issue><spage>1477</spage><epage>1483</epage><pages>1477-1483</pages><issn>0885-3185</issn><eissn>1531-8257</eissn><abstract>Deep brain stimulation is generally a safe and effective method of alleviating motor impairment in advanced‐stage Parkinson's disease patients. However, adverse events of surgery have been noted, such as hemorrhage, infection, seizures, and device failure. In this report, we describe 2 cases of the unusual adverse event of ischemia associated with subthalamic nucleus stimulator implantation. We present the intraoperative neurological symptoms, microelectrode recording data, imaging findings, and other correlated events. In the first case, the clinical effects of ischemia were evident intraoperatively and coincided with silence during microelectrode recording from the ischemic region. In the second case, the timing of the ischemic event could not be determined precisely but also was associated with a difficult mapping. Subcortical ischemia may be an underrecognized event that confounds neurophysiological mapping of deep brain structures and affects clinical outcomes. © 2006 Movement Disorder Society</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>16721751</pmid><doi>10.1002/mds.20947</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Biological and medical sciences Caudate Nucleus - blood supply Cerebral Infarction - diagnosis Cerebral Infarction - etiology Cerebral Infarction - physiopathology complications deep brain stimulation Deep Brain Stimulation - adverse effects Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Diffusion Magnetic Resonance Imaging Dominance, Cerebral - physiology Electrodes, Implanted - adverse effects Female Humans Image Processing, Computer-Assisted ischemia Male Medical sciences microelectrode recording Microelectrodes Neurology Neurons - physiology Parkinson Disease - physiopathology Parkinson Disease - rehabilitation Parkinson's disease Risk Factors Stereotaxic Techniques subthalamic nucleus Subthalamic Nucleus - physiopathology Surgery, Computer-Assisted Thalamic Diseases - diagnosis Thalamic Diseases - etiology Thalamic Diseases - physiopathology Tomography, X-Ray Computed Vascular diseases and vascular malformations of the nervous system |
| title | Two cases of ischemia associated with subthalamic nucleus stimulator implantation for advanced Parkinson's disease |
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