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Deep Brain Stimulation for Parkinson Disease

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Leaky gut, dysbiosis, and enteric glia activation: the trilogy behind the intestinal origin of Parkinson's disease.

Luisa Seguella, Giovanni Sarnelli, Giuseppe Esposito,

Neural Regen Res (Neural regeneration research)
[2020, 15(6):1037-1038]

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Modulation of Nigrofugal and Pallidofugal Pathways in Deep Brain Stimulation for Parkinson Disease.

Josue M Avecillas-Chasin, Christopher R Honey,

BACKGROUND:Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a well-established surgical therapy for patients with Parkinson disease (PD). OBJECTIVE:To define the role of adjacent white matter stimulation in the effectiveness of STN-DBS. METHODS:We retrospectively evaluated 43 patients with PD who received bilateral STN-DBS. The volumes of activated tissue ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(4):E387-E397]

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Factors Associated With Postoperative Confusion and Prolonged Hospital Stay Following Deep Brain Stimulation Surgery for Parkinson Disease.

Hesham Abboud, Gencer Genc, Saira Saad, Nicolas Thompson, Srivadee Oravivattanakul, Faisal Alsallom, Xin Xin Yu, Darlene Floden, Michal Gostkowski, Anwar Ahmed, Ayman Ezzeldin, Hazem M Marouf, Ossama Y Mansour, Hubert H Fernandez,

BACKGROUND:Several patient and disease characteristics are thought to influence DBS outcomes; however, most previous studies have focused on long-term outcomes with only a few addressing immediate postoperative course. OBJECTIVE:To evaluate predictors of immediate outcomes (postoperative confusion and length of postoperative hospitalization) following deep brain stimulation surgery (DBS) in Parkinson disease ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(4):524-529]

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Parkinson Disease-Related Pattern of Glucose Metabolism Associated With the Potential for Motor Improvement After Deep Brain Stimulation.

Eun Jung Lee, Jungsu S Oh, Hyojeong Moon, Min-Ju Kim, Mi Sun Kim, Sun Ju Chung, Jae Seung Kim, Sang Ryong Jeon,

BACKGROUND:Motor dysfunctions in Parkinson disease (PD) patients are not completely normalized by deep brain stimulation (DBS), and there is an obvious difference in the degree of symptom improvement after DBS for each patient. OBJECTIVE:To test our hypothesis that each patient has their own restoration capacity for motor improvement after DBS, ... Read more >>

Neurosurgery (Neurosurgery)
[2020, 86(4):492-499]

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A Novel DBS Paradigm for Axial Features in Parkinson's Disease: A Randomized Crossover Study.

Jessica A Karl, Bichun Ouyang, Steven Goetz, Leo Verhagen Metman,

BACKGROUND:High-frequency (130-185 Hz) deep brain stimulation (DBS) of the subthalamic nucleus is more effective for appendicular than axial symptoms in Parkinson's disease (PD). Low-frequency (60-80 Hz) stimulation (LFS) may reduce gait/balance impairment but typically results in worsening appendicular symptoms. We created a "dual-frequency" programming paradigm (interleave-interlink, IL-IL) to address both ... Read more >>

Mov. Disord. (Movement disorders : official journal of the Movement Disorder Society)
[2020, :]

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The Study of Subthalamic Deep Brain Stimulation for Parkinson Disease-Associated Camptocormia.

Siquan Liang, Yang Yu, Haitao Li, Yue Wang, Yuanyuan Cheng, Hechao Yang,

BACKGROUND Camptocormia is an axis symptom of Parkinson disease. It remains uncertain whether treatment with medications and surgery are effective. In this study, we assessed the efficacy of subthalamic nucleus deep brain stimulation (STN DBS) in Parkinson disease-associated camptocormia and explored some of its mechanisms. MATERIAL AND METHODS Parkinson disease-associated ... Read more >>

Med. Sci. Monit. (Medical science monitor : international medical journal of experimental and clinical research)
[2020, 26:e919682]

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The Impact of Deep Brain Stimulation on Sleep in Parkinson's Disease: An update.

José Rafael P Zuzuárregui, Jill L Ostrem,

BACKGROUND:Parkinson's disease (PD) can have a significant impact on sleep. Deep brain stimulation (DBS) is an effective treatment for motor features of PD, but less is understood about the impact DBS may have on sleep architecture and various sleep issues commonly seen in PD. OBJECTIVE:To review the impact of DBS ... Read more >>

J Parkinsons Dis (Journal of Parkinson's disease)
[2020, 10(2):393-404]

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Determination of Parkinson Disease Laterality After Deep Brain Stimulation Using 123I FP-CIT SPECT.

Hye Ran Park, Seunggyun Ha, Dong Soo Lee, Hyung-Jun Im, Sun Ha Paek,

INTRODUCTION:Symptom laterality is one of the main characteristics of Parkinson disease (PD) and reported to be associated with motor and nonmotor symptom severity and prognosis. This study aimed to evaluate the changes of laterality after deep brain stimulation (DBS) and the association between dopamine transporter SPECT using I FP-CIT (DAT ... Read more >>

Clin Nucl Med (Clinical nuclear medicine)
[2020, 45(4):e178-e184]

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Anterior Sensorimotor Subthalamic Nucleus Stimulation Is Associated With Improved Voice Function.

Ahmed Jorge, Christina Dastolfo-Hromack, Witold J Lipski, Ian H Kratter, Libby J Smith, Jackie L Gartner-Schmidt, R Mark Richardson,

BACKGROUND:Despite the impact of Parkinson disease (PD) on speech communication, there is no consensus regarding the effect of lead location on voice-related outcomes in subthalamic nucleus (STN) deep brain stimulation (DBS). OBJECTIVE:To determine the relationship of stimulation location to changes in cepstral analyses of voice following STN DBS. METHODS:Speech pathology ... Read more >>

Neurosurgery (Neurosurgery)
[2020, :]

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Measurement of Step Angle for Quantifying the Gait Impairment of Parkinson's Disease by Wearable Sensors: Controlled Study.

Jingying Wang, Dawei Gong, Huichun Luo, Wenbin Zhang, Lei Zhang, Han Zhang, Junhong Zhou, Shouyan Wang,

BACKGROUND:Gait impairments including shuffling gait and hesitation are common in people with Parkinson's disease (PD), and have been linked to increased fall risk and freezing of gait. Nowadays the gait metrics mostly focus on the spatiotemporal characteristics of gait, but less is known of the angular characteristics of the gait, ... Read more >>

JMIR Mhealth Uhealth (JMIR mHealth and uHealth)
[2020, 8(3):e16650]

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Thalamic Deep Brain Stimulation for tremor: The critical role of intraoperative testing.

Abhimanyu Mahajan, Alexander Bader, Lily L Wang, Aleksander Rekhtman, Alberto J Espay, Alok K Dwivedi, Andrea Sturchio, Luca Marsili, Andrew P Duker, Vibhor Krishna, George T Mandybur, Aristide Merola,

INTRODUCTION:Optimal placement of Deep Brain Stimulation (DBS) lead is critical to ensure an adequate therapeutic benefit and minimize stimulation-induced side effects. METHODS:We reviewed data from 2004 to 2018 of all cases of essential tremor treated with thalamic DBS at the University of Cincinnati. All procedures were performed with the patient ... Read more >>

Parkinsonism Relat. Disord. (Parkinsonism & related disorders)
[2020, 73:45-49]

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Parkinsonism and subthalamic deep brain stimulation dysregulate behavioral motivation in a rodent model.

Collin Anderson, Daylan Sheppard, Alan D Dorval,

BACKGROUND:Apathy and impulsivity constitute opposite poles of a behavioral motivation spectrum often disrupted by both the symptoms and therapies for Parkinson's Disease (PD). Upwards of 70% of PD patients experience symptoms of apathy, frequently unresolved or worsened by deep brain stimulation (DBS) of the subthalamic nucleus (STN). Worse, more than ... Read more >>

Brain Res. (Brain research)
[2020, 1736:146776]

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Current Directions in Deep Brain Stimulation for Parkinson's Disease-Directing Current to Maximize Clinical Benefit.

Aristide Merola, Alberto Romagnolo, Vibhor Krishna, Srivatsan Pallavaram, Stephen Carcieri, Steven Goetz, George Mandybur, Andrew P Duker, Brian Dalm, John D Rolston, Alfonso Fasano, Leo Verhagen,

Several single-center studies and one large multicenter clinical trial demonstrated that directional deep brain stimulation (DBS) could optimize the volume of tissue activated (VTA) based on the individual placement of the lead in relation to the target. The ability to generate axially asymmetric fields of stimulation translates into a broader ... Read more >>

Neurol Ther (Neurology and therapy)
[2020, :]

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The effect of subthalamic nucleus - Deep brain stimulation and different stimulation frequencies on cerebral hemodynamics in Parkinson's disease: A transcranial doppler study.

Orkun Koban, Mustafa Turgut Yildizgoren, Mustafa Aras, Sukru Oral, Sadık Ahmet Uyanik, Yurdal Serarslan, Esra Emine Okuyucu, Atilla Yilmaz,

OBJECTIVES:To investigate the effect of deep brain stimulation of the subthalamic nucleus (STN-DBS) and to compare low-frequency versus high-frequency STN-DBS on hemodynamic parameters of the middle cerebral artery between patients with advanced Parkinson's disease and age-sex matched healthy controls. PATIENTS AND METHODS:Eighteen patients with advanced Parkinson's disease (PD) with bilateral ... Read more >>

Clin Neurol Neurosurg (Clinical neurology and neurosurgery)
[2020, 193:105778]

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Clarifying the Normative Significance of 'Personality Changes' Following Deep Brain Stimulation.

Jonathan Pugh,

There is evidence to suggest that some patients who undergo Deep Brain Stimulation can experience changes to dispositional, emotional and behavioural states that play a central role in conceptions of personality, identity, autonomy, authenticity, agency and/or self (PIAAAS). For example, some patients undergoing DBS for Parkinson's Disease have developed hypersexuality, ... Read more >>

Sci Eng Ethics (Science and engineering ethics)
[2020, :]

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Spinal cord stimulation in Parkinson's disease: a review of the preclinical and clinical data and future prospects.

Yi Cai, Rajiv D Reddy, Vishal Varshney, Krishnan V Chakravarthy,

Parkinson's disease (PD) is a progressive neurodegenerative disease with an incidence of 0.1 to 0.2% over the age of 40 and a prevalence of over 1 million people in North America. The most common symptoms include tremor, bradykinesia, rigidity, pain, and postural instability, with significant impact in quality of life ... Read more >>

Bioelectron Med (Bioelectronic medicine)
[2020, 6:5]

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Clinical outcomes of globus pallidus deep brain stimulation for Parkinson disease: a comparison of intraoperative MRI- and MER-guided lead placement.

Yarema B Bezchlibnyk, Vibhash D Sharma, Kushal B Naik, Faical Isbaine, John T Gale, Jennifer Cheng, Shirley D Triche, Svjetlana Miocinovic, Cathrin M Buetefisch, Jon T Willie, Nicholas M Boulis, Stewart A Factor, Thomas Wichmann, Mahlon R DeLong, Robert E Gross,

OBJECTIVE:Deep brain stimulation (DBS) lead placement is increasingly performed with the patient under general anesthesia by surgeons using intraoperative MRI (iMRI) guidance without microelectrode recording (MER) or macrostimulation. The authors assessed the accuracy of lead placement, safety, and motor outcomes in patients with Parkinson disease (PD) undergoing DBS lead placement ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2020, :1-11]

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Cost-Effectiveness Analysis of Deep Brain Stimulation for Parkinson's Disease in Taiwan.

Jean Ching-Yuan Fann, Kai-Chieh Chang, Amy Ming-Fang Yen, Sam Li-Sheng Chen, Sherry Yueh-Hsia Chiu, Hsiu-Hsi Chen, Horng-Huei Liou,

BACKGROUND:Deep brain stimulation of subthalamic nucleus (STN-DBS) is an effective therapy for Parkinson's disease (PD). However, cost-effectiveness analysis (CEA) is required because most patients are older adults and decision-makers must therefore consider whether the long-term effectiveness outweighs the initial cost. METHOD:A Markov decision model was constructed on the basis of ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Left prefrontal impact links subthalamic stimulation with depressive symptoms.

Friederike Irmen, Andreas Horn, Philip Mosley, Alistair Perry, Jan Niklas Petry-Schmelzer, Haidar S Dafsari, Michael Barbe, Veerle Visser-Vandewalle, Gerd-Helge Schneider, Ningfei Li, Dorothee Kübler, Gregor Wenzel, Andrea Kühn,

OBJECTIVE:Subthalamic nucleus deep brain stimulation (STN-DBS) in Parkinson's Disease (PD) not only stimulates focal target structures but also affects distributed brain networks. The impact this network modulation has on non-motor DBS effects is not well characterized. By focusing on the affective domain, we systematically investigate the impact of electrode placement ... Read more >>

Ann. Neurol. (Annals of neurology)
[2020, :]

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Addressing Parkinson Disease-Related Pain with Deep Brain Stimulation.

Amanda Custozzo, Marisa DiMarzio, Julie G Pilitsis,

World Neurosurg (World neurosurgery)
[2020, 135:381-382]

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[Care of patients with Parkinson's disease in Germany].

Stephanie Stangl, Kirsten Haas, Carsten Eggers, Jens-Peter Reese, Lars Tönges, Jens Volkmann,

In Germany various concepts for treating patients with Parkinson's disease (PD) are available, e.g. oral medication with levodopa or deep brain stimulation (DBS), depending on the stage and severity of symptoms and also multidisciplinary management up to intersectoral treatment approaches (e.g. complex PD treatment and integrative care concepts). Nevertheless, in ... Read more >>

Nervenarzt (Der Nervenarzt)
[2020, :]

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A Novel Method for Calculating Beta Band Burst Durations in Parkinson’s Disease Using a Physiological Baseline

RW Anderson, RS Neuville, YM Kehnemouyi, CM Anidi, MN Petrucci, JE Parker, Velisar, Bronte-Stewart,

ABSTRACT Background Pathological bursts of neural activity in Parkinson’s disease present as exaggerated subthalamic neuronal oscillations in the 8-30 Hz frequency range and are related to motor impairment. New Method This study introduces a novel method for determining burst dynamics using a baseline that matches physiological 1/f spectrum activity. We ... Read more >>

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Relative Contribution of Magnetic Resonance Imaging, Microelectrode Recordings, and Awake Test Stimulation in Final Lead Placement during Deep Brain Stimulation Surgery of the Subthalamic Nucleus in Parkinson's Disease.

Henrieke L Frequin, Maarten Bot, José Dilai, Marije N Scholten, Miranda Postma, Lodewijk J Bour, Maria Fiorella Contarino, Rob M A de Bie, P Rick Schuurman, Pepijn van den Munckhof,

INTRODUCTION:For deep brain stimulation (DBS) surgery of the subthalamic nucleus (STN) in Parkinson's disease (PD), many centers employ visualization of the nucleus on magnetic resonance imaging (MRI), intraoperative microelectrode recordings (MER), and test stimulation in awake patients. The value of these steps is a subject for ongoing debate. In the ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2020, :1-11]

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Reader response: Quality of life predicts outcome of deep brain stimulation in early Parkinson disease.

Christos Sidiropoulos,

Neurology (Neurology)
[2020, 94(9):412]

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Editors' note: Quality of life predicts outcome of deep brain stimulation in early Parkinson disease.

James E Siegler, Steven Galetta,

Neurology (Neurology)
[2020, 94(9):411-412]

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