Rescue levodopa-carbidopa intestinal gel (LCIG) therapy in Parkinson's disease patients with suboptimal response to deep brain stimulation.

Abstract:

OBJECTIVE:To evaluate the effectiveness of levodopa-carbidopa intestinal gel (LCIG) as an add-on rescue therapy following deep brain stimulation (DBS) for treatment of motor fluctuations. BACKGROUND:Both DBS and LCIG are FDA-approved therapies for treatment of motor fluctuations in advanced PD. Few studies have examined dual therapy for refractory motor fluctuations and it is unknown what the effect on quality of life will be in advanced PD. METHODS:We conducted a retrospective study using a large database of all medical and surgical PD cases at the University of Florida. Six patients were identified with DBS who subsequently received rescue LCIG therapy. The clinical histories, indications for intervention and outcomes were reviewed. RESULTS:All patients were managed initially with DBS (bilateral STN DBS (n = 3), bilateral GPi DBS (n = 1), unilateral GPI DBS (n = 2)). Patients with well-placed (n = 3) and suboptimally placed DBS leads (n = 3) had significant reduction in their motor fluctuations with improvement in the off-medication time after rescue LCIG therapy. Improvement in quality of life scores (PDQ-39) was appreciated in four DBS patients following the addition of LCIG therapy. CONCLUSIONS:LCIG is a promising add-on rescue therapy for select patients with existing DBS devices. The LCIG may possibly reduce motor fluctuations and improve quality of life in advanced PD irrespective of the DBS target or the accuracy of lead placement. Dual therapy may also be ideal for patients who are considered high risk for additional DBS surgeries.

journal_name

Ann Clin Transl Neurol

authors

Elkouzi A,Ramirez-Zamora A,Zeilman P,Barabas M,Eisinger RS,Malaty IA,Okun MS,Almeida L

doi

10.1002/acn3.50889

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

1989-1995

issue

10

issn

2328-9503

journal_volume

6

pub_type

杂志文章
  • Plasma neuronal exosomal levels of Alzheimer's disease biomarkers in normal aging.

    abstract::Plasma neuronal exosomal levels of pathogenic Alzheimer's disease (AD) proteins, cellular survival factors, and lysosomal proteins distinguish AD patients from control subjects, but changes in these exosomal proteins associated with normal aging have not been described for cognitively intact subjects. Plasma neuronal ...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.309

    authors: Abner EL,Jicha GA,Shaw LM,Trojanowski JQ,Goetzl EJ

    更新日期:2016-04-13 00:00:00

  • Caveats in the Established Understanding of CMT1A.

    abstract::Charcot-Marie-Tooth disease type-1A (CMT1A) is one of the most common types of inherited peripheral nerve diseases. It is caused by the trisomy of chromosome 17p12 (c17p12), a large DNA segment of 1.4 Mb containing PMP22 plus eight other genes. The size of c17p12 is formidable for any cloning technique to manipulate, ...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.432

    authors: Li J

    更新日期:2017-06-15 00:00:00

  • Association of serum Apolipoprotein B with cerebrospinal fluid biomarkers of Alzheimer's pathology.

    abstract:OBJECTIVE:To examine whether apolipoprotein B (ApoB), apolipoprotein A-1 (ApoA1), or their ratio (ApoB/A1) were associated with early changes in cerebrospinal fluid (CSF) biomarkers of Alzheimer's disease (AD) pathology in elderly adults with subjective cognitive decline (SCD). METHODS:This study included 507 objectiv...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.51153

    authors: Hu H,Tan L,Bi YL,Xu W,Tan L,Shen XN,Hou XH,Ma YH,Dong Q,Yu JT

    更新日期:2020-10-01 00:00:00

  • Suppression of agrin-22 production and synaptic dysfunction in Cln1 (-/-) mice.

    abstract:OBJECTIVE:Oxidative stress in the brain is highly prevalent in many neurodegenerative disorders including lysosomal storage disorders, in which neurodegeneration is a devastating manifestation. Despite intense studies, a precise mechanism linking oxidative stress to neuropathology in specific neurodegenerative diseases...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.261

    authors: Peng S,Xu J,Pelkey KA,Chandra G,Zhang Z,Bagh MB,Yuan X,Wu LG,McBain CJ,Mukherjee AB

    更新日期:2015-11-06 00:00:00

  • Area postrema syndrome as frequent feature of Bickerstaff brainstem encephalitis.

    abstract:Objective:Area postrema (AP) syndrome (defined as: nausea and/or emesis and/or singultus at onset of brainstem dysfunction) comprises complex pathophysiologic mechanisms triggered by different entities. The first objective was to assess the frequency of AP syndrome as a clinical feature in brainstem encephalitis (BE). ...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.666

    authors: Zeiner PS,Brandhofe A,Müller-Eschner M,Steinmetz H,Pfeilschifter W

    更新日期:2018-10-31 00:00:00

  • Treatment of natalizumab-associated PML with filgrastim.

    abstract:Objective:There is no consensus on the treatment of progressive multifocal leukoencephalopathy (PML) occurring in multiple sclerosis (MS) patients treated with natalizumab (Nz). We report novel immune activating treatment with filgrastim of Nz-associated PML in MS patients treated at Rush University Medical Center. Me...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.776

    authors: Stefoski D,Balabanov R,Waheed R,Ko M,Koralnik IJ,Sierra Morales F

    更新日期:2019-04-08 00:00:00

  • Structural brain anomalies in patients with FOXG1 syndrome and in Foxg1+/- mice.

    abstract:Objective:FOXG1 syndrome is a rare neurodevelopmental disorder associated with heterozygous FOXG1 variants or chromosomal microaberrations in 14q12. The study aimed at assessing the scope of structural cerebral anomalies revealed by neuroimaging to delineate the genotype and neuroimaging phenotype associations. Method...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.735

    authors: Pringsheim M,Mitter D,Schröder S,Warthemann R,Plümacher K,Kluger G,Baethmann M,Bast T,Braun S,Büttel HM,Conover E,Courage C,Datta AN,Eger A,Grebe TA,Hasse-Wittmer A,Heruth M,Höft K,Kaindl AM,Karch S,Kautzky T,Ko

    更新日期:2019-03-03 00:00:00

  • CCL2 and CXCL10 are associated with poor outcome after intracerebral hemorrhage.

    abstract:Objective:Intracerebral hemorrhage carries a high mortality and survivors are frequently left with significant disability. Immunological mechanisms may play an important role in hemorrhage-induced brain injury, however, research linking these mechanisms with clinical outcome remains limited. We aim to identify serum in...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.595

    authors: Landreneau MJ,Mullen MT,Messé SR,Cucchiara B,Sheth KN,McCullough LD,Kasner SE,Sansing LH,Serum Markers After Spontaneous Cerebral Hemorrhage (SMASCH) Investigators.

    更新日期:2018-07-03 00:00:00

  • A novel de novo RNF216 mutation associated with autosomal recessive Huntington-like disorder.

    abstract::Mutations in RNF216 have been found to be associated with autosomal recessive Huntington-like disorder. Here, we describe a patient with Huntington-like disorder caused by a novel de novo RNF216 mutation. The patient started to have choreatic movements of both hands, slowly progressing to head, face, and four extremit...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.51047

    authors: Chen KL,Zhao GX,Wang H,Wei L,Huang YY,Chen SD,Lin BY,Dong Q,Cui M,Yu JT

    更新日期:2020-05-01 00:00:00

  • Brain alterations within the first 100 days of HIV infection.

    abstract:OBJECTIVE:Brain involvement is a serious complication of HIV infection. The earliest changes in the brain, which represents an anatomic site for viral persistence, are largely unknown. METHODS:This investigation used quantitative Magnetic Resonance methodologies, including high resolution and diffusion tensor (DTI) im...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.136

    authors: Ragin AB,Wu Y,Gao Y,Keating S,Du H,Sammet C,Kettering CS,Epstein LG

    更新日期:2015-01-01 00:00:00

  • Altered cortical thickness following prenatal sodium valproate exposure.

    abstract::Prenatal exposure to sodium valproate (VPA) is associated with neurodevelopmental impairments. Cortical thickness was measured in 16 children exposed prenatally to VPA and 16 controls. We found increased left inferior frontal gyrus (IFG; BA45) and left pericalcarine sulcus (BA18) thickness, an association between VPA ...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.74

    authors: Wood AG,Chen J,Barton S,Nadebaum C,Anderson VA,Catroppa C,Reutens DC,O'Brien TJ,Vajda F

    更新日期:2014-07-01 00:00:00

  • Presymptomatic white matter integrity loss in familial frontotemporal dementia in the GENFI cohort: A cross-sectional diffusion tensor imaging study.

    abstract:Objective:We aimed to investigate mutation-specific white matter (WM) integrity changes in presymptomatic and symptomatic mutation carriers of the C9orf72,MAPT, and GRN mutations by use of diffusion-weighted imaging within the Genetic Frontotemporal dementia Initiative (GENFI) study. Methods:One hundred and forty muta...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.601

    authors: Jiskoot LC,Bocchetta M,Nicholas JM,Cash DM,Thomas D,Modat M,Ourselin S,Rombouts SARB,Dopper EGP,Meeter LH,Panman JL,van Minkelen R,van der Ende EL,Donker Kaat L,Pijnenburg YAL,Borroni B,Galimberti D,Masellis M,Tartagl

    更新日期:2018-07-11 00:00:00

  • A plasma diagnostic model of human T-cell leukemia virus-1 associated myelopathy.

    abstract:OBJECTIVE:Human T-cell leukemia virus-1 (HTLV-1) associated myelopathy/tropic spastic paraparesis (HAM/TSP) is induced by chronic inflammation in spinal cord due to HTLV-1 infection. Cerebrospinal fluid (CSF) neopterin or proviral load are clinically measured as disease grading biomarkers, however, they are not exactly...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.169

    authors: Ishihara M,Araya N,Sato T,Saichi N,Fujii R,Yamano Y,Ueda K

    更新日期:2015-03-01 00:00:00

  • Behavioral profile of unruptured intracranial aneurysms: a systematic review.

    abstract:OBJECTIVES:To systematically review the literature on the neuropsychological, psychosocial, and functional profiles of patients with unruptured intracranial aneurysms. METHODS:This review was limited to peer-reviewed research articles that reported cognitive, psychosocial, and/or functional profiles of patients with u...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.41

    authors: Bonares MJ,de Oliveira Manoel AL,Macdonald RL,Schweizer TA

    更新日期:2014-03-01 00:00:00

  • Longitudinal advanced MRI case report of white matter radiation necrosis.

    abstract::Radiation necrosis mostly occurs in and near the radiation field. We used magnetic resonance imaging to study radiation-induced necrosis of atypical onset, severity, and extent following stereotactic radiosurgery for a symptomatic arteriovenous malformation. Susceptibility-sensitive imaging, T1-relaxation, myelin wate...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.704

    authors: Wiggermann V,Lapointe E,Litvin L,Graf C,Hernández-Torres E,McKenzie M,Vavasour IM,Laule C,MacMillan EL,Li DKB,Kolind SH,Rauscher A,Traboulsee AL

    更新日期:2018-12-10 00:00:00

  • Predictors of successful endovascular treatment in severe cerebral venous sinus thrombosis.

    abstract:Objective:The objective of this study was to evaluate the thrombus characteristics affecting the extent of recanalization to identify patients with severe cerebral venous sinus thrombus (CVT) more likely to benefit from endovascular therapy. Methods:Severe CVT patients scheduled for endovascular treatment were prospec...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.749

    authors: Yang X,Wu F,Liu Y,Duan J,Meng R,Chen J,Li D,Fan Z,Fisher M,Yang Q,Ji X

    更新日期:2019-03-07 00:00:00

  • Calcium-sensing receptor (CaSR) as a novel target for ischemic neuroprotection.

    abstract:OBJECT:Ischemic brain injury is the leading cause for death and long-term disability in patients who suffer cardiac arrest and embolic stroke. Excitotoxicity and subsequent Ca(2+)-overload lead to ischemic neuron death. We explore a novel mechanism concerning the role of the excitatory extracellular calcium-sensing rec...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.118

    authors: Kim JY,Ho H,Kim N,Liu J,Tu CL,Yenari MA,Chang W

    更新日期:2014-11-01 00:00:00

  • Cerebrospinal fluid biomarkers predict frontotemporal dementia trajectory.

    abstract:Objective:The prognostic value of cerebrospinal fluid neurofilament light chain, total tau, phosphorylated tau181, and amyloid beta1-42 was examined in frontotemporal dementia subtypes. Methods:We compared baseline biomarkers between 49 controls, 40 patients with behavioral variant frontotemporal dementia, 24 with sem...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.643

    authors: Ljubenkov PA,Staffaroni AM,Rojas JC,Allen IE,Wang P,Heuer H,Karydas A,Kornak J,Cobigo Y,Seeley WW,Grinberg LT,Spina S,Fagan AM,Jerome G,Knopman D,Boeve BF,Dickerson BC,Kramer J,Miller B,Boxer AL,Rosen HJ

    更新日期:2018-09-20 00:00:00

  • Evaluation of SORD mutations as a novel cause of Charcot-Marie-Tooth disease.

    abstract::Biallelic mutations in the sorbitol dehydrogenase (SORD) encoding gene were recently identified as a common genetic cause in autosomal-recessive CMT patients. Here, we investigated the clinical, genetic, and electrophysiological characteristics of three CMT patients with biallelic SORD mutations from a Chinese cohort....

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.51268

    authors: Yuan RY,Ye ZL,Zhang XR,Xu LQ,He J

    更新日期:2021-01-01 00:00:00

  • VRK1 (Y213H) homozygous mutant impairs Cajal bodies in a hereditary case of distal motor neuropathy.

    abstract:BACKGROUND:Distal motor neuropathies with a genetic origin have a heterogeneous clinical presentation with overlapping features affecting distal nerves and including spinal muscular atrophies and amyotrophic lateral sclerosis. This indicates that their genetic background is heterogeneous. PATIENT AND METHODS:In this w...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.51050

    authors: Marcos AT,Martín-Doncel E,Morejón-García P,Marcos-Alcalde I,Gómez-Puertas P,Segura-Puimedon M,Armengol L,Navarro-Pando JM,Lazo PA

    更新日期:2020-05-01 00:00:00

  • Repeat expansion scanning of the NOTCH2NLC gene in patients with multiple system atrophy.

    abstract:OBJECTIVE:Trinucleotide GGC repeat expansion in the 5'UTR of the NOTCH2NLC gene has been recognized as the pathogenesis of neuronal intranuclear inclusion disease (NIID). Previous studies have described that some NIID patients showed clinical and pathological similarities with multiple system atrophy (MSA). This study ...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.51021

    authors: Fang P,Yu Y,Yao S,Chen S,Zhu M,Chen Y,Zou K,Wang L,Wang H,Xin L,Hong T,Hong D

    更新日期:2020-04-01 00:00:00

  • Contribution of non-reference alleles in mtDNA of Alzheimer's disease patients.

    abstract::Many observations suggest that mutations of mitochondrial DNA (mtDNA) could be responsible for the neurodegenerative changes of Alzheimer's disease (AD). Here we examined the signal intensity of the four alleles of each mtDNA nucleotide position (np) in whole blood of AD patients and age-matched controls using MitoChi...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.42

    authors: Casoli T,Di Stefano G,Spazzafumo L,Balietti M,Giorgetti B,Giuli C,Postacchini D,Fattoretti P,Conti F

    更新日期:2014-04-01 00:00:00

  • Optically pumped magnetoencephalography in epilepsy.

    abstract::We demonstrate the first use of Optically Pumped Magnetoencephalography (OP-MEG) in an epilepsy patient with unrestricted head movement. Current clinical MEG uses a traditional SQUID system, where sensors are cryogenically cooled and housed in a helmet in which the patient's head is fixed. Here, we use a different typ...

    journal_title:Annals of clinical and translational neurology

    pub_type:

    doi:10.1002/acn3.50995

    authors: Vivekananda U,Mellor S,Tierney TM,Holmes N,Boto E,Leggett J,Roberts G,Hill RM,Litvak V,Brookes MJ,Bowtell R,Barnes GR,Walker MC

    更新日期:2020-03-01 00:00:00

  • Rho-kinase inhibitors do not expand hematoma volume in acute experimental intracerebral hemorrhage.

    abstract::Rho-associated kinase (ROCK) is an emerging target in acute ischemic stroke. Early pre-hospital treatment with ROCK inhibitors may improve their efficacy, but their antithrombotic effects raise safety concerns in hemorrhagic stroke, precluding use prior to neuroimaging. Therefore, we tested whether ROCK inhibition aff...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.569

    authors: Akhter M,Qin T,Fischer P,Sadeghian H,Kim HH,Whalen MJ,Goldstein JN,Ayata C

    更新日期:2018-05-01 00:00:00

  • Diagnostic utility of ASL-MRI and FDG-PET in the behavioral variant of FTD and AD.

    abstract:OBJECTIVE:To compare the values of arterial spin-labeled (ASL) MRI and fluorodeoxyglucose (FDG) PET in the diagnosis of behavioral variant of frontotemporal dementia (bvFTD) and Alzheimer's disease (AD). METHODS:Partial least squares logistic regression was used to identify voxels with diagnostic value in cerebral blo...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.330

    authors: Tosun D,Schuff N,Rabinovici GD,Ayakta N,Miller BL,Jagust W,Kramer J,Weiner MM,Rosen HJ

    更新日期:2016-08-30 00:00:00

  • Acute vitreoretinal trauma and inflammation after traumatic brain injury in mice.

    abstract:Objective:Limited attention has been given to ocular injuries associated with traumatic brain injury (TBI). The retina is an extension of the central nervous system and evaluation of ocular damage may offer a less-invasive approach to gauge TBI severity and response to treatment. We aim to characterize acute changes in...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.523

    authors: Evans LP,Newell EA,Mahajan M,Tsang SH,Ferguson PJ,Mahoney J,Hue CD,Vogel EW 3rd,Morrison B 3rd,Arancio O,Nichols R,Bassuk AG,Mahajan VB

    更新日期:2018-02-26 00:00:00

  • Translocator protein in late stage Alzheimer's disease and Dementia with Lewy bodies brains.

    abstract:OBJECTIVE:Increased translocator protein (TSPO), previously known as the peripheral benzodiazepine receptor (PBR), in glial cells of the brain has been used as a neuroinflammation marker in the early and middle stages of neurodegenerative diseases, such as Alzheimer's disease (AD) and Dementia with Lewy Bodies (DLB). I...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.50837

    authors: Xu J,Sun J,Perrin RJ,Mach RH,Bales KR,Morris JC,Benzinger TLS,Holtzman DM

    更新日期:2019-08-01 00:00:00

  • The case of a 61-year-old man with unusual headaches.

    abstract::A 61-year-old man with past medical history significant for prediabetes, hyperlipidemia and high-grade prostate intraepithelial neoplasia presents with headaches for one month. Imaging of his brain reveals hydrocephalus and spine imaging reveals a cord lesion. These findings are discussed further in the case. ...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.51179

    authors: Yu M,Brooker S,Priyadarshini S

    更新日期:2020-12-18 00:00:00

  • A new counterintuitive training for adult amblyopia.

    abstract:Objectives:The aim of this study was to investigate whether short-term inverse occlusion, combined with moderate physical exercise, could promote the recovery of visual acuity and stereopsis in a group of adult anisometropic amblyopes. Methods:Ten adult anisometropic patients underwent six brief (2 h) training session...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.698

    authors: Lunghi C,Sframeli AT,Lepri A,Lepri M,Lisi D,Sale A,Morrone MC

    更新日期:2018-12-28 00:00:00

  • New phenotype of DCTN1-related spectrum: early-onset dHMN plus congenital foot deformity.

    abstract:OBJECTIVE:To describe the clinical and genetic features of two patients with different phenotypes due to various Dynactin 1 (DCTN1) gene mutations and further explore the phenotype-genotype relationship. METHODS:Patient 1 is a 23-year-old man with congenital foot deformity and life-long distal muscle weakness and atro...

    journal_title:Annals of clinical and translational neurology

    pub_type: 杂志文章

    doi:10.1002/acn3.50985

    authors: Tian WT,Liu LH,Zhou HY,Zhang C,Zhan FX,Zhu ZY,Chen SD,Luan XH,Cao L

    更新日期:2020-02-01 00:00:00