A preliminary study of transient confusional states following bilateral subthalamic stimulation for Parkinson's disease.

Abstract:

:Transient postoperative confusion (POC) occurs in 5-25% of patients following bilateral subthalamic nucleus stimulation. We retrospectively reviewed data on 96 patients who underwent bilateral subthalamic nucleus deep brain stimulation for Parkinson's disease. Nine percent of patients developed POC. There was no significant correlation between age/perioperative factors and POC. The POC group had a significantly higher incidence of depression and frontal-subcortical dysfunction on preoperative evaluation than patients without POC. Postoperative neuropsychological evaluations revealed declines on measures of general cognitive function and memory in the POC group. We provide preliminary evidence that patients with depression and frontal-subcortical dysfunction are more likely to develop POC, and that POC is more often associated with cognitive decline following surgery.

authors

Pilitsis JG,Rezai AR,Boulis NM,Henderson JM,Busch RM,Kubu CS

doi

10.1159/000086676

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

67-70

issue

2-3

eissn

1011-6125

issn

1423-0372

pii

86676

journal_volume

83

pub_type

杂志文章
  • Targeting for thalamic deep brain stimulator implantation without computer guidance: assessment of targeting accuracy.

    abstract::The authors assess the accuracy of targeting nucleus ventralis intermedius (Vim) with fast spin echo inversion recovery (FSE/IR) magnetic resonance imaging (MRI) in 18 successful deep brain stimulator (DBS) implants for medically refractory tremor. FSE/IR-MRI-derived coordinates are compared to the final coordinates e...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029718

    authors: Alterman RL,Reiter GT,Shils J,Skolnick B,Arle JE,Lesutis M,Simuni T,Colcher A,Stern M,Hurtig H

    更新日期:1999-01-01 00:00:00

  • Anatomical Study of Percutaneous Trigeminal Compressive Balloon Positioning on Merged 3-D Rotational X-Ray and Preprocedural Magnetic Resonance Imaging.

    abstract:BACKGROUND:Percutaneous trigeminal rhizotomy or balloon compression for trigeminal neuralgia carries a potential risk for the brainstem, the carotid artery, and the basilar artery. OBJECTIVE:To detail the relation of critical neural and vascular structures to expanded balloons used for percutaneous compression of the ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000489947

    authors: Sandwell S,Montoya S,Towner JE,Markman JD,Schell MC,Bhalla T

    更新日期:2018-01-01 00:00:00

  • Surgical therapy of temporal lobe seizures.

    abstract::Resection of epileptogenic lesions and pathological studies were performed in all 35 patients with temporal lobe epilepsy, 20 male and 15 female. Their ages ranged from 6 to 48 years with an average of 22 years. Various examinations including CT scan were carried out without any positive finding. EEG showed spike form...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Liu Z,Tian Z,Kang G,Cheng L,Li S,Chen X,Fin H,Zui S

    更新日期:1992-01-01 00:00:00

  • Effects of bilateral deep brain stimulation of the subthalamic nucleus on olfactory function in Parkinson's disease patients.

    abstract:OBJECTIVE:The goal of the present study was to evaluate the effects of bilateral deep brain stimulation (DBS) of the subthalamic nucleus (STN) on olfaction in patients with Parkinson's disease (PD). METHODS:15 patients suffering from sporadic PD-related dysosmia were implanted with bilateral electrodes aimed at the ST...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000131662

    authors: Guo X,Gao G,Wang X,Li L,Li W,Liang Q,Zhang H

    更新日期:2008-01-01 00:00:00

  • Late local and remote structural changes after capsulotomy for obsessive compulsive disorder.

    abstract::Stereotactic subcaudate capsulotomy (SC) is used to treat medically intractable obsessive compulsive disorders (OCD). Although clinical improvement has been observed, post-SC structural correlates are lacking in this biological disorder. Our study provides imaging evidence for local and distant alterations in structur...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Taren JA,Curtis GC,Gebarski SS

    更新日期:1994-01-01 00:00:00

  • Using Monte-Carlo-simulated radiation transport to calculate dose distribution in rats before irradiation with Leksell Gamma Knife 4C: technical note.

    abstract:BACKGROUND:Gamma knife surgery (GKS) is used at subnecrotic doses for temporal lobe epilepsy (TLE) treatment. Rat models of TLE have been used to probe the mechanisms underlying GKS. Previous GKS studies on rats have used the Leksell GammaPlan (LGP) treatment planning system to determine the irradiation time to achieve...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000314355

    authors: Marcelin B,Kjäll P,Johansson J,Lundin A,Nordström H,Eriksson M,Bernard C,Régis J

    更新日期:2010-01-01 00:00:00

  • Trigeminal Neuralgia Secondary to Meningiomas and Vestibular Schwannoma Is Improved after Stereotactic Radiosurgery: A Systematic Review and Meta-Analysis.

    abstract:INTRODUCTION:Trigeminal neuralgia (TN) secondary to tumors is encountered in up to 6% of patients with facial pain syndromes and is considered to be associated with tumors affecting the trigeminal nerve pathways. The most frequent are meningiomas and vestibular schwannomas (VS). Stereotactic radiosurgery (SRS) has emer...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000509842

    authors: Peciu-Florianu I,Régis J,Levivier M,Dedeciusova M,Reyns N,Tuleasca C

    更新日期:2020-09-09 00:00:00

  • Functional recovery after combined cerebral and cerebellar hemispherectomy in the rat.

    abstract::The cerebellum seems to be one of the structures responsible for early neurological improvement after cerebral hemispherectomy and its consequent deficits. Considered as an accessory brain, the cerebellum may constitute a neurobiological substrate for the recovery of such extensive cortical and subcortical lesions. It...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056497

    authors: Marino R Jr,Machado AG,Timo-Iaria C

    更新日期:2001-01-01 00:00:00

  • A miniature optical neuronavigation system for CT-guided stereotaxy.

    abstract:BACKGROUND AND OBJECTIVE:Neuronavigation devices have progressed over the past 2 decades, but logistical limitations remain for many stereotactic procedures. We describe our technique and accuracy for a novel miniature optical tracking system which overcomes these limitations. METHOD:The minioptical tracking system us...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000354819

    authors: von Jako CR,Perlaki G,Orsi G,Schwarcz A,Dóczi T

    更新日期:2014-01-01 00:00:00

  • Surgical treatment of patients with Rasmussen encephalitis.

    abstract:BACKGROUND:Rasmussen encephalitis (RE) is a rare progressive encephalitis that results in intractable seizures, cognitive decline and hemiparesis. Surgery seems to be the only effective way to control seizures in RE patients. OBJECTIVE:To describe the clinical, electrophysiological, neuroradiological and histological ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000355901

    authors: Guan Y,Zhou J,Luan G,Liu X

    更新日期:2014-01-01 00:00:00

  • Intraparenchymal cyst development after deep brain stimulator placement.

    abstract::Following deep brain stimulation (DBS) surgery, a variety of potential mechanical or functional complications ranging from perioperative events to hardware malfunction may occur. We present 2 patients who developed a unique complication of cyst formation at the tip of the DBS electrode in the absence of infection. One...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000350021

    authors: Ramirez-Zamora A,Levine D,Sommer DB,Dalfino J,Novak P,Pilitsis JG

    更新日期:2013-01-01 00:00:00

  • Computer-aided/image-guided and video-endoscopic resection of pituitary tumors.

    abstract::Endoscopic pituitary surgery is a minimally invasive method which allows simple transnasal transphenoidal surgical access without retractors, and has been used by our team in 536 patients from 1993 to 1999. In 326 of these patients, computer-aided image-guided techniques (CAN) were used in conjunction with endoscopy. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056481

    authors: Pillay PK,Leo CW,Sethi DS

    更新日期:2000-01-01 00:00:00

  • Transplantation of adrenal medullary tissue to caudate nucleus using stereotactic techniques.

    abstract::Stereotactic techniques were used to transplant adrenal medullary tissue to the head of the right caudate nucleus in 12 patients with Parkinson's disease. No significant lasting complications were seen. All patients had an initial improvement. 11 of the 12 patients remain improved over their preoperative condition aft...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100221

    authors: Gildenberg PL,Pettigrew LC,Merrell R,Butler I,Conklin R,Katz J,DeFrance J

    更新日期:1990-01-01 00:00:00

  • CT/MR image fusion in the postoperative assessment of electrodes implanted for deep brain stimulation.

    abstract:BACKGROUND/AIMS:Stereotactic postoperative imaging is essential for verification of the position of electrodes implanted for deep brain stimulation (DBS). MRI offers superior visualisation of the DBS targets relative to CT, but previous adverse incidents have heightened concerns about risks of postoperative MRI. Preope...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000225973

    authors: O'Gorman RL,Jarosz JM,Samuel M,Clough C,Selway RP,Ashkan K

    更新日期:2009-01-01 00:00:00

  • Thalamotomy and caudatotomy with the Gamma Knife as a treatment for parkinsonism with a comment on lesion sizes.

    abstract::Radiosurgery with the Gamma Knife was performed in 12 patients with parkinsonism. In 9 patients small lesions were created in the head of the caudate nucleus bilaterally. Two patients underwent radiosurgical thalamotomy, and 1 patient was treated with caudatotomy and thalamotomy. After a follow-up period of 1-12 month...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098781

    authors: Friehs GM,Ojakangas CL,Pachatz P,Schröttner O,Ott E,Pendl G

    更新日期:1995-01-01 00:00:00

  • Posttraumatic stress disorder: neurocircuitry and implications for potential deep brain stimulation.

    abstract::Posttraumatic stress disorder (PTSD) is a prevalent and highly disabling psychiatric disorder that is notoriously difficult to treat. At some point in their lifetimes, 5-8% of men, 10-14% of women, and up to a quarter of combat veterans carry this diagnosis. Despite pharmacological and behavioral therapies, up to 30% ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000343148

    authors: Taghva A,Oluigbo C,Corrigan J,Rezai AR

    更新日期:2013-01-01 00:00:00

  • Behavioral changes in 6-hydroxydopamine-treated rotation rats after delivery of various neuromodifying agents by means of a stereotactically implanted pellet to the brain.

    abstract::Small pellets loaded with apomorphine, thyrotropin-releasing hormone, and bromocriptine were implanted into the right striatum of 6-hydroxydopamine-treated rotation rats, and the efficacy of this drug delivery system was examined. Pellets containing neuromodifying agents, when implanted into the brain, may be just as ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100232

    authors: Yoshida M,Torigoe R,Ohtsuru K,Kuramoto S

    更新日期:1990-01-01 00:00:00

  • How does the stereotactic workstation help the neurosurgeon?

    abstract::At the KUL University of Leuven a workstation for the planning of neurosurgical stereotactic procedures has been developed. Its benefits are illustrated in three exemplary cases. The CT and/or MR images, acquired under stereotactic conditions, are transmitted via a PACS network (picture archiving and communication sys...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100284

    authors: Nuttin B,Knauth M,Gybels J,Verbeeck R,Vandermeulen D,Michiels J,Suetens P,Marchal G

    更新日期:1994-01-01 00:00:00

  • Complications of deep brain stimulation surgery.

    abstract::Although technological advances have reduced device-related complications, DBS surgery still carries a significant risk of transient and permanent complications. We report our experience in 86 patients and 149 DBS implants. Patients with Parkinson's disease, essential tremor and dystonia were treated. There were 8 per...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000064600

    authors: Beric A,Kelly PJ,Rezai A,Sterio D,Mogilner A,Zonenshayn M,Kopell B

    更新日期:2001-01-01 00:00:00

  • Quality assurance of Leksell gamma units.

    abstract::A Leksell Gamma Unit was commissioned and a Lars Leksell Center for Radiosurgery was established at the University of Virginia Health Sciences Center in March 1989. At that time a formal quality assurance program designed for the Leksell Gamma Unit was put into effect. This paper will review the components of suggeste...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099561

    authors: Berk HW,Agarwal SK

    更新日期:1991-01-01 00:00:00

  • Analysis of stereotactic accuracy of the cosman-robert-wells frame and nexframe frameless systems in deep brain stimulation surgery.

    abstract:INTRODUCTION:The primary goal of stereotactic systems in deep brain stimulation (DBS) surgery is accurate delivery of a DBS lead to a target identified on imaging. Thus, it is critical to understand the accuracy of the stereotactic systems and the factors which may be associated with a decrease in accuracy. METHODS:Ni...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000316761

    authors: Kelman C,Ramakrishnan V,Davies A,Holloway K

    更新日期:2010-01-01 00:00:00

  • General Anesthesia versus Local Anesthesia for Deep Brain Stimulation in Parkinson's Disease: A Meta-Analysis.

    abstract:BACKGROUND:Deep brain stimulation (DBS) implantation under general anesthesia (GA) is of great importance for patients with disabling off-medication symptoms or medical comorbidities. However, the relative advantages/disadvantages of routine local anesthesia (LA) surgery versus GA regarding clinical outcomes are contro...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1159/000505079

    authors: Liu Z,He S,Li L

    更新日期:2019-01-01 00:00:00

  • Neuronal activity in GP and Vim of parkinsonian patients and clinical changes of tremor through surgical interventions.

    abstract::Microrecordings were performed during pallidotomy and thalamotomy for Parkinson's disease (PD). Neuronal activity in globus pallidus (GP) was in general agreement with previous studies of human and primate models of PD. Neuronal activity, where frequency of tremor appeared to oscillate independently from peripheral in...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029643

    authors: Hayase N,Miyashita N,Endo K,Narabayashi H

    更新日期:1998-01-01 00:00:00

  • On the origin of oscillopsia during pedunculopontine stimulation.

    abstract::We report a case of induced oscillopsia caused by deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN). Recent reports have described involuntary oscillopsia during DBS of the PPN that patients have described as trembling vision. Here we substantiate this observation using infra-red eye tracking. It has ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000335871

    authors: Jenkinson N,Brittain JS,Hicks SL,Kennard C,Aziz TZ

    更新日期:2012-01-01 00:00:00

  • Apoptosis following gamma knife radiosurgery in a case of acoustic schwannoma.

    abstract::A 25-year-old woman with a large acoustic schwannoma underwent surgical excision 18 months after Gamma Knife radiosurgery because of transient expansion of the tumor causing ataxia. Histopathologial investigation by the TUNEL method revealed the presence of some apoptotic cells. The findings were compared with finding...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056411

    authors: Fukuoka S,Oka K,Seo Y,Tokanoshi M,Sumi Y,Nakamura H,Nakamura J,Ikawa F

    更新日期:1998-10-01 00:00:00

  • Spinal cord stimulation to abort painful spasms of atypical stiff limb syndrome.

    abstract::Stiff limb syndrome (SLS) is a rare chronic condition which can result in significant debility. We report the case of a 44-year-old man suffering from severe painful spasms in his right leg with a diagnosis of SLS. He had been initially treated for his pain with a spinal cord stimulator but presented with exacerbation...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000313871

    authors: Ughratdar I,Sivakumar G,Basu S

    更新日期:2010-01-01 00:00:00

  • Complications after Anterior Temporal Lobectomy for Medically Intractable Epilepsy: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:The efficacy of surgery in the management of patients with longstanding temporal lobe epilepsy has been established. Anterior temporal lobectomy (ATL) is the most frequently implemented procedure. However, there is an obvious need to assess its perioperative safety. OBJECTIVE:We conducted a meta-analysis to...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1159/000500136

    authors: Brotis AG,Giannis T,Kapsalaki E,Dardiotis E,Fountas KN

    更新日期:2019-01-01 00:00:00

  • Frame-based and frameless endoscopic procedures in the third ventricle.

    abstract::Stereotactic guidance is useful for planning an accurate trajectory to the third ventricle. A guiding block with a ball joint was developed for frame-based endoscopy and adaptors for arm-based and armless navigation systems. Between 1992 and 1996, 52 patients were operated on endoscopically in the third ventricle unde...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099907

    authors: Grunert P,Hopf N,Perneczky A

    更新日期:1997-01-01 00:00:00

  • MRI-guided stereotactic thalamotomy for cerebral palsy patients with mixed dyskinesia.

    abstract::The author has performed 108 stereotactic thalamotomies using MRI (MGSTs) without ventriculography in 77 cerebral palsy (CP) patients with dyskinesia(s) from January 1992 to January 1997. The clinical results were verified in terms of improvement of major preoperative symptom and patient's (or relative's) satisfaction...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099891

    authors: Lee KH

    更新日期:1997-01-01 00:00:00

  • Low-frequency bilateral hypothalamic stimulation for treatment of drug-resistant aggressiveness in a young man with mental retardation.

    abstract::Stereotactic bilateral electrode implantation in the medial portion of the posterior hypothalamus was performed on a 22-year-old male with drug-resistant aggressiveness. To localize the targets during implantation, microrecording was performed, and the clinical and electroencephalographic responses to intraoperative s...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000131659

    authors: Hernando V,Pastor J,Pedrosa M,Peña E,Sola RG

    更新日期:2008-01-01 00:00:00