Differential effects of deep brain stimulation target on motor subtypes in Parkinson's disease.

Abstract:

OBJECTIVE:The Veterans Administration Cooperative Studies Program #468, a multicenter study that randomized Parkinson's disease (PD) patients to either subthalamic nucleus (STN) or globus pallidus internus (GPi) deep brain stimulation (DBS), found that stimulation at either target provided similar overall motoric benefits. We conducted an additional analysis of this data set to evaluate whether PD motor subtypes responded differently to the 2 stimulation targets. METHODS:We classified 235 subjects by motor subtype: tremor dominant (TD), intermediate (I), or postural instability gait difficulty (PIGD), based on pre-DBS baseline Unified Parkinson's Disease Rating Scale (UPDRS) scores off-medication. The primary outcome was change in UPDRS part III (UPDRS-III) off-medication scores from baseline to 24 months post-DBS, compared among subjects with particular PD motor subtypes and by DBS target (STN vs GPi). Changes in tremor, rigidity, akinesia, and gait scores were also assessed using the UPDRS. RESULTS:TD patients had greater mean overall motor improvement, measured by UPDRS-III, after GPi DBS, compared to STN DBS (17.5 ± 13.0 vs 14.6 ± 14.9, p = 0.02), with improvement in gait accounting for this difference. Regardless of stimulation target, PIGD subjects had lower mean overall improvement in UPDRS-III scores compared with I or TD subjects (8.7 ± 12.2 vs 21.7 ± 11.2 vs 16.3 ± 13.8, p = 0.001). INTERPRETATION:Our results suggest that responsiveness to both GPi and STN DBS is similar among different PD motor subtypes, although the TD motor subtype may have a greater response to GPi DBS with respect to gait. PIGD patients obtained less overall benefit from stimulation.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Katz M,Luciano MS,Carlson K,Luo P,Marks WJ Jr,Larson PS,Starr PA,Follett KA,Weaver FM,Stern MB,Reda DJ,Ostrem JL,CSP 468 study group.

doi

10.1002/ana.24374

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

710-9

issue

4

eissn

0364-5134

issn

1531-8249

journal_volume

77

pub_type

杂志文章,多中心研究,随机对照试验
  • The dopamine transporter: importance in Parkinson's disease.

    abstract::The dopamine transporter (DAT) may be the single most important determinant of extracellular dopamine concentrations. The importance of DAT in Parkinson's disease (PD) in which DAT may be reduced by 50 to 70% is unclear. We have examined the effects of methylphenidate (MPD), an inhibitor of DAT, administered alone or ...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/ana.20089

    authors: Nutt JG,Carter JH,Sexton GJ

    更新日期:2004-06-01 00:00:00

  • Acne fulminans with inflammatory myopathy.

    abstract::An 18-year-old man with acne fulminans developed an acute inflammatory myositis, an association not previously reported. The condition resolved with treatment using systemic corticosteroids. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410080110

    authors: Noseworthy JH,Heffernan LP,Ross JB,Sangalang VE

    更新日期:1980-07-01 00:00:00

  • Hypoglycemia alters striatal amino acid efflux in perinatal rats: an in vivo microdialysis study.

    abstract::In adult brain, during insulin-induced hypoglycemia, striatal extracellular fluid concentrations of the excitatory amino acids glutamate and aspartate rise markedly (fourfold to tenfold). In this study, we used in vivo microdialysis to determine if insulin-induced hypoglycemia altered striatal amino acid efflux in sim...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410280408

    authors: Silverstein FS,Simpson J,Gordon KE

    更新日期:1990-10-01 00:00:00

  • UCHL1 is a Parkinson's disease susceptibility gene.

    abstract::The reported inverse association between the S18Y variant of the ubiquitin carboxy-terminal hydrolase L1 (UCHL1) gene and Parkinson's disease (PD) has strong biological plausibility. If confirmed, genetic association of this variant with PD may support molecular targeting of the UCHL1 gene and its product as a therape...

    journal_title:Annals of neurology

    pub_type: 杂志文章,meta分析

    doi:10.1002/ana.20017

    authors: Maraganore DM,Lesnick TG,Elbaz A,Chartier-Harlin MC,Gasser T,Krüger R,Hattori N,Mellick GD,Quattrone A,Satoh J,Toda T,Wang J,Ioannidis JP,de Andrade M,Rocca WA,UCHL1 Global Genetics Consortium.

    更新日期:2004-04-01 00:00:00

  • Brainstem auditory evoked responses in 200 patients with multiple sclerosis.

    abstract::Brainstem auditory evoked responses (BAERs) were recorded from 202 patients with definite, probable, or possible multiple sclerosis (MS). Definitions of abnormality were based only on interwave separations and the wave I/wave V amplitude ratio. Thirty-two percent of the patients had abnormal BAERs, and the presence of...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410070208

    authors: Chiappa KH,Harrison JL,Brooks EB,Young RR

    更新日期:1980-02-01 00:00:00

  • Autosomal dominant lateral temporal epilepsy: clinical and genetic study of a large Basque pedigree linked to chromosome 10q.

    abstract::We report a large family with a temporal partial epilepsy syndrome inherited in an autosomal dominant mode, with a penetrance of about 80%. This epilepsy syndrome is benign, with age of onset in the second or third decade of life. It is characterized by rare partial seizures, usually secondarily generalized, arising m...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(199902)45:2<182::aid-ana8>3.0.co

    authors: Poza JJ,Sáenz A,Martínez-Gil A,Cheron N,Cobo AM,Urtasun M,Martí-Massó JF,Grid D,Beckmann JS,Prud'homme JF,López de Munain A

    更新日期:1999-02-01 00:00:00

  • A diagnostic index of active demyelination: myelin basic protein in cerebrospinal fluid.

    abstract::We have developed a radioimmunoassay to measure a specific neurological component, the basic protein of myelin, and have used this test for assessing this component in spinal fluid. The levels of basic protein in spinal fluid correlate closely with the clinical activity of multiple sclerosis; therefore the test can be...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410080104

    authors: Cohen SR,Brooks BR,Herndon RM,McKhann GM

    更新日期:1980-07-01 00:00:00

  • A case-control study of apolipoprotein E genotypes in Alzheimer's disease associated with Down's syndrome. Dutch Study Group on Down's Syndrome and Ageing.

    abstract::The prevalence of clinical signs and neuropathological findings of Alzheimer's disease (AD) is high in Down's syndrome (DS). In the general population, the apolipoprotein E (ApoE) epsilon 4 isoform is an important risk for AD. We studied the allelic frequencies of ApoE in 26 DS cases fulfilling clinical diagnostic cri...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410380215

    authors: van Gool WA,Evenhuis HM,van Duijn CM

    更新日期:1995-08-01 00:00:00

  • Cerebrospinal fluid vasopressin and increased intracranial pressure.

    abstract::Cerebrospinal fluid and plasma vasopressin were measured in patients with cerebral disorders associated with varying levels of elevated intracranial pressure. The mean cerebrospinal fluid vasopressin concentration was significantly increased in patients with pseudotumor cerebri (2.0 +/- 0.2 [SEM] pg/ml), intracranial ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410150506

    authors: Sørensen PS,Gjerris F,Hammer M

    更新日期:1984-05-01 00:00:00

  • Congenital lymphocytic choriomeningitis virus infection: spectrum of disease.

    abstract:OBJECTIVE:Lymphocytic choriomeningitis virus (LCMV) is a human pathogen and an emerging neuroteratogen. When the infection occurs during pregnancy, the virus can target and damage the fetal brain and retina. We examined the spectrum of clinical presentations, neuroimaging findings, and clinical outcomes of children wit...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21161

    authors: Bonthius DJ,Wright R,Tseng B,Barton L,Marco E,Karacay B,Larsen PD

    更新日期:2007-10-01 00:00:00

  • Regional glucose utilization and blood flow following graded forebrain ischemia in the rat: correlation with neuropathology.

    abstract::Regional patterns of cerebral glucose utilization (rCMRglc) and blood flow (rCBF) were examined in the early recovery period following transient forebrain ischemia in order to correlate early postischemic physiological events with regionally selective patterns of ischemic neuropathology. Wistar rats were subjected to ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410180410

    authors: Ginsberg MD,Graham DI,Busto R

    更新日期:1985-10-01 00:00:00

  • Hyperexcitability of motor and sensory neurons in neuromyotonia.

    abstract::Two members of a family with a neuropathy resembling Charcot-Marie-Tooth disease were unable to relax their muscles after voluntary contraction. Muscle spasm often outlasted voluntary contraction by 30 seconds or more before subsiding into myokymia and fasciculations. The posture of the hand during muscle spasm resemb...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410050605

    authors: Lance JW,Burke D,Pollard J

    更新日期:1979-06-01 00:00:00

  • Oligodendrocytic polyglutamine pathology in dentatorubral-pallidoluysian atrophy.

    abstract::White matter degeneration is one of the pathological conditions of dentatorubral-pallidoluysian atrophy. Autopsy brains exhibited a reduced number of glial cells in the lesions and an involvement of oligodendrocytes in nuclear inclusion formation, which previously has been recognized only as a pathological hallmark in...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10352

    authors: Yamada M,Sato T,Tsuji S,Takahashi H

    更新日期:2002-11-01 00:00:00

  • Prognostic value of proton magnetic resonance spectroscopic imaging for surgical outcome in patients with intractable temporal lobe epilepsy and bilateral hippocampal atrophy.

    abstract::The objective of this study was to assess which features of temporal lobe proton magnetic resonance spectroscopic imaging (1H-MRSI) are associated with satisfactory surgical outcome in patients with intractable temporal lobe epilepsy and bilateral hippocampal atrophy. We studied 21 patients with intractable temporal l...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:

    authors: Li LM,Cendes F,Antel SB,Andermann F,Serles W,Dubeau F,Olivier A,Arnold DL

    更新日期:2000-02-01 00:00:00

  • An operational approach to National Institute on Aging-Alzheimer's Association criteria for preclinical Alzheimer disease.

    abstract:OBJECTIVE:A workgroup commissioned by the Alzheimer's Association (AA) and the National Institute on Aging (NIA) recently published research criteria for preclinical Alzheimer disease (AD). We performed a preliminary assessment of these guidelines. METHODS:We employed Pittsburgh compound B positron emission tomography...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.22628

    authors: Jack CR Jr,Knopman DS,Weigand SD,Wiste HJ,Vemuri P,Lowe V,Kantarci K,Gunter JL,Senjem ML,Ivnik RJ,Roberts RO,Rocca WA,Boeve BF,Petersen RC

    更新日期:2012-06-01 00:00:00

  • Sequence variants in human neurofilament proteins: absence of linkage to familial amyotrophic lateral sclerosis.

    abstract::Neurofilaments, assembled from NF-L (68 kd), NF-M (95 kd), and NF-H (115 kd), are the most abundant structural components in large myelinated axons, particularly those of motor neurons. Aberrant neurofilament accumulation in cell bodies and axons of motor neurons is a prominent pathological feature of several motor ne...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410400410

    authors: Vechio JD,Bruijn LI,Xu Z,Brown RH Jr,Cleveland DW

    更新日期:1996-10-01 00:00:00

  • Loss-of-function mutations of SURF-1 are specifically associated with Leigh syndrome with cytochrome c oxidase deficiency.

    abstract::Mutations of SURF-1, a gene located on chromosome 9q34, have recently been identified in patients affected by Leigh syndrome (LS), associated with deficiency of cytochrome c oxidase (COX), the terminal component of the mitochondrial respiratory chain. To investigate to what extent SURF-1 is responsible for human disor...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(199908)46:2<161::aid-ana4>3.0.co

    authors: Tiranti V,Jaksch M,Hofmann S,Galimberti C,Hoertnagel K,Lulli L,Freisinger P,Bindoff L,Gerbitz KD,Comi GP,Uziel G,Zeviani M,Meitinger T

    更新日期:1999-08-01 00:00:00

  • Stimulus rate determines regional brain blood flow in striate cortex.

    abstract::Intravenous bolus administration of oxygen 15-labeled water and positron emission tomography were used to measure changes in brain blood flow induced by two modes of photic stimuli over a wide range of repetition rates. These stimuli (patterned-flash and reversing checkerboard) were chosen in order to determine whethe...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410170315

    authors: Fox PT,Raichle ME

    更新日期:1985-03-01 00:00:00

  • Mirror agnosia and mirror ataxia constitute different parietal lobe disorders.

    abstract::We describe two new clinical syndromes, mirror agnosia and mirror ataxia, both characterized by the deficit of reaching for an object through a mirror in association with a lesion of either parietal lobe. Clinical investigation of 13 patients demonstrated that the impairments affected both sides of the body. In mirror...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(199907)46:1<51::aid-ana9>3.0.co;

    authors: Binkofski F,Buccino G,Dohle C,Seitz RJ,Freund HJ

    更新日期:1999-07-01 00:00:00

  • DNA repair pathways underlie a common genetic mechanism modulating onset in polyglutamine diseases.

    abstract:OBJECTIVE:The polyglutamine diseases, including Huntington's disease (HD) and multiple spinocerebellar ataxias (SCAs), are among the commonest hereditary neurodegenerative diseases. They are caused by expanded CAG tracts, encoding glutamine, in different genes. Longer CAG repeat tracts are associated with earlier ages ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/ana.24656

    authors: Bettencourt C,Hensman-Moss D,Flower M,Wiethoff S,Brice A,Goizet C,Stevanin G,Koutsis G,Karadima G,Panas M,Yescas-Gómez P,García-Velázquez LE,Alonso-Vilatela ME,Lima M,Raposo M,Traynor B,Sweeney M,Wood N,Giunti P,SPA

    更新日期:2016-06-01 00:00:00

  • Intracranial hypertension associated with unruptured cerebral arteriovenous malformations.

    abstract::Only 6 patients with intracranial hypertension associated with unruptured cerebral arteriovenous malformations have been reported. We report 6 additional patients seen at the Cleveland Clinic during the past 10 years. The average age was 28 years (range, 19-44 years); 4 were women. Symptoms and signs included papilled...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.410270504

    authors: Chimowitz MI,Little JR,Awad IA,Sila CA,Kosmorsky G,Furlan AJ

    更新日期:1990-05-01 00:00:00

  • Lymph nodes--a possible site for sympathetic neuronal regulation of immune responses.

    abstract::Noradrenergic fibers were identified in rat cervical lymph nodes by fluorescence histochemistry and confirmed by radioenzymatic determination of norepinephrine. After superior cervical ganglionectomy, lymph node norepinephrine and noradrenergic fluorescence were strikingly decreased. The alpha-adrenergic radioligand [...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410080509

    authors: Giron LT Jr,Crutcher KA,Davis JN

    更新日期:1980-11-01 00:00:00

  • Epstein-Barr virus meningoencephalitis with a lymphoma-like response in an immunocompetent host.

    abstract::We report the clinical and neuropathological findings in an immunocompetent 19-year-old patient with a fatal acute Epstein-Barr virus (EBV) meningoencephalitis and a lymphoma-like B-lymphocyte response. Our results suggest that an immunotoxic rather than direct viral neuronal invasion mediates brain damage in EBV ence...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(199905)45:5<659::aid-ana16>3.0.c

    authors: Schellinger PD,Sommer C,Leithäuser F,Schwab S,Storch-Hagenlocher B,Hacke W,Kiessling M

    更新日期:1999-05-01 00:00:00

  • No evidence for genetic association or linkage of the cathepsin D (CTSD) exon 2 polymorphism and Alzheimer disease.

    abstract::Two recent case-control studies have suggested a strong association of a missense polymorphism in exon 2 of the cathepsin D gene (CTSD) and Alzheimer disease (AD). However, these findings were not confirmed in another independent study. We analyzed this polymorphism in two large and independent AD study populations an...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/1531-8249(200101)49:1<114::aid-ana18>3.0.c

    authors: Bertram L,Guénette S,Jones J,Keeney D,Mullin K,Crystal A,Basu S,Yhu S,Deng A,Rebeck GW,Hyman BT,Go R,McInnis M,Blacker D,Tanzi R

    更新日期:2001-01-01 00:00:00

  • Developmental dyslexia in women: neuropathological findings in three patients.

    abstract::Brains from male cases with dyslexia show symmetry of the planum temporale and predominantly left-sided cerebrocortical microdysgenesis. We now report on three women with dyslexia. In all brains, the planum temporale was again symmetrical. Also, in two of the brains, multiple foci of cerebrocortical glial scarring wer...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410280602

    authors: Humphreys P,Kaufmann WE,Galaburda AM

    更新日期:1990-12-01 00:00:00

  • Acid-sensing ion channel 1: a novel therapeutic target for migraine with aura.

    abstract:OBJECTIVE:Migraine with aura is a severe debilitating neurological disorder with few relatively specific therapeutic options. METHODS:We used amiloride, a blocker of epithelial sodium channels, to evaluate its pharmacological potential and explored the biology of a potential mechanism of action in well-established exp...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.23653

    authors: Holland PR,Akerman S,Andreou AP,Karsan N,Wemmie JA,Goadsby PJ

    更新日期:2012-10-01 00:00:00

  • Involvement of lysosomes in the pathogenesis of CAG repeat diseases.

    abstract::In CAG repeat diseases, affected neurons possess many cytoplasmic granules immunopositive for expanded polyglutamine stretches. Electron microscopic immunohistochemistry showed that the granules corresponded to lysosomes of primitive type. The results suggest that, in addition to the ubiquitin/proteasome pathway, muta...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10328

    authors: Yamada M,Tsuji S,Takahashi H

    更新日期:2002-10-01 00:00:00

  • Oral Anticoagulation and Functional Outcome after Intracerebral Hemorrhage.

    abstract:OBJECTIVE:Oral anticoagulation treatment (OAT) resumption is a therapeutic dilemma in intracerebral hemorrhage (ICH) care, particularly for lobar hemorrhages related to amyloid angiopathy. We sought to determine whether OAT resumption after ICH is associated with long-term outcome, accounting for ICH location (ie, loba...

    journal_title:Annals of neurology

    pub_type: 杂志文章,meta分析,多中心研究

    doi:10.1002/ana.25079

    authors: Biffi A,Kuramatsu JB,Leasure A,Kamel H,Kourkoulis C,Schwab K,Ayres AM,Elm J,Gurol ME,Greenberg SM,Viswanathan A,Anderson CD,Schwab S,Rosand J,Testai FD,Woo D,Huttner HB,Sheth KN

    更新日期:2017-11-01 00:00:00

  • Response to treatment in a prospective national infantile spasms cohort.

    abstract:OBJECTIVE:Infantile spasms are seizures associated with a severe epileptic encephalopathy presenting in the first 2 years of life, and optimal treatment continues to be debated. This study evaluates early and sustained response to initial treatments and addresses both clinical remission and electrographic resolution of...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24594

    authors: Knupp KG,Coryell J,Nickels KC,Ryan N,Leister E,Loddenkemper T,Grinspan Z,Hartman AL,Kossoff EH,Gaillard WD,Mytinger JR,Joshi S,Shellhaas RA,Sullivan J,Dlugos D,Hamikawa L,Berg AT,Millichap J,Nordli DR Jr,Wirrell E,

    更新日期:2016-03-01 00:00:00

  • Sensorimotor disinhibition in Parkinson's disease: effects of levodopa.

    abstract::It has been known for some time that patients with Parkinson's disease (PD) have difficulty executing simultaneous motor acts, yet the pathophysiology underlying this impairment remains uncertain. We examined the possibility that these dual-task deficits stem from defective sensorimotor mechanisms producing interferen...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410310110

    authors: Caligiuri MP,Heindel WC,Lohr JB

    更新日期:1992-01-01 00:00:00