机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol & Neurosurg, Beijing 100050, Peoples R China;重点科室诊疗科室神经外科神经病学中心神经外科神经病学中心首都医科大学附属天坛医院[2]Capital Med Univ, Beijing Neurosurg Inst, Beijing 100050, Peoples R China;研究所北京市神经外科研究所首都医科大学附属天坛医院[3]Beijing Union Med Coll Hosp, Beijing, Peoples R China;[4]Capital Med Univ, Beijing Tiantan Hosp, 6 Tian Tan Xi Li, Beijing 100050, Peoples R China首都医科大学附属天坛医院
Objective We aimed to evaluate the safety and efficacy of subthalamic nucleus deep brain stimulation (STN-DBS) with a new stimulator (Beijing PINS Medical Co., Ltd, PNS 1101) in Parkinson's disease (PD). Materials and Methods Forty patients received a PINS device implantation in the subthalamic nucleus. The effects of stimulation on motor score, activities of daily living, good-quality on-time, and the levodopa-equivalent dose were analyzed for all 40 patients with PD treated with bilateral or unilateral STN-DBS. The scores were collected at baseline in two conditions (on/off medication) and at 3, 6, 9, 12, and 24 months of follow-up with stimulation in the absence or presence of medication. The patients were followed up for two years. Results At 3, 6, 9, 12, and 24 months of follow-up, our results showed a significant increase from baseline in both activities of daily living and motor scores (p < 0.001) and good-quality on-time (p < 0.001); the daily levodopa-equivalent dose decreased compared with baseline (p < 0.01). No patient died during the study, and none of the adverse effects were classified as severe. All of the adverse events were resolved or improved by the end of the study. Conclusions STN-DBS with the PINS device significantly improved the symptoms of PD when compared with baseline in this trial. This new device may be recommended for the treatment of patients with advanced PD; however, a randomized, double-blinding trial will be required.
基金:
National Key Technology Research and Development Program of ChinaNational Key Technology R&D Program [2011BAI12B07]; Research Fund of Capital Medical Development [2009-1039]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2012]版:
大类|4 区医学
小类|4 区临床神经病学4 区医学:研究与实验
最新[2023]版:
大类|3 区医学
小类|3 区临床神经病学3 区医学:研究与实验
JCR分区:
出版当年[2011]版:
Q3MEDICINE, RESEARCH & EXPERIMENTALQ4CLINICAL NEUROLOGY
最新[2023]版:
Q2CLINICAL NEUROLOGYQ2MEDICINE, RESEARCH & EXPERIMENTAL
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol & Neurosurg, Beijing 100050, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol & Neurosurg, Beijing 100050, Peoples R China;[2]Capital Med Univ, Beijing Neurosurg Inst, Beijing 100050, Peoples R China;[4]Capital Med Univ, Beijing Tiantan Hosp, 6 Tian Tan Xi Li, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Liu Huan-guang,Ma Yu,Zhang Kai,et al.Subthalamic Deep Brain Stimulation With a New Device in Parkinson's Disease: An Open-Label Trial[J].NEUROMODULATION.2013,16(3):212-218.doi:10.1111/ner.12050.
APA:
Liu, Huan-guang,Ma, Yu,Zhang, Kai,Ge, Ming,Meng, Fan-gang...&Zhang, Jian-guo.(2013).Subthalamic Deep Brain Stimulation With a New Device in Parkinson's Disease: An Open-Label Trial.NEUROMODULATION,16,(3)
MLA:
Liu, Huan-guang,et al."Subthalamic Deep Brain Stimulation With a New Device in Parkinson's Disease: An Open-Label Trial".NEUROMODULATION 16..3(2013):212-218