Parkinson's disease (PD) is a progressive neurodegenerative disorder, and the rate of progression is different across individuals. Subthalamic nucleus deep brain stimulation (STN-DBS) has been shown to produce long-term symptom improvement in PD. In this retrospective study, we wanted to explore the effects of bilateral STN-DBS in PD patients with different rates of disease progression. Forty patients with PD were included. An index of progression rate was calculated by the ratio of the Unified Parkinson Disease Rating Scale, part III (UPDRS-III), score in the off-medication condition at baseline and disease duration. The patients were divided into fast-, medium-, and slow-progression groups by this index. The outcome measurements at the 1st, 6th, and 12th months after surgery were the changes in UPDRS-III scores in the off-medication/on-stimulation condition compared with the baseline. We found the following. (1). Motor functions in the different PD progression groups were improved by bilateral STN-DBS treatment at 1 year of follow-up. (2). However, compared to the slow- and medium-progression groups, the fast-progression group had less improvement at the 6th- and 12th-month follow-up. The results indicated that bilateral STN-DBS can improve motor functions of Parkinson's patients over the 1-year follow-up. Moreover, the outcomes in the slow- and medium-progression patients were better than those with fast-progression rates.
基金:
Yunnan Province [2017FE468(-250), 2017FE467(-032), 2017FE467(-033), K132191, H-201639, H-2018054]; Kunming Medical University [2017FE468(-250), 2017FE467(-032), 2017FE467(-033), K132191, H-201639, H-2018054]
第一作者机构:[1]Kunming Med Univ, Affiliated Hosp 1, Dept Neurosurg 2, Kunming, Yunnan, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Kunming Med Univ, Affiliated Hosp 1, Dept Neurosurg 2, Kunming, Yunnan, Peoples R China
推荐引用方式(GB/T 7714):
Qi Renli,Geng Xin,Huang Baihui,et al.Outcomes of STN-DBS in PD Patients With Different Rates of Disease Progression Over One Year of Follow-Up[J].FRONTIERS IN NEUROLOGY.2020,11:doi:10.3389/fneur.2020.00600.
APA:
Qi, Renli,Geng, Xin,Huang, Baihui,Chen, Ye,Jiang, Honggao...&Yu, Hualin.(2020).Outcomes of STN-DBS in PD Patients With Different Rates of Disease Progression Over One Year of Follow-Up.FRONTIERS IN NEUROLOGY,11,
MLA:
Qi, Renli,et al."Outcomes of STN-DBS in PD Patients With Different Rates of Disease Progression Over One Year of Follow-Up".FRONTIERS IN NEUROLOGY 11.(2020)