Factors responsible for early postoperative mental alterations
after bilateral implantation of subthalamic electrodes

J 2017

Factors responsible for early postoperative mental alterations after bilateral implantation of subthalamic electrodes

HRABOVSKÝ, Dušan; Marek BALÁŽ; M. RAB; Věra FEITOVÁ; Zuzana HUMMELOVÁ et. al.

Základní údaje

Originální název

Factors responsible for early postoperative mental alterations after bilateral implantation of subthalamic electrodes

Autoři

HRABOVSKÝ, Dušan; Marek BALÁŽ; M. RAB; Věra FEITOVÁ; Zuzana HUMMELOVÁ; Zdeněk NOVÁK a Jan CHRASTINA

Vydání

British Journal of Neurosurgery, Abingdon, Taylor & Francis LTD, 2017, 0268-8697

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30103 Neurosciences

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.238

Kód RIV

RIV/00216224:14110/17:00095987

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1080/02688697.2016.1226256

UT WoS

000398195700013

EID Scopus

2-s2.0-84986236306

Klíčová slova anglicky

Deep brain stimulation; Parkinson’s disease; subthalamic nucleus; early postoperative mental changes; brain atrophy

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 20. 3. 2018 15:42, Soňa Böhmová

Anotace

V originále

Introduction: Early postoperative mental changes are the most frequent problem after bilateral subthalamic electrode implantation. The study aims to find an association between them and factors related to patient, disease and surgery, including the size of the third ventricle as brain atrophy marker. Material and methods: The study included 80 patients with bilateral subthalamic electrodes implanted for motor complications of Parkinson’s disease (PD). Patients’ age, disease and motor complications duration, medication, neuropsychological tests, surgical reports, third ventricle length (intercommissural distance) and width (intermammillary distance) were analysed. Results: Early mental alterations requiring treatment were observed in 25.0% of patients with higher age being significant predictor. The duration of PD motor complications, L DOPA equivalent dose, DSR Mattis, third ventricle length and width were not statistically significant predictors. The incidence of postoperative mental alteration with intermammillary distance > 8 mm was 60%. The percentage of left sided electrodes implanted in anterior trajectory is significantly higher in patients with early mental changes. Conclusions: Higher age is a risk factor for early postoperative mental changes, but not disease, late motor complications duration and parameters describing third ventricular size except the excessive intermammillary distance. Left sided electrode implanted in anterior position is a risk factor.

Citovat

HRABOVSKÝ, Dušan; Marek BALÁŽ; M. RAB; Věra FEITOVÁ; Zuzana HUMMELOVÁ; Zdeněk NOVÁK a Jan CHRASTINA. Factors responsible for early postoperative mental alterations after bilateral implantation of subthalamic electrodes. British Journal of Neurosurgery. Abingdon: Taylor & Francis LTD, 2017, roč. 31, č. 2, s. 212-216. ISSN 0268-8697. Dostupné z: https://doi.org/10.1080/02688697.2016.1226256.

@article{1366194,
   author = {Hrabovský, Dušan and Baláž, Marek and Rab, M. and Feitová, Věra and Hummelová, Zuzana and Novák, Zdeněk and Chrastina, Jan},
   article_location = {Abingdon},
   article_number = {2},
   doi = {https://doi.org/10.1080/02688697.2016.1226256},
   keywords = {Deep brain stimulation; Parkinson’s disease; subthalamic nucleus; early postoperative mental changes; brain atrophy},
   language = {eng},
   issn = {0268-8697},
   journal = {British Journal of Neurosurgery},
   title = {Factors responsible for early postoperative mental alterations after bilateral implantation of subthalamic electrodes},
   volume = {31},
   year = {2017}
}

TY  - JOUR
ID  - 1366194
AU  - Hrabovský, Dušan - Baláž, Marek - Rab, M. - Feitová, Věra - Hummelová, Zuzana - Novák, Zdeněk - Chrastina, Jan
PY  - 2017
TI  - Factors responsible for early postoperative mental alterations after bilateral implantation of subthalamic electrodes
JF  - British Journal of Neurosurgery
VL  - 31
IS  - 2
SP  - 212-216
EP  - 212-216
PB  - Taylor & Francis LTD
SN  - 02688697
KW  - Deep brain stimulation
KW  - Parkinson’s disease
KW  - subthalamic nucleus
KW  - early postoperative mental changes
KW  - brain atrophy
N2  - Introduction: Early postoperative mental changes are the most frequent problem after bilateral subthalamic electrode implantation. The study aims to find an association between them and factors related to patient, disease and surgery, including the size of the third ventricle as brain atrophy marker. Material and methods: The study included 80 patients with bilateral subthalamic electrodes implanted for motor complications of Parkinson’s disease (PD). Patients’ age, disease and motor complications duration, medication, neuropsychological tests, surgical reports, third ventricle length (intercommissural distance) and width (intermammillary distance) were analysed. Results: Early mental alterations requiring treatment were observed in 25.0% of patients with higher age being significant predictor. The duration of PD motor complications, L DOPA equivalent dose, DSR Mattis, third ventricle length and width were not statistically significant predictors. The incidence of postoperative mental alteration with intermammillary distance > 8 mm was 60%. The percentage of left sided electrodes implanted in anterior trajectory is significantly higher in patients with early mental changes. Conclusions: Higher age is a risk factor for early postoperative mental changes, but not disease, late motor complications duration and parameters describing third ventricular size except the excessive intermammillary distance. Left sided electrode implanted in anterior position is a risk factor.
ER  -

HRABOVSKÝ, Dušan; Marek BALÁŽ; M. RAB; Věra FEITOVÁ; Zuzana HUMMELOVÁ; Zdeněk NOVÁK a Jan CHRASTINA. Factors responsible for early postoperative mental alterations after bilateral implantation of subthalamic electrodes. \textit{British Journal of Neurosurgery}. Abingdon: Taylor \&{} Francis LTD, 2017, roč.~31, č.~2, s.~212-216. ISSN~0268-8697. Dostupné z: https://doi.org/10.1080/02688697.2016.1226256.

Přehled o publikaci