Scientific article
English

Dyskinesias and grip control in Parkinson's disease are normalized by chronic stimulation of the subthalamic nucleus

Published inAnnals of neurology, vol. 52, no. 2, p. 240-243
Publication date2002
Abstract

Deep-brain stimulation of the subthalamic nucleus appears to reduce levodopa-induced dyskinesias, but whether this effect is caused by the reduction of the total levodopa ingestion or represents a direct effect on the motor system is unknown. Precision grip force of grasping movements and levodopa-induced dyskinesias was analyzed in 10 parkinsonian patients before and after 3 months of deep-brain stimulation of the subthalamic nucleus. Peak grip force was abnormally increased before surgery in the off-drug state and, particularly, in the on-drug state (sensitization). This grip force upregulation normalized with chronic deep-brain stimulation in both conditions (desensitization). Peak-dose dyskinesias also improved, and off-dystonia was completely abolished. Mean dosage of dopaminergic drugs was reduced, but force overflow and dyskinesias were equally improved in 2 patients without a reduction. Despite the same single levodopa test dose, force excess and levodopa-induced dyskinesias were drastically reduced after 3 months of deep-brain stimulation of the subthalamic nucleus. This indicates that direct effects of deep-brain stimulation of the subthalamic nucleus on levodopa-induced dyskinesias are likely to occur. Grip force overflow is a promising parameter to study the desensitizing effect of chronic deep-brain stimulation on levodopa-induced dyskinesias.

Keywords
  • Dose-Response Relationship, Drug
  • Dyskinesias/etiology/physiopathology/therapy
  • Electric Stimulation Therapy
  • Hand Strength
  • Humans
  • Levodopa/administration & dosage/therapeutic use
  • Parkinson Disease/complications
  • Reference Values
  • Severity of Illness Index
  • Subthalamic Nucleus/physiopathology
  • Time Factors
Affiliation entities Not a UNIGE publication
Citation (ISO format)
WENZELBURGER, Roland et al. Dyskinesias and grip control in Parkinson’s disease are normalized by chronic stimulation of the subthalamic nucleus. In: Annals of neurology, 2002, vol. 52, n° 2, p. 240–243. doi: 10.1002/ana.10254
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN0364-5134
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