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Bjerknes S, Toft M, Konglund AE, Pham U, Waage TR, Pedersen L, Skjelland M, Haraldsen I, Andersson S, Dietrichs E, Skogseid IM. Multiple Microelectrode Recordings in STN-DBS Surgery for Parkinson's Disease: A Randomized Study. Mov Disord Clin Pract 2018; 5:296-305. [PMID: 30009214 PMCID: PMC6033169 DOI: 10.1002/mdc3.12621] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Revised: 03/20/2018] [Accepted: 03/26/2018] [Indexed: 12/15/2022] Open
Abstract
Background Subthalamic nucleus deep brain stimulation improves motor symptoms and fluctuations in advanced Parkinson's disease, but the degree of clinical improvement depends on accurate anatomical electrode placement. Methods used to localize the sensory‐motor part of the nucleus vary substantially. Using microelectrode recordings, at least three inserted microelectrodes are needed to obtain a three‐dimensional map. Therefore, multiple simultaneously inserted microelectrodes should provide better guidance than single sequential microelectrodes. We aimed to compare the use of multiple simultaneous versus single sequential microelectrode recordings on efficacy and safety of subthalamic nucleus stimulation. Methods Sixty patients were included in this double‐blind, randomized study, 30 in each group. Primary outcome measures were the difference from baseline to 12 months in the MDS‐UPDRS motor score (part III) in the off‐medication state and quality of life using the Parkinson's Disease Questionnaire‐39 (PDQ‐39) scores. Results The mean reduction of the MDS‐UPDRS III off score was 35 (SD 12) in the group investigated with multiple simultaneous microelectrodes compared to 26 (SD 10) in the single sequential microelectrode group (p = 0.004). The PDQ‐39 Summary Index did not differ between the groups, but the domain scores activities of daily living and bodily discomfort improved significantly more in the multiple microelectrodes group. The frequency of serious adverse events did not differ significantly. Conclusions After 12 months of subthalamic nucleus stimulation, the multiple microelectrodes group had a significantly greater improvement both in MDS‐UPDRS III off score and in two PDQ‐39 domains. Our results may support the use of multiple simultaneous microelectrode recordings. Trial registration http://ClinicalTrials.gov Identifier: NCT00855621 (first received March 3, 2009).
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Affiliation(s)
- Silje Bjerknes
- Department of Neurology Oslo University Hospital Oslo Norway.,Institute of Clinical Medicine University of Oslo Oslo Norway
| | - Mathias Toft
- Department of Neurology Oslo University Hospital Oslo Norway.,Institute of Clinical Medicine University of Oslo Oslo Norway
| | - Ane E Konglund
- Department of Neurosurgery Oslo University Hospital Oslo Norway
| | - Uyen Pham
- Department of Neuropsychiatry and Psychosomatic Medicine Oslo University Hospital Oslo Norway
| | | | - Lena Pedersen
- Department of Neurology Oslo University Hospital Oslo Norway
| | - Mona Skjelland
- Department of Neurology Oslo University Hospital Oslo Norway
| | - Ira Haraldsen
- Department of Neuropsychiatry and Psychosomatic Medicine Oslo University Hospital Oslo Norway
| | | | - Espen Dietrichs
- Department of Neurology Oslo University Hospital Oslo Norway.,Institute of Clinical Medicine University of Oslo Oslo Norway
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Filges I, Bruder E, Brandal K, Meier S, Undlien DE, Waage TR, Hoesli I, Schubach M, de Beer T, Sheng Y, Hoeller S, Schulzke S, Røsby O, Miny P, Tercanli S, Oppedal T, Meyer P, Selmer KK, Strømme P. Strømme Syndrome Is a Ciliary Disorder Caused by Mutations in CENPF. Hum Mutat 2016; 37:711. [DOI: 10.1002/humu.22997] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Isabel Filges
- Medical Genetics; University Hospital Basel; Basel Switzerland
| | | | - Kristin Brandal
- Department of Medical Genetics; Oslo University Hospital and University of Oslo; Oslo Norway
| | - Stephanie Meier
- Medical Genetics; University Hospital Basel; Basel Switzerland
| | - Dag Erik Undlien
- Department of Medical Genetics; Oslo University Hospital and University of Oslo; Oslo Norway
| | - Trine Rygvold Waage
- Section of Paediatric Neurohabilitation; Department of Clinical Neurosciences for Children; Oslo University Hospital; Ullevål, Oslo Norway
| | - Irene Hoesli
- Obstetrics and Gynecology; University Hospital Basel; Basel Switzerland
| | - Max Schubach
- Institute for Medical and Human Genetics; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - Tjaart de Beer
- Biozentrum and Swiss Institute of Bioinformatics; University of Basel; Basel Switzerland
| | - Ying Sheng
- Department of Medical Genetics; Oslo University Hospital and University of Oslo; Oslo Norway
| | | | - Sven Schulzke
- Neonatology; University Children's Hospital Basel; Basel Switzerland
| | - Oddveig Røsby
- Department of Medical Genetics; Oslo University Hospital and University of Oslo; Oslo Norway
| | - Peter Miny
- Medical Genetics; University Hospital Basel; Basel Switzerland
| | | | - Truls Oppedal
- Department of Ophthalmology; Section for Pediatric Ophthalmology; Oslo University Hospital; Ullevål, Oslo Norway
| | - Peter Meyer
- Pathology; University Hospital Basel; Basel Switzerland
| | - Kaja Kristine Selmer
- Department of Medical Genetics; Oslo University Hospital and University of Oslo; Oslo Norway
| | - Petter Strømme
- Section for Clinical Neurosciences; Department of Pediatrics; Oslo University Hospital and University of Oslo; Oslo Norway
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Filges I, Bruder E, Brandal K, Meier S, Undlien DE, Waage TR, Hoesli I, Schubach M, de Beer T, Sheng Y, Hoeller S, Schulzke S, Røsby O, Miny P, Tercanli S, Oppedal T, Meyer P, Selmer KK, Strømme P. Strømme Syndrome Is a Ciliary Disorder Caused by Mutations in CENPF. Hum Mutat 2016; 37:359-63. [PMID: 26820108 DOI: 10.1002/humu.22960] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Accepted: 01/08/2016] [Indexed: 11/10/2022]
Abstract
Strømme syndrome was first described by Strømme et al. (1993) in siblings presenting with "apple peel" type intestinal atresia, ocular anomalies and microcephaly. The etiology remains unknown to date. We describe the long-term clinical follow-up data for the original pair of siblings as well as two previously unreported siblings with a severe phenotype overlapping that of the Strømme syndrome including fetal autopsy results. Using family-based whole-exome sequencing, we identified truncating mutations in the centrosome gene CENPF in the two nonconsanguineous Caucasian sibling pairs. Compound heterozygous inheritance was confirmed in both families. Recently, mutations in this gene were shown to cause a fetal lethal phenotype, the phenotype and functional data being compatible with a human ciliopathy [Waters et al., 2015]. We show for the first time that Strømme syndrome is an autosomal-recessive disease caused by mutations in CENPF that can result in a wide phenotypic spectrum.
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Affiliation(s)
- Isabel Filges
- Medical Genetics, University Hospital Basel, Basel, Switzerland
| | | | - Kristin Brandal
- Department of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo, Norway
| | - Stephanie Meier
- Medical Genetics, University Hospital Basel, Basel, Switzerland
| | - Dag Erik Undlien
- Department of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo, Norway
| | - Trine Rygvold Waage
- Section of Paediatric Neurohabilitation, Department of Clinical Neurosciences for Children, Oslo University Hospital, Ullevål, Oslo, Norway
| | - Irene Hoesli
- Obstetrics and Gynecology, University Hospital Basel, Basel, Switzerland
| | - Max Schubach
- Institute for Medical and Human Genetics, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Tjaart de Beer
- Biozentrum and Swiss Institute of Bioinformatics, University of Basel, Basel, Switzerland
| | - Ying Sheng
- Department of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo, Norway
| | - Sylvia Hoeller
- Pathology, University Hospital Basel, Basel, Switzerland
| | - Sven Schulzke
- Neonatology, University Children's Hospital Basel, Basel, Switzerland
| | - Oddveig Røsby
- Department of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo, Norway
| | - Peter Miny
- Medical Genetics, University Hospital Basel, Basel, Switzerland
| | | | - Truls Oppedal
- Department of Ophthalmology, Section for Pediatric Ophthalmology, Oslo University Hospital, Ullevål, Oslo, Norway
| | - Peter Meyer
- Pathology, University Hospital Basel, Basel, Switzerland
| | - Kaja Kristine Selmer
- Department of Medical Genetics, Oslo University Hospital and University of Oslo, Oslo, Norway
| | - Petter Strømme
- Section for Clinical Neurosciences, Department of Pediatrics, Oslo University Hospital and University of Oslo, Oslo, Norway
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