Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients

Abstract We aimed to assess whether brain volumes may affect the results of deep brain stimulation (DBS) in patients with Parkinson’s disease (PD). Eighty-one consecutive patients with PD (male:female 40:41), treated with DBS between June 2012 and December 2017, were enrolled. Total and regional bra...

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Autores principales: Younghee Yim, Sang Joon Kim, Seung Chai Jung, Ho Sung Kim, Choong Gon Choi, Jung Kyo Lee, Chong Sik Lee, Seung Hyun Lee, Woo Hyun Shim, E.-N. Cheong, Seong-Cheol Park
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Lenguaje:EN
Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/e365024dbef8406998320450d885d909
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spelling oai:doaj.org-article:e365024dbef8406998320450d885d9092021-12-02T13:34:10ZPretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients10.1038/s41598-020-79138-92045-2322https://doaj.org/article/e365024dbef8406998320450d885d9092020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79138-9https://doaj.org/toc/2045-2322Abstract We aimed to assess whether brain volumes may affect the results of deep brain stimulation (DBS) in patients with Parkinson’s disease (PD). Eighty-one consecutive patients with PD (male:female 40:41), treated with DBS between June 2012 and December 2017, were enrolled. Total and regional brain volumes were measured using automated brain volumetry (NeuroQuant). The Unified Parkinson Disease Rating Scale motor score quotient was used to assess changes in clinical outcome and compare the preoperative regional brain volume in patients categorized into the higher motor improvement and lower motor improvement groups based on changes in the postoperative scores. The study groups showed significant volume differences in multiple brain areas. In the higher motor improvement group, the anterior cingulate and right thalamus showed high volumes after false discovery rate (FDR) correction. In the lower motor improvement group, the left caudate, paracentral, right primary sensory and left primary motor cortex showed high volume, but no area showed high volumes after FDR correction. Our data suggest that the effectiveness of DBS in patients with PD may be affected by decreased brain volume in different areas, including the cingulate gyrus and thalamus. Preoperative volumetry could help predict outcomes in patients with PD undergoing DBS.Younghee YimSang Joon KimSeung Chai JungHo Sung KimChoong Gon ChoiJung Kyo LeeChong Sik LeeSeung Hyun LeeWoo Hyun ShimE.-N. CheongSeong-Cheol ParkNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-9 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Younghee Yim
Sang Joon Kim
Seung Chai Jung
Ho Sung Kim
Choong Gon Choi
Jung Kyo Lee
Chong Sik Lee
Seung Hyun Lee
Woo Hyun Shim
E.-N. Cheong
Seong-Cheol Park
Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients
description Abstract We aimed to assess whether brain volumes may affect the results of deep brain stimulation (DBS) in patients with Parkinson’s disease (PD). Eighty-one consecutive patients with PD (male:female 40:41), treated with DBS between June 2012 and December 2017, were enrolled. Total and regional brain volumes were measured using automated brain volumetry (NeuroQuant). The Unified Parkinson Disease Rating Scale motor score quotient was used to assess changes in clinical outcome and compare the preoperative regional brain volume in patients categorized into the higher motor improvement and lower motor improvement groups based on changes in the postoperative scores. The study groups showed significant volume differences in multiple brain areas. In the higher motor improvement group, the anterior cingulate and right thalamus showed high volumes after false discovery rate (FDR) correction. In the lower motor improvement group, the left caudate, paracentral, right primary sensory and left primary motor cortex showed high volume, but no area showed high volumes after FDR correction. Our data suggest that the effectiveness of DBS in patients with PD may be affected by decreased brain volume in different areas, including the cingulate gyrus and thalamus. Preoperative volumetry could help predict outcomes in patients with PD undergoing DBS.
format article
author Younghee Yim
Sang Joon Kim
Seung Chai Jung
Ho Sung Kim
Choong Gon Choi
Jung Kyo Lee
Chong Sik Lee
Seung Hyun Lee
Woo Hyun Shim
E.-N. Cheong
Seong-Cheol Park
author_facet Younghee Yim
Sang Joon Kim
Seung Chai Jung
Ho Sung Kim
Choong Gon Choi
Jung Kyo Lee
Chong Sik Lee
Seung Hyun Lee
Woo Hyun Shim
E.-N. Cheong
Seong-Cheol Park
author_sort Younghee Yim
title Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients
title_short Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients
title_full Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients
title_fullStr Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients
title_full_unstemmed Pretreatment brain volumes can affect the effectiveness of deep brain stimulation in Parkinson's disease patients
title_sort pretreatment brain volumes can affect the effectiveness of deep brain stimulation in parkinson's disease patients
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/e365024dbef8406998320450d885d909
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