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1.
Phys Rev Lett ; 118(5): 052701, 2017 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-28211732

RESUMO

The cross sections of the ^{7}Be(n,α)^{4}He reaction for p-wave neutrons were experimentally determined at E_{c.m.}=0.20-0.81 MeV slightly above the big bang nucleosynthesis (BBN) energy window for the first time on the basis of the detailed balance principle by measuring the time-reverse reaction. The obtained cross sections are much larger than the cross sections for s-wave neutrons inferred from the recent measurement at the n_TOF facility in CERN, but significantly smaller than the theoretical estimation widely used in the BBN calculations. The present results suggest the ^{7}Be(n,α)^{4}He reaction rate is not large enough to solve the cosmological lithium problem, and this conclusion agrees with the recent result from the direct measurement of the s-wave cross sections using a low-energy neutron beam and the evaluated nuclear data library ENDF/B-VII.1.

2.
Neurology ; 58(9): 1388-94, 2002 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-12011286

RESUMO

BACKGROUND AND OBJECTIVE: Deep brain stimulation (DBS) of the ventral intermediate nucleus of the thalamus (VIM) provides remarkable relief of tremor in the limbs contralateral to the side of the brain stimulated. The benefits have been sufficiently dramatic that this is now an accepted clinical treatment of essential as well as other forms of tremor. Despite this clinical benefit, the mechanism of action of DBS remains unknown. In this investigation, we sought to determine the effects of VIM DBS on neuronal function. METHODS: The authors used PET measurements of qualitative regional cerebral blood flow in patients with essential tremor to determine the effects of DBS in the left VIM. Each subject had four to six scans with the arms at rest and DBS turned either on or off during alternate scans. Continuous physiologic monitoring revealed no tremor during any of the scans. The PET images from each subject were aligned, averaged, and coregistered to a standard image oriented in stereotactic space. RESULTS: The authors used subtraction image analysis with statistical parametric mapping methods and a restricted volume search to identify a significantly increased flow response at the site of stimulation in thalamus. An exploratory analysis revealed increased flow in ipsilateral supplementary motor area, a region that receives afferents from VIM. CONCLUSIONS: The increased blood flow at terminal fields of thalamocortical projections suggests that DBS stimulates and does not inactivate projection neurons in VIM thalamus.


Assuntos
Encéfalo/irrigação sanguínea , Encéfalo/fisiopatologia , Terapia por Estimulação Elétrica , Tremor Essencial/fisiopatologia , Tremor Essencial/terapia , Idoso , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Circulação Cerebrovascular , Terapia por Estimulação Elétrica/métodos , Eletromiografia , Feminino , Análise de Fourier , Lobo Frontal/irrigação sanguínea , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Vias Neurais/fisiopatologia , Neurônios/fisiologia , Técnica de Subtração , Tálamo/irrigação sanguínea , Tálamo/diagnóstico por imagem , Tálamo/fisiopatologia , Tomografia Computadorizada de Emissão , Núcleos Ventrais do Tálamo/irrigação sanguínea , Núcleos Ventrais do Tálamo/diagnóstico por imagem , Núcleos Ventrais do Tálamo/fisiopatologia
3.
Reprod Toxicol ; 15(3): 261-7, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11390170

RESUMO

The effects of monobutyl phthalate (MBuP) on reproductive function were determined in pregnant and pseudopregnant rats. Rats were given MBuP by gastric intubation at 250, 500, 750, or 1000 mg/kg on days 0 to 8 of pregnancy and pregnancy outcome was determined on day 20 of pregnancy. The effects of MBuP on the uterine function, as a cause of early embryonic loss, were also determined in pseudopregnant rats, with an induced decidual cell response. The same doses of MBuP were given to pseudopregnant rats on days 0 to 8 of pseudopregnancy and the uterine weight on day 9 served as an index of uterine decidualization. MBuP at 1000 mg/kg caused significant increases in the incidences of preimplantation loss in females successfully mated and of postimplantation loss in females having implantations. Uterine decidualization in pseudopregnant rats was significantly decreased at 1000 mg/kg. These findings suggest that early embryonic loss due to MBuP is mediated, at least in part, via suppression of uterine decidualization, an impairment of uterine function.


Assuntos
Ácidos Ftálicos/toxicidade , Pseudogravidez , Reprodução/efeitos dos fármacos , Administração Oral , Animais , Peso Corporal/efeitos dos fármacos , Corpo Lúteo/efeitos dos fármacos , Corpo Lúteo/patologia , Decídua/efeitos dos fármacos , Decídua/patologia , Dibutilftalato/toxicidade , Relação Dose-Resposta a Droga , Ingestão de Alimentos/efeitos dos fármacos , Estradiol/sangue , Feminino , Morte Fetal/induzido quimicamente , Tamanho do Órgão/efeitos dos fármacos , Ovário/efeitos dos fármacos , Ovário/patologia , Ácidos Ftálicos/administração & dosagem , Gravidez , Progesterona/sangue , Ratos , Ratos Wistar , Testes de Toxicidade , Útero/efeitos dos fármacos , Útero/patologia
4.
Reprod Toxicol ; 15(2): 189-94, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11297877

RESUMO

The objective of this study was to determine the adverse effects of monobutyl phthalate (MBuP), a major metabolite of dibutyl phthalate (DBP), on development of the reproductive system in offspring following maternal administration during late pregnancy, and to assess the role of MBuP in the antiandrogenic effects of DBP. Pregnant rats were given MBuP by gastric intubation at 250, 500, or 750 mg/kg on days 15 through 17 of pregnancy. Maternal body weight gain and food consumption during the administration period were significantly decreased at 500 mg/kg and higher and at 750 mg/kg, respectively. A significant increase in the incidence of postimplantation embryonic loss was found at 500 mg/kg and higher. The body weights of male and female fetuses were significantly lower at 750 mg/kg. A significant increase in the incidence of fetuses with undescended testes was found at 250 mg/kg and higher. A significant decrease in the anogenital distance (AGD) of male fetuses was observed at 250 mg/kg and higher. The AGD/body weight ratio and AGD/cube root of body weight ratio in male fetuses was also significantly reduced at 250 mg/kg and higher. The AGD, AGD/body weight ratio and AGD/cube root of body weight ratio in female fetuses in the MBuP-treated groups were comparable to those in the control group. The present study indicates that MBuP on days 15 to 17 of pregnancy produced adverse effects on the development of reproductive system in male offspring and suggest that MBuP may be responsible for the induction of the antiandrogenic effects of DBP.


Assuntos
Dibutilftalato/metabolismo , Genitália Masculina/efeitos dos fármacos , Ácidos Ftálicos/toxicidade , Efeitos Tardios da Exposição Pré-Natal , Animais , Animais Recém-Nascidos/crescimento & desenvolvimento , Criptorquidismo/induzido quimicamente , Criptorquidismo/patologia , Relação Dose-Resposta a Droga , Ingestão de Alimentos/efeitos dos fármacos , Perda do Embrião/induzido quimicamente , Desenvolvimento Embrionário e Fetal/efeitos dos fármacos , Feminino , Peso Fetal/efeitos dos fármacos , Genitália Masculina/embriologia , Genitália Masculina/crescimento & desenvolvimento , Genitália Masculina/patologia , Masculino , Exposição Materna , Gravidez , Ratos , Ratos Wistar , Caracteres Sexuais , Aumento de Peso/efeitos dos fármacos
6.
Brain Cogn ; 42(3): 417-34, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10753488

RESUMO

We report a case of recurrent manic episodes associated with chronic deep brain stimulation (DBS) targeting globus pallidus (GP) in the treatment of Parkinson's disease (PD). Cardinal PD symptoms and dyskinesia improved with DBS, and neuropsychological testing found improvements in visuospatial measures associated with left DBS and in verbal memory with right DBS when compared to the patient's preoperative baseline. Under conditions of right, left, and bilateral DBS, the patient experienced bouts of mania and hypomania lasting several days at a time. Positron emission tomography (PET) with (15)O-labeled water was performed after his first manic episode under four conditions: no stimulation, right DBS, left DBS, and bilateral DBS. Although no manic switch occurred during the course of the PET study, all three DBS conditions were associated with decreases in regional flow in the left parahippocampus and hippocampus and right mid-cingulate gyrus. Increases in flow in left inferior frontal area, bilateral insula, dorsolateral prefrontal cortex, and cuneus were common to all DBS conditions. GP stimulation in PD may be associated with behavioral and cognitive effects. Distributed blood flow changes observed with pallidal DBS support a role for the pallidum in cognition and affective regulation.


Assuntos
Cognição/fisiologia , Globo Pálido/fisiologia , Doença de Parkinson/terapia , Adulto , Circulação Cerebrovascular/fisiologia , Estimulação Elétrica/métodos , Globo Pálido/diagnóstico por imagem , Humanos , Masculino , Testes Neuropsicológicos , Doença de Parkinson/fisiopatologia , Doença de Parkinson/psicologia , Tomografia Computadorizada de Emissão
8.
Reprod Toxicol ; 14(1): 13-9, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10689199

RESUMO

In our previous studies, dibutyl phthalate (DBP) was found to be embryolethal and teratogenic in rats. In this study, the effects of DBP on reproductive function were investigated on pregnant and pseudopregnant rats. Rats were given DBP by gastric intubation at 0, 250, 500, 750, 1000, 1250 or 1500 mg/kg on Days 0 to 8 of pregnancy and the pregnancy outcome was determined on Day 20 of pregnancy. The same doses of DBP were given to pseudopregnant rats, with an induced decidual cell response, on Days 0 to 8 of pseudopregnancy, and the uterine weight on Day 9 served as an index of the uterine decidualization. DBP caused significant increases in the incidences of preimplantation loss in females successfully mated at 1250 and 1500 mg/kg and of postimplantation loss in females having implantations at 750 mg/kg and above. The uterine decidualization in pseudopregnant rats was significantly decreased at 750 mg/kg and above. These findings suggest that early embryonic loss due to DBP may be mediated, at least in part, via the suppression of uterine decidualization, an impairment of uterine function.


Assuntos
Dibutilftalato/toxicidade , Prenhez/efeitos dos fármacos , Pseudogravidez/fisiopatologia , Teratogênicos/toxicidade , Animais , Relação Dose-Resposta a Droga , Implantação do Embrião/efeitos dos fármacos , Perda do Embrião/induzido quimicamente , Feminino , Masculino , Tamanho do Órgão/efeitos dos fármacos , Ovário/anatomia & histologia , Ovário/efeitos dos fármacos , Gravidez , Prenhez/sangue , Progesterona/sangue , Ratos , Ratos Wistar , Útero/anatomia & histologia , Útero/efeitos dos fármacos , Útero/fisiologia
9.
Toxicol Lett ; 111(3): 271-8, 2000 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-10643872

RESUMO

The objective of this study was to determine the susceptible days for the adverse effects of di-n-butyl phthalate (DBP) on development of reproductive system in male offspring following maternal administration on successive 3-day period during late pregnancy. Pregnant rats were given DBP by gastric intubation at 1000 or 1500 mg/kg on days 12-14 or 18-20 of pregnancy or at 500, 1000 or 1500 mg/kg on days 15-17 of pregnancy. A significant decrease in the maternal body weight gain and/or food consumption was found in the DBP-treated groups regardless of the days on which DBP at 1000 and 1500 mg/kg was given. A significant increase in the number of resorptions per litter was found in the groups given DBP at 1500 mg/kg on days 12-14 and 15-17 of pregnancy. The weights of male and female fetuses were significantly decreased in the groups given DBP at 1000 and 1500 mg/kg on days 12-14 and 18-20 and at 1500 mg/kg on days 15-17. A significant increase in the incidence of fetuses with undescended testes was found at 1500 mg/kg on days 12-14 and at all doses on days 15-17. A significant decrease in the anogenital distance (AGD) of male fetuses was observed in the groups treated with DBP regardless of the days of treatment. The AGD/body weight ratio in male fetuses was significantly reduced in the groups given DBP on days 15-17, but neither on days 12-14 nor 18-20. The AGD of female fetuses in the DBP-treated groups was comparable to that in the control group. It was concluded that period of days 15-17 of pregnancy was the most susceptible for DBP-induced undescended testes and decreased AGD in male offspring.


Assuntos
Dibutilftalato/toxicidade , Efeitos Tardios da Exposição Pré-Natal , Doenças Testiculares/induzido quimicamente , Animais , Peso Corporal/efeitos dos fármacos , Criptorquidismo/induzido quimicamente , Criptorquidismo/patologia , Desenvolvimento Embrionário e Fetal/efeitos dos fármacos , Feminino , Masculino , Gravidez , Ratos , Ratos Wistar , Doenças Testiculares/patologia , Fatores de Tempo
10.
J Appl Toxicol ; 19(5): 357-65, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10513682

RESUMO

The objective of this study was to determine the susceptible day for the developmental toxicity of butyl benzyl phthalate (BBP) by a single administration on one of the days during organogenesis. Pregnant rats were given a single dose of BBP by gastric intubation at a dose of 1000 mg kg(-1) on one of days 13-15 of pregnancy and at 1500 mg kg(-1) on one of days 6-16 of pregnancy. Post-implantation embryolethality was found in pregnant rats given on one of days 6-16, except for day 7. Teratogenicity was noted after a single dosing of BBP on one of days 6, 7, 9, 10, 12, 14 and 15. Deformity of the cervical vertebrae frequently was observed after administration of BBP on day 7. Cleft palate and fusion of the sternebrae were found exclusively, after administration of BBP on day 15. It can be concluded that the manifestation of deviant development induced by BBP varies with the developmental stage at the time of administration and that BBP induces two discrete responses from embryos to teratogenicity during early and late organogenesis.


Assuntos
Desenvolvimento Embrionário e Fetal/efeitos dos fármacos , Ácidos Ftálicos/toxicidade , Plastificantes/toxicidade , Animais , Peso Corporal/efeitos dos fármacos , Perda do Embrião/induzido quimicamente , Feminino , Feto/anormalidades , Feto/efeitos dos fármacos , Idade Gestacional , Intubação Gastrointestinal , Masculino , Gravidez , Ratos , Ratos Wistar , Fatores de Tempo
11.
Toxicol Lett ; 108(1): 17-25, 1999 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-10472806

RESUMO

The objective of this study was to characterize the adverse effects of diphenyltin dichloride (DPTCl) during early pregnancy. Following successful mating, female rats were given DPTCl by gastric intubation at 0, 4.1, 8.3, 16.5, 24.8 or 33.0 mg/kg on days 0-3 or days 4-7 of pregnancy. Female rats were sacrificed on day 20 of pregnancy and pregnancy outcome was determined. The pregnancy rate was significantly decreased after administration of DPTCl on days 0-3 at 24.8 mg/kg and on days 4-7 at 33.0 mg/kg. The incidence of preimplantation loss was significantly increased after administration on days 0-3 at 16.5 mg/kg and above and on days 4-7 at 33.0 mg/kg. In females having implantations, the numbers of implantations and live fetuses and the incidences of pre- and postimplantation loss in the groups given DPTCl on days 0-3 were comparable to the controls. The incidence of postimplantation loss was significantly increased after administration of DPTCl on days 4-7 at 33.0 mg/kg. A pair-feeding study revealed no evidence of pre- and postimplantation embryolethality induced by food restriction. It could be concluded that DPTCl during early pregnancy causes early embryonic loss and DPTCl has greater effects on reproduction when administered during earlier than later stages of blastogenesis.


Assuntos
Compostos Orgânicos de Estanho/toxicidade , Manutenção da Gravidez/efeitos dos fármacos , Prenhez/efeitos dos fármacos , Animais , Implantação do Embrião/efeitos dos fármacos , Feminino , Compostos Orgânicos de Estanho/administração & dosagem , Gravidez , Resultado da Gravidez , Ratos
12.
Arch Toxicol ; 73(3): 175-9, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10401684

RESUMO

In our previous study, triphenyltin chloride (TPTC1) was found to induce implantation failure, as preimplantation embryonic loss, in rats. In this study, the effects of TPTC1 on the uterine function, as a cause of implantation failure, were determined using pseudopregnant rats. Female rats were given TPTC1 by gastric intubation at 3.1, 4.7, and 6.3 mg/kg on pseudopregnant day (PPD) 0 to PPD 3 and the decidual cell response was induced on PPD 4. The uterine weight on PPD 9 served as an index of uterine decidualization. A significant decrease in the uterine weight, which indicates suppression of the uterine decidualization, was detected at 4.7 and 6.3 mg/kg. In our previous study, these doses induced a significant increase in implantation failure in female rats given TPTC1 on gestational day (GD) 0 to 3. The ovarian weight and number of corpora lutea in the TPTC1-treated groups were comparable to that of the controls. A significant decrease in serum progesterone levels after administration of TPTC1 was found at 4.7 and 6.3 mg/kg. These findings suggest that implantation failure due to TPTC1 may be mediated via the suppression of uterine decidualization and correlated with the reduction in serum progesterone levels.


Assuntos
Implantação do Embrião/efeitos dos fármacos , Compostos Orgânicos de Estanho/toxicidade , Progesterona/metabolismo , Útero/efeitos dos fármacos , Animais , Peso Corporal/efeitos dos fármacos , Corpo Lúteo/efeitos dos fármacos , Relação Dose-Resposta a Droga , Ingestão de Alimentos/efeitos dos fármacos , Feminino , Tamanho do Órgão/efeitos dos fármacos , Ovário/efeitos dos fármacos , Ovário/enzimologia , Progesterona/sangue , Pseudogravidez , Ratos , Ratos Wistar
14.
Toxicol Lett ; 98(1-2): 87-93, 1998 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-9776565

RESUMO

The objective of this study was to further evaluate the developmental toxicity of di-n-butyl phthalate (DBP) administered during the second half of pregnancy. Pregnant rats were fed a diet containing DBP at a dose of 0 (control), 0.5, 1.0 or 2.0% ad libitum on days 11-21 of pregnancy. Average daily intakes of DBP were 331, 555 and 661 mg/kg for the 0.5, 1.0 and 2.0% groups, respectively. No significant changes induced by DBP were detected in the incidence of postimplantation loss and numbers of live fetuses and of resorptions and dead fetuses. The weights of male and female fetuses at 2.0% DBP were significantly decreased. The incidences of fetuses with cleft palate and fetuses with fusion of the sternebrae at 2.0% DBP and fetuses with undescended testes at 1.0 and 2.0% DBP were significantly increased. There were significant decreases in the anogenital distance (AGD) of male fetuses in the 1.0 and 2.0% DBP groups, also. AGD of female fetuses in the DBP-treated groups was comparable to that in the control group. It was concluded that DBP administered during the second half of pregnancy produced adverse effects on the reproductive development in male fetuses.


Assuntos
Dibutilftalato/toxicidade , Prenhez/efeitos dos fármacos , Teratogênicos/toxicidade , Anormalidades Induzidas por Medicamentos/patologia , Animais , Animais Recém-Nascidos/anatomia & histologia , Peso Corporal/efeitos dos fármacos , Dieta , Ingestão de Alimentos/efeitos dos fármacos , Feminino , Feto/anatomia & histologia , Gravidez , Ratos , Ratos Wistar , Reprodução/efeitos dos fármacos
15.
Neurosurg Clin N Am ; 9(2): 295-306, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9495892

RESUMO

Surgical treatment of Parkinson's disease has become an important mode of therapy for advanced disease. Both ablative lesions and, more recently, deep brain stimulation have been employed. Various brain areas, including the thalamus, globus pallidus, and subthalamus, have been target sites.


Assuntos
Globo Pálido/cirurgia , Doença de Parkinson/cirurgia , Núcleos Talâmicos/cirurgia , Tomada de Decisões , Humanos , Técnicas Estereotáxicas
16.
Reprod Toxicol ; 12(2): 127-32, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9535506

RESUMO

In our previous studies, butyl benzyl phthalate (BBP) was found to be embryolethal and teratogenic in rats. In this study, the reproductive effects of BBP were investigated in pregnant and pseudopregnant rats. Rats were given BBP by gastric intubation at 0, 250, 500, 750, or 1000 mg/kg on Days 0 to 8 of pregnancy and the pregnancy outcome was determined on Day 20 of pregnancy. The same doses of BBP were given to pseudopregnant rats, with an induced decidual cell response on Days 0 to 8 of pseudopregnancy, and the uterine weight on Day 9 served as an index of the uterine decidualization. BBP caused significant increases in the incidences of preimplantation loss in females successfully mated at 1000 mg/kg and of postimplantation loss in females having implantations at 750 mg/kg and above. Uterine decidual growth in pseudopregnant rats was significantly decreased at 750 mg/kg and above. These findings suggest that early embryonic loss due to BBP may be mediated, at least in part, via the suppression of uterine decidualization, an impairment of uterine function.


Assuntos
Ácidos Ftálicos/toxicidade , Pseudogravidez , Reprodução/efeitos dos fármacos , Administração Oral , Animais , Corpo Lúteo/efeitos dos fármacos , Desenvolvimento Embrionário/efeitos dos fármacos , Desenvolvimento Embrionário e Fetal/efeitos dos fármacos , Feminino , Masculino , Tamanho do Órgão/efeitos dos fármacos , Ovário/efeitos dos fármacos , Ovário/patologia , Gravidez , Progesterona/sangue , Ratos , Ratos Wistar , Útero/efeitos dos fármacos , Útero/patologia
17.
Clin Neuropharmacol ; 20(6): 523-30, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9403226

RESUMO

We report on motor complications of chronic levodopa therapy among 811 levodopa-responsive patients with idiopathic Parkinson's disease (PD), stratified by duration after diagnosis. Predictable "offs" were noted in 20.2% of patients in the first 5 years, in 58.3% after 15 years. Unpredictable or sudden offs and early morning dystonia were less common. Longer duration was associated with greater percentages of patients with off periods or dyskinesias (up to 70% after 15 years), although patients with 6-15 years' duration saw relatively little increase in frequency of those complications, and a minority of patients (approximately 30%) with duration into the second decade did not experience off periods or dyskinesia. Across groups, mean Hoehn and Yahr stage and daily levodopa dosage progressively increase (and mean Schwab and England disability ratings decrease), but more conservatively than in prior reports in the postlevodopa era. We note that with advancing PD duration, levodopa complications are more common, but in many cases there appear to be relatively stable periods in terms of levodopa dosage and disease severity, and a minority of patients will be relatively free of motor complications into the second decade of their disease.


Assuntos
Antiparkinsonianos/efeitos adversos , Discinesia Induzida por Medicamentos/fisiopatologia , Levodopa/efeitos adversos , Doença de Parkinson/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Antiparkinsonianos/uso terapêutico , Feminino , Humanos , Levodopa/uso terapêutico , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/tratamento farmacológico
18.
Neurology ; 49(4): 1078-83, 1997 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9339693

RESUMO

Unilateral pallidotomy is thought to have a low risk for cognitive morbidity. Nonetheless, recent research suggests that some patients experience declines in memory and language and that pallidal stimulation might be a safer treatment for Parkinson's disease (PD). We investigated the neurobehavioral effects of unilateral pallidal stimulation. Nine consecutive PD patients undergoing unilateral deep brain-stimulating electrode implantation in the globus pallidus interna were evaluated with a neuropsychological test battery approximately 1 month before and 3 months after surgery. Patients reported significantly fewer symptoms of anxiety and greater vigor after surgery. There was a trend toward fewer depressive symptoms. Semantic verbal fluency and visuoconstructional test scores declined significantly after surgery. However, among five patients showing declines in semantic verbal fluency, only one patient's score declined by more than 2 SD. No patient showed significant decline or improvement in the overall level of cognitive functioning. This study supports the relative safety, in terms of cognitive function, of unilateral pallidal stimulation in PD.


Assuntos
Terapia por Estimulação Elétrica , Globo Pálido/fisiopatologia , Doença de Parkinson/fisiopatologia , Doença de Parkinson/terapia , Adulto , Comportamento/fisiologia , Cognição/fisiologia , Depressão/etiologia , Eletrodos Implantados , Feminino , Globo Pálido/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Doença de Parkinson/psicologia , Período Pós-Operatório , Índice de Gravidade de Doença , Resultado do Tratamento , Comportamento Verbal/fisiologia , Percepção Visual/fisiologia
19.
Ann Neurol ; 42(3): 292-9, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9307249

RESUMO

Pharmacologic treatment for essential tremor and the tremor of Parkinson's disease is often inadequate. Stereotaxic surgery, such as thalamotomy, can effectively reduce tremors. We performed a multicenter trial of unilateral high-frequency stimulation of the ventral intermedius nucleus of the thalamus in 29 patients with essential tremor and 24 patients with Parkinson's disease, using a blinded assessment at 3 months after surgery to compare clinical rating of tremor with stimulation ON with stimulation OFF and baseline and a 1-year follow-up. Six patients were not implanted because of lack of intraoperative tremor suppression (2 patients), hemorrhage (2 patients), withdrawal of consent (1 patient), and persistent microthalamotomy effect (1 patient). A significant reduction in both essential and parkinsonian tremor occurred contralaterally with stimulation. Patients reported a significant reduction in disability. Measures of function were significantly improved in patients with essential tremor. Complications related to surgery in implanted patients were few. Stimulation was commonly associated with transient paresthesias. Other adverse effects were mild and well tolerated. Efficacy was not reduced at 1 year. Chronic high-frequency stimulation is safe and highly effective in ameliorating essential and parkinsonian tremor.


Assuntos
Doença de Parkinson/terapia , Tálamo , Tremor/terapia , Idoso , Estimulação Elétrica/efeitos adversos , Eletrodos Implantados , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Parestesia/etiologia , Doença de Parkinson/complicações , Doença de Parkinson/fisiopatologia , Desempenho Psicomotor , Tremor/complicações
20.
Clin Neuropharmacol ; 20(4): 300-10, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9260728

RESUMO

We review recent reports suggesting that use of selective serotonergic agents that either inhibit synaptic reuptake or have specific serotonin receptor affinities may benefit a variety of motor disturbances in Parkinson's disease. The complex, mixed motoric effects of these agents in Parkinson's disease have not allowed for a consistent view on the interrelationship between dopamine and serotonin (5HT) in motor control but may speak to the nature of dysregulated neurotransmission in the disease.


Assuntos
Dopamina/fisiologia , Transtornos dos Movimentos/fisiopatologia , Doença de Parkinson/fisiopatologia , Serotonina/fisiologia , Animais , Humanos , Transtornos dos Movimentos/tratamento farmacológico , Doença de Parkinson/tratamento farmacológico , Serotoninérgicos/efeitos adversos , Serotoninérgicos/uso terapêutico
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