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| Name | Class |
|---|---|
| University of Sao Paulo | OTHER |
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This study provides an evaluation of 30 patients in 3 years, from the Unified Health System (SUS) irrespective of region of the country, signed with clinical Parkinson's disease in its intermediate stage and that the drug therapy is limited by side effects or beneficial effects provided by prior medication no longer be obtained even at high doses and have therefore the indication for treatment with deep brain stimulation.
The aim of this retrospective study is to compare motor and non-motor (olfactory, pain, cognition and metabolism) symptoms of the effects of deep brain stimulation target to the nucleus globus pallidus versus the subthalamic nucleus in patients with Parkinson´s disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endocrinological approach | Experimental | Parkinson patient submitted to DBS surgery target to globus pallidus nucleus or the subthalamic nucleus. Those patients will be endocrinological evaluation including metabolic measures, calorimetric parameters. |
|
| Neurological approach | Experimental | Parkinson patient submitted to DBS surgery target to globus pallidus nucleus or the subthalamic nucleus. Those patients will be neurological evaluation including UPDRS scale. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Subthalamic nucleus | Procedure | Surgery will be performed in 15 patients with DBS target to the subthalamic nucleus |
|
| Measure | Description | Time Frame |
|---|---|---|
| Neurological approach measured by UPDRS scale | UPDRS scale before surgery | through study completion, an average of 2 years |
| Neurological approach measured by UPDRS scale | UPDRS scale 6 months after surgery | 6 months |
| Neurological approach measured by UPDRS scale | UPDRS scale 12 months after surgery | 12 months |
| Neurological approach measured by UPDRS scale | UPDRS scale 24 months after surgery | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Endocrinological approach | Evaluation of metabolic measures before surgery | through study completion, an average of 2 years |
| Endocrinological approach | Evaluation of metabolic measures 6 months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Globus pallidus | Procedure | Surgery will be performed in 15 patients with DBS target to the globus pallidus nucleus |
|
| 6 months |
| Endocrinological approach | Evaluation of metabolic measures 12 months after surgery | 12 months |
| Endocrinological approach | Evaluation of metabolic measures 24 months after surgery | 24 months |
| Endocrinological approach - BMI | Evaluation of body mass index before surgery | 36 months |
| Endocrinological approach - BMI | Evaluation of body mass index 6 months after surgery | 6 months |
| Endocrinological approach - BMI | Evaluation of body mass index12 months after surgery | 12 months |
| Endocrinological approach - BMI | Evaluation of body mass index 24 months after surgery | 24 months |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |