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| Name | Class |
|---|---|
| University of Turku | OTHER |
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To compare the clinical outcome of patients with Parkinson's disease (PD) treated with directional deep brain (dDBS) stimulation undergoing subthalamic deep brain stimulation operation (STN-DBS) under general anesthesia versus local anesthesia.
To compare the clinical outcome of patients with Parkinson's disease (PD) treated with directional deep brain (dDBS) stimulation undergoing subthalamic deep brain stimulation operation (STN-DBS) under general anesthesia versus local anesthesia.
In awake group, 10 patients with Parkinson's disease were treated with St Jude Medical/Abbott Infinity DBS system, and the electrode implantation and testing were performed while the patients were awake. In asleep group, 14 patients with Parkinson's disease were treated with St Jude Medical/Abbott Infinity DBS system, and the electrode implantation were performed while the patients were under general anesthesia. The clinical outcome of the DBS treatment, possible adverse effects and the electrode placement will be compared within these two groups.
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| Measure | Description | Time Frame |
|---|---|---|
| The change of UPDRS III score | The UPDRS III score (0-60 points) at 6-months' follow-up compared to preoperative UPDRS III score | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| The change of levodopa equivalent dose, LED | The change of levodopa equivalent dose (LED 0 - 2000 mg) at 6-months' follow-up compared to preoperative LED | 6 months |
| Electrode trajectory | The comparison of the actual trajectory of the DBS electrode and the anticipated trajectory of the DBS electrode in both patient groups |
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Inclusion Criteria:
Advanced Parkinson's disease
Exclusion Criteria:
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Patients with advanced Parkinson's disease and their willingness to undergo DBS operation and treatment.
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| Name | Affiliation | Role |
|---|---|---|
| Eero Pekkonen, M.D-, Ph.D. | HUH | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HUH Meilahti Hospital, department of neurology | Helsinki | 00029 | Finland |
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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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| 6 months |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |