Differential response to pallidal deep brain stimulation among monogenic dystonias: systematic review and meta-analysis.
deep brain stimulation
dystonia
genetics
globus pallidus
monogenic
Journal
Journal of neurology, neurosurgery, and psychiatry
ISSN: 1468-330X
Titre abrégé: J Neurol Neurosurg Psychiatry
Pays: England
ID NLM: 2985191R
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
04
10
2019
revised:
19
12
2019
accepted:
27
01
2020
pubmed:
23
2
2020
medline:
25
8
2020
entrez:
22
2
2020
Statut:
ppublish
Résumé
Genetic subtypes of dystonia may respond differentially to deep brain stimulation of the globus pallidus pars interna (GPi DBS). We sought to compare GPi DBS outcomes among the most common monogenic dystonias. This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses and Meta-analysis of Observational Studies in Epidemiology guidelines. We searched PubMed for studies on genetically confirmed monogenic dystonia treated with GPi DBS documenting pre-surgical and post-surgical assessments using the Burke-Fahn-Marsden Dystonia Rating Scale Motor Score (BFMMS) and Burke-Fahn-Marsden Disability Score (BFMDS). We performed (i) meta-analysis for each gene mutation; (ii) weighted ordinary linear regression analyses to compare BFMMS and BFMDS outcomes between DYT- DYT- GPi DBS outcomes vary across monogenic dystonias. These data serve to inform patient selection and prognostic counselling.
Identifiants
pubmed: 32079672
pii: jnnp-2019-322169
doi: 10.1136/jnnp-2019-322169
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
426-433Subventions
Organisme : NIAID NIH HHS
ID : R21 AI118228
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR001426
Pays : United States
Informations de copyright
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.