Effects of Goreisan in the Perioperative Period of Subthalamic Deep Brain Stimulation in Parkinson's Disease.

Autor: Kajikawa H; Department of Neurology, Graduate School of Medicine, Mie University, Mie, Japan.; Department of Neurorolgy, Suzukakaisei Hospital, Mie, Japan., Matsuura K; Department of Neurology, Graduate School of Medicine, Mie University, Mie, Japan.; Department of Neurorolgy, Suzukakaisei Hospital, Mie, Japan., Ii Y; Department of Neuroimaging and Pathophysiology, Mie University School of Medicine, Mie, Japan., Tabei KI; School of Industrial Technology, Advanced Institute of Industrial Technology, Tokyo Metropolitan Public University Corporation, Tokyo, Japan., Nakamura N; Department of Neurology, Graduate School of Medicine, Mie University, Mie, Japan., Ishikawa H; Department of Neurology, Graduate School of Medicine, Mie University, Mie, Japan., Nishiguchi Y; Department of Neurology, Graduate School of Medicine, Mie University, Mie, Japan., Matsuda K; Department of Dementia Prevention and Therapeutics, Mie University Graduate School of Medicine, Mie, Japan., Kagawa K; Department of Neurorolgy, Suzukakaisei Hospital, Mie, Japan., Ichikawa N; Department of Neurosurgery, Suzukakaisei Hospital, Mie, Japan., Araki T; Department of Neurosurgery, Suzukakaisei Hospital, Mie, Japan., Shindo A; Department of Neurology, Graduate School of Medicine, Mie University, Mie, Japan.
Jazyk: angličtina
Zdroj: Brain and behavior [Brain Behav] 2024 Oct; Vol. 14 (10), pp. e70069.
DOI: 10.1002/brb3.70069
Abstrakt: Introduction: Patients with Parkinson's disease (PD) may benefit from deep brain stimulation (DBS). Perifocal brain edema sometimes occurs after DBS surgery, but it is transient and does not affect the final prognosis. Transient deterioration of cognitive function has been reported in patients with frontal edema in the first postoperative week. This study aimed to investigate the effect of Goreisan in preventing edematous changes after DBS and determine the influence of edema on cognition.
Methods: We included 29 patients with PD who underwent bilateral subthalamic nucleus (STN) DBS and who were divided into 2 groups: those using (11 patients) and those not using Goreisan (18 patients). At 1 week postoperatively, all patients underwent magnetic resonance imaging. We measured the volume of edema either in the frontal white matter or STN on fluid-attenuated inversion recovery (FLAIR) images. Finally, brain edema, motor function, and cognitive function were compared between the groups with and without Goreisan.
Results: In the FLAIR image 1 week postoperatively, the average postoperative frontal subcortical edema (FE) volume of the group with Goreisan was significantly lower than that without Goreisan (2249 ± 2186 mm 3 , 6261 ± 7213 mm 3 , respectively, p = 0.023). Multivariate analysis with age, preoperative Mini-Mental State Examination (MMSE) score, FE, and peri-STN edema (SE) as factors, and MMSE at 1 week postoperatively as the dependent variable showed that preoperative MMSE score and SE were significant as associated factors.
Conclusions: FE after DBS surgery may be alleviated using Goreisan. SE and preoperative MMSE scores were associated with MMSE scores 1 week postoperatively.
Trial Registration: Not applicable.
(© 2024 The Author(s). Brain and Behavior published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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