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Hypokinesia upon Pallidal Deep Brain Stimulation of Dystonia: Support of a GABAergic Mechanism

Overview of attention for article published in Frontiers in Neurology, January 2013
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Title
Hypokinesia upon Pallidal Deep Brain Stimulation of Dystonia: Support of a GABAergic Mechanism
Published in
Frontiers in Neurology, January 2013
DOI 10.3389/fneur.2013.00198
Pubmed ID
Authors

Florian Amtage, Thomas J. Feuerstein, Simone Meier, Thomas Prokop, Tobias Piroth, Marcus O. Pinsker

Abstract

In the past, many studies have documented the beneficial effects of deep brain stimulation (DBS) in the globus pallidus internus for treatment of primary segmental or generalized dystonia. Recently however, several reports focused on DBS-induced hypokinesia or freezing of gait (FOG) as a side effect in these patients. Here we report on two patients suffering from FOG after successful treatment of their dystonic movement disorder with pallidal high frequency stimulation (HFS). Several attempts to reduce the FOG resulted in worsening of the control of dystonia. In one patient levodopa treatment was initialized which was somewhat successful to relieve FOG. We discuss the possible mechanisms of hypokinetic side effects of pallidal DBS which can be explained by the hypothesis of selective GABA release as the mode of action of HFS. Pallidal HFS is also effective in treating idiopathic Parkinson's disease as a hypokinetic disorder which at first sight seems to be a paradox. In our view, however, the GABAergic hypothesis can explain this and other clinical observations.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 3%
China 1 1%
Unknown 67 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 14 20%
Other 7 10%
Student > Ph. D. Student 7 10%
Student > Master 6 9%
Student > Bachelor 5 7%
Other 9 13%
Unknown 22 31%
Readers by discipline Count As %
Medicine and Dentistry 23 33%
Agricultural and Biological Sciences 5 7%
Neuroscience 5 7%
Engineering 3 4%
Psychology 3 4%
Other 3 4%
Unknown 28 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2013.
All research outputs
#20,211,690
of 22,733,113 outputs
Outputs from Frontiers in Neurology
#8,641
of 11,640 outputs
Outputs of similar age
#248,813
of 280,780 outputs
Outputs of similar age from Frontiers in Neurology
#117
of 210 outputs
Altmetric has tracked 22,733,113 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 11,640 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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