Parkinson Disease
Conditions
Keywords
Near-InfraRed Spectroscopy (NIRS), Deep brain stimulation of SubThalamic Nucleus (DBS)
Brief summary
* Background : Deep brain stimulation of SubThalamic Nucleus (STN-DBS) is an effective treatment for a large variety of movement disorders. However, the efficacy of STN-DBS relies on unclear mechanisms. * Purpose: In this study, using optical imaging, the investigators will evaluate the cortical hemodynamic changes induced by STN-DBS of parkinsonian patients during motor task and delay discounting task. the investigators will perform an optical imaging study using Near-InfraRed Spectroscopy (NIRS) in a parkinsonian patient after STN-DBS. The investigators will measure bilateral local cortical hemodynamic changes under On and Off stimulation conditions and during a motor task (left hand movement) and delay discounting task Relative concentration changes of oxy-Hb, deoxy-Hb, and total Hb will be continuously analyze. * Primary outcome: Study of local cortical hemodynamic change (oxy-Hb, deoxy-Hb, and total Hb) under on and off stimulation during a motor task.
Interventions
NIRS EEG HR recording
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients presenting Parkinson disease and treated by STN-DBS. * For comparison patients: Patients treated by DBS in other target.
Exclusion criteria
* Patients who cannot be treated by DBS
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Study of local cortical hemodynamic change (oxy-Hb, deoxy-Hb, and total Hb) | 1 month, | under on and off stimulation during a motor task. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Study of QUIP score (QUIP scale) | 3 month | — |
| Comparison of local cortical hemodynamic changes (oxy-Hb, deoxy-Hb, and total Hb) with the localisation of the contact use for STN-DBS stimulation | 1 month | between patient with ICD and patient without ICD |
| Study of local cortical hemodynamic change (oxy-Hb, deoxy-Hb, and total Hb) | 1 month | under on and off stimulation during delay discounting task. |
| Study of local cortical hemodynamic changes (oxy-Hb, deoxy-Hb, and total Hb) with intensity of NonSTN-DBS stimulation | 1 month | under on and off stimulation during a motor task and a delay discounting task (in order to obtain a qualitative comparison between GPi-DBS and STN-DBS. |
| Study of delayed discounting task (DDT) score | 3 months | — |
| Comparison of local cortical hemodynamic changes (oxy-Hb, deoxy-Hb, and total Hb) with intensity of STN-DBS stimulation | 1 month | — |
Countries
France