Parkinson's disease primary parkinsonism shaking palsy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age > 18 years; - Idiopathic PD with bradykinesia and at least two of the following signs; resting tremor, rigidity, and asymmetry; - Despite optimal pharmacological treatment, at least one of the following symptoms: severe response fluctuations, dyskinesias, painful dystonia or bradykinesia; - A life expectancy of at least two years.
Exclusion criteria
Exclusion criteria: - Legally incompetent adults - Previous PD-neurosurgery (e.g., DBS, pallidotomy, thalamotomy); - Contraindications for DBS surgery, such as a physical disorder making surgery hazardous; - Hoehn and Yahr stage 5 at the best moment during the day; - Psychosis; - Current depression; - No written informed consent;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures is the number of patients with significant postoperative cognitive, mood and behavioral adverse effects indicated by a stringent composite score of >1 within 6 months after STN DBS. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are: - Motor score: MDS-UPDRS - Clinical Dyskinesia Rating Scale (CDRS) - Daily functioning: MDS-UPDRS (activities of daily living section), Functional health status (ALDS) - Quality of life: PDQ-39 - Treatment satisfaction (See F-vragenlijsten, Treatment satisfaction) - Burden of therapy (See F-vragenlijsten, Burden of therapy) - Surgery time, duration of hospital admittance - PD- medication changes - Other adverse effects and complications than those registered in the composite score - Other psychiatric effects and complications than those registered in the composite score, measured with: Young Mania Rating Scale, Columbia Suicide Severity Rating Scale, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Starkstein Apathy Rating Scale. | — |
Countries
Netherlands