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Clarification of integrated pathophysiology of cortico-basal ganglia in dystonia and strategic treatment of deep brain stimulation

Research Project

Project/Area Number 23592144
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cerebral neurosurgery
Research InstitutionTokyo Women's Medical University

Principal Investigator

TAIRA Takaomi  東京女子医科大学, 医学部, 臨床教授 (30167481)

Research Collaborator GOTO Shinichi  
Project Period (FY) 2011-04-28 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2012: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2011: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Keywordsジストニア / 脳深部刺激 / 淡蒼球 / 視床 / 大脳基底核 / 大脳皮質
Outline of Final Research Achievements

In DBS for dystonias, whether the traditional GPi target is the optimal or not has not been clarified. In this research, we found that the more anterior part of GPi has no role for control of dystonia, and that the more posterior and lateral part at the level of midcommissural level has a more important role for control of dystonia. Furthermore, the target should be placed just above the lateral edge of the optic tract, rather than the middle part of the optic tract. For distal extremity symptoms, GPi DBS has less effect and Vo thalamus should be chosen as the treatment target. Although traditional concept of GPi DBS was to block the ansa lenticularis part of GPi, the lenticular fasciculus part of GPi and the area projected to the thalamus seemed more related with the effects of DBS treatment of dystonia.

Report

(5 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (39 results)

All 2015 2014 2013 2012 2011 Other

All Journal Article (17 results) (of which Peer Reviewed: 14 results,  Open Access: 2 results) Presentation (16 results) (of which Invited: 12 results) Book (3 results) Remarks (3 results)

  • [Journal Article] A brief history of neurosurgery for psychiatric disorders in Japan2014

    • Author(s)
      Taira T
    • Journal Title

      AANS Neurosurgeons

      Volume: 23 Pages: 1-3

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Consensus on guidelines for stereotactic neurosurgery for psychiatric disorders2014

    • Author(s)
      Nuttin B, Wu H, Mayberg H, Hariz M, Gabriels L, Galert T, Merkel R, Kubu C, Vilela-Filho O, Matthews K, Taira T, et al
    • Journal Title

      Journal of Neurology, Neurosurgery, and Psychiatry

      Volume: 85 Issue: 9 Pages: 1003-1003

    • DOI

      10.1136/jnnp-2013-306580

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] DBSのジストニア、振戦、過運動障害に対する効果2014

    • Author(s)
      平 孝臣, 竹田信彦
    • Journal Title

      神経内科

      Volume: 80 Pages: 536-540

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 脳深部刺激療法においてマイクロリコーディングは必要? 「No」の立場から2014

    • Author(s)
      平 孝臣
    • Journal Title

      Frontiers in Parkinson Disease

      Volume: 7 Pages: 142-145

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 集束超音波による低侵襲定位手術(MRg-FUS)2013

    • Author(s)
      阿部圭市†, 平孝臣, 村垣善浩, 野中洋一, 河本竹正, 笹沼仁一, 堀智勝, 岡田芳和, 渡邉一夫
    • Journal Title

      映像情報Medical

      Volume: 45 Pages: 615-618

    • Related Report
      2013 Research-status Report
  • [Journal Article] "術中支援統合画像環境SCOT(Smart Cyber Operating Theater) -機能・構造に注目した診断と治療を目指す未来予測手術-"2013

    • Author(s)
      田村学†, 村垣善浩, 丸山隆志, 平孝臣, 林基弘, 小西良幸, 吉光喜太郎, 鈴木孝司, 生田聡子, 岡本淳, 仁木千晴, チエルノフミハイル, 岡田芳和, 伊関洋
    • Journal Title

      映像情報Medical

      Volume: 45 Pages: 590-596

    • Related Report
      2013 Research-status Report
  • [Journal Article] Rate of complications among the recipients of intrathecal baclofen pump in Japan: a multicenter study2013

    • Author(s)
      Taira T†, Ueta T, Katayama Y, Kimizuka M, Nemoto A, Mizusawa H, Liu M, Koito M, Hiro Y, Tanabe H
    • Journal Title

      Neuromodulation

      Volume: 16 Pages: 266-272

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Advanced Image Coregistration within the Leksell Workstation for the Planning of Glioma Surgery:Initial Experience2013

    • Author(s)
      TAMURA Manabu†, HAYASHI Motohiro, KONISHI Yoshiyuki, TAMURA Noriko, REGIS Jean, Mangin Jean Francois, TAIRA Takaomi, OKADA Yoshikazu, MURAGAKI Yoshihiro, ISEKI Hiroshi
    • Journal Title

      Journal of Neurological Surgery Reports

      Volume: 74 Pages: 118-122

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] The Contemporary Practice of Psychiatric Surgery: Results from a Global Survey of Functional Neurosurgeons.2013

    • Author(s)
      Mendelsohn D†, Lipsman N, Lozano AM, Taira T, Bernstein M
    • Journal Title

      Stereotactic and functional neurosurgery

      Volume: 91 Pages: 306-313

    • NAID

      120005423987

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Spinal Cord Stimulation and Intrathecal Baclofen Therapy: Combined Neuromodulation for Treatment of Advanced Complex Regional Pain Syndrome2013

    • Author(s)
      Shinichi Goto Takaomi Taira Shiro Horisawa Akiyoshi Yokote Toshiyuki Sasaki Yoshikazu Okad
    • Journal Title

      Stereotactic and functional neurosurgery

      Volume: 91 Pages: 386-391

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Long-Term Improvement of Musician’s Dystonia after Stereotactic Ventro-Oral Thalamotomy2013

    • Author(s)
      Shiro Horisawa, Takaomi Taira, Shinichi Goto, Taku Ochiai, ,Takeshi Nakajima
    • Journal Title

      Annals of Neurology

      Volume: 74 Pages: 648-654

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Long-term improvement of musician's dystonia after stereotactic ventrooralthalamotomy.2013

    • Author(s)
      Horisawa S, Taira T, Goto S, Ochiai T, Nakajima T.
    • Journal Title

      Ann Neurol.

      Volume: Epub ahead of print Issue: 5 Pages: 648-654

    • DOI

      10.1002/ana.23877

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] [Neurosurgical management of dystonias].2012

    • Author(s)
      Taira T.
    • Journal Title

      Rinsho Shinkeigaku

      Volume: 52 Pages: 1077-1079

    • NAID

      10020347685

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Rate of Complications Among the Recipients of Intrathecal Baclofen Pump in Japan: A Multicenter Study.2012

    • Author(s)
      Taira T, Ueta T, Katayama Y, Kimizuka M, Nemoto A, Mizusawa H, Liu M, Koito M, Hiro Y, Tanabe H.
    • Journal Title

      Neuromodulation

      Volume: Epub ahead of print Issue: 3 Pages: 266-272

    • DOI

      10.1111/ner.12010

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pre- and postoperative evaluation of dystonia.2011

    • Author(s)
      Thobois S, Taira T, Comella S, Moro E, Bressman S, Albanese A
    • Journal Title

      Movement Disorders

      Volume: 26 Issue: S1 Pages: 17-22

    • DOI

      10.1002/mds.23481

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Inclusion and exclusion criteria for DBS in dystonia.2011

    • Author(s)
      Bronte-Stewart H, Taira T, Valldeoriola F, Merello M, Marks WJ Jr, Albanese A, Bressman S, Moro E
    • Journal Title

      Movement Disorders

      Volume: 26 Issue: S1 Pages: 5-16

    • DOI

      10.1002/mds.23482

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] ジストニアの治療の最前線2011

    • Author(s)
      平 孝臣
    • Journal Title

      脳と発達

      Volume: 43 Pages: 183-188

    • NAID

      10029386668

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] Neurosurgical treatment for dystonias2015

    • Author(s)
      Taira T:
    • Organizer
      International Neurology Meeting
    • Place of Presentation
      台湾
    • Year and Date
      2015-05-08
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] ジストニアに対するDBS - 治療ターゲット再考2014

    • Author(s)
      平 孝臣、落合 卓、後藤真一、中嶋 剛、竹田信彦、堀澤史朗、赤川浩之
    • Organizer
      73回日本脳神経外科学会学術総会
    • Place of Presentation
      東京 グランドプリンスホテル新高輪
    • Year and Date
      2014-10-14
    • Related Report
      2014 Annual Research Report
  • [Presentation] 書痙・音楽家のジストニア 外科治療2014

    • Author(s)
      平 孝臣
    • Organizer
      第1回日本ボツリヌス毒素治療学会
    • Place of Presentation
      東京 東京コンベンションホール
    • Year and Date
      2014-09-15
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Movement disorder surgery, Quo vadis?2014

    • Author(s)
      Taira T:
    • Organizer
      International Gamma Knife Society Meeting
    • Place of Presentation
      New York
    • Year and Date
      2014-05-08
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Lesioning, a 21st Century Treatment for Movement Disorders2013

    • Author(s)
      Takaomi Taira
    • Organizer
      国際定位機能神経外科学会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Dystonia: DBS vs lesioning vs Peripheral Procedures "2013

    • Author(s)
      Takaomi Taira
    • Organizer
      国際定位機能神経外科学会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] ジトニアに対するSTN DBSは本当にSTNか2013

    • Author(s)
      平 孝臣、後藤真一、竹田信彦 光山輝滝、佐々木寿之
    • Organizer
      日本定位機能神経外科学会
    • Place of Presentation
      岡山
    • Related Report
      2012 Research-status Report
  • [Presentation] Comprehensive approach to tremor2012

    • Author(s)
      T.Taira
    • Organizer
      American Society for Stereotactic and Functional Neurosurgery
    • Place of Presentation
      San Francisco
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Target selection and application to dystonia2012

    • Author(s)
      T.Taira
    • Organizer
      3rd Congress of Chinese Neuromodulation Society
    • Place of Presentation
      Beijing
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Ablative surgery for dystonia2012

    • Author(s)
      T.Taira
    • Organizer
      Third International Workshop on Functional Neurosurgery: Movement Disorders, Pain, Psychiatric Illness, Ethics
    • Place of Presentation
      London
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 局所ジストニアの外科治療2011

    • Author(s)
      平 孝臣
    • Organizer
      国際定位機能神経外科学会 中間会議(招待講演)
    • Place of Presentation
      ケープタウン
    • Related Report
      2011 Research-status Report
  • [Presentation] 振戦とジストニア2011

    • Author(s)
      平 孝臣
    • Organizer
      国際ニューロモデュレーション学会(招待講演)
    • Place of Presentation
      ロンドン
    • Related Report
      2011 Research-status Report
  • [Presentation] パ-キンソン病以外の運動機能異常症状に対する機能的外科治療の位置づけ

    • Author(s)
      平 孝臣
    • Organizer
      日本神経学会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] "Ablative Approaches to Dystonia "

    • Author(s)
      Takaomi Taira
    • Organizer
      米国脳神経外科コングレス
    • Place of Presentation
      米国 シアトル
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] "ジストニアに対する脳深部刺激療法の長期効果 "

    • Author(s)
      平 孝臣
    • Organizer
      日本運動障害学会 MDSJ
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Is DBS always better for movement disorders ?

    • Author(s)
      T.Taira
    • Organizer
      Deep Brain Stimulation Symposium
    • Place of Presentation
      Brisbane
    • Related Report
      2012 Research-status Report
    • Invited
  • [Book] Deep Brain Stimulation for Neurological Disorder. Theoretical. Background and Clinical Application2015

    • Author(s)
      Taira T
    • Total Pages
      208
    • Publisher
      Springer
    • Related Report
      2014 Annual Research Report
  • [Book] Youmans and Winn Neurological Surgery, 7th edition2015

    • Author(s)
      Taira T, Nakajima T, Ochiai T
    • Publisher
      Elsevier
    • Related Report
      2014 Annual Research Report
  • [Book] ジストニアのすべて2013

    • Author(s)
      平 孝臣
    • Total Pages
      136
    • Publisher
      診断と治療社
    • Related Report
      2013 Research-status Report
  • [Remarks] Functional Neurosurgery

    • URL

      http://homepage3.nifty.com/ttaira/

    • Related Report
      2012 Research-status Report
  • [Remarks]

    • URL

      http://homepage3.nifty.com/ttaira/

    • Related Report
      2011 Research-status Report
  • [Remarks]

    • URL

      http://www3.ezbbs.net/38/ttaira/

    • Related Report
      2011 Research-status Report

URL: 

Published: 2011-08-05   Modified: 2019-07-29  

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