Jan 31, 2023 13:54
1 yr ago
30 viewers *
Spanish term

NSTB

Spanish to English Medical Medical (general) Neurology - Parkinson's Disease/DBS
The following appear in an E.R. report for a patient with Parkinson's disease and DBS system.

Motivo de Consulta:
Decúbito cable extensión ECP.
...

Evolución y comentarios:
Paciente con antecedentes de EPI tratada mediante ECP NSTB en 2021. Derivada a SURG desde consulta de NRL por decúbito de cable de sistema de ECP NSTD de más de tres meses de evolución.
Su familia refiere traumatismo en dicha región desde hace 3 meses y posteriormente aparición de decúbito con exposición de electrodo derecho en convexidad craneal, antes de conexión con extensión del sistema.
...

Expl: exposición de cable de ECP a nivel de electrodo intracraneal en vertex antes de conexión.
...

Diagnostico principal:
Decúbito electrodo intracraneal.

Please can anyone suggest the intended meaning of "NSTB" (with associated NSTD) in this context?
I am assuming that the “NST” part indicates subthalamic nucleus , but I’m not sure what the “B” and “D” are intended to indicate.
Thanks.
Proposed translations (English)
3 +1 BSTN

Discussion

Chema Nieto Castañón Feb 1, 2023:
Hola, llego tarde pero solo por confirmar; efectivamente aquí B se refiere a bilateral (ambos núcleos subtalámicos) y D a derecho (en referencia al núcleo afecto en este caso).

Ver pej., https://neurologia.com/articulo/2017112
Douglas Davies (asker) Jan 31, 2023:
Hi Maria. Yes, I think that's the most likely scenario.
María M. Hernández S. Jan 31, 2023:
Oh, I understand. If it was placed bilateral, it is possible that just the right one has been displaced
Douglas Davies (asker) Jan 31, 2023:
Hi Maria. I've just started an associated report which refers to "externalización del cable de extensión derecho de sistema de estimulador cerebral profundo", which would appear to suggest that it means "right" in this case. Thanks again for your help.
María M. Hernández S. Jan 31, 2023:
@Douglas If we are right and B in NSTB means bilateral, D in NSTD could not mean derecho; it probably means dorsal as already commented in the other thread

Proposed translations

+1
9 hrs
Selected

BSTN

Bilateral subthalamic nucleus (STN) Deep brain stimulation (DBS)

Please see discussionn box.
Peer comment(s):

agree Chema Nieto Castañón
1 day 22 hrs
Gracias, Chema :-)
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4 KudoZ points awarded for this answer. Comment: "Many thanks. "

Reference comments

20 mins
Reference:

Does ECP =

Cómo influye la técnica de estimulación cerebral profunda ...
20minutos.es ·
https://www.20minutos.es › ...
·
Translate this page
3 Nov 2021 — ****La estimulación cerebral profunda (ECP)**** ha demostrado ser un tratamiento eficaz para muchos pacientes que sufren depresión resistente al ...

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Note added at 25 minutes (2023-01-31 14:19:43 GMT)
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https://www.ncbi.nlm.nih.gov/books/NBK549908/

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Note added at 26 minutes (2023-01-31 14:20:47 GMT)
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The Contribution of Subthalamic Nucleus Deep Brain ...
Wiley ·
https://movementdisorders.onlinelibrary.wiley.com › ...
by I Tödt · 2022 · Cited by 4 — Abstract Background Subthalamic nucleus deep brain stimulation (STN-DBS) ... on the left side by 4.6 mm and on the right side by 3.8 mm.

could "D" = derecho

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Note added at 27 minutes (2023-01-31 14:22:03 GMT)
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What is the subthalamic nucleus and what does it do? The subthalamic nucleus is considered part of the basal ganglia. The basal ganglia are a group of subcortical nuclei that are involved in a variety of cognitive and emotional functions, but are best known for their role in movement.


Could "B" = basal


??

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Note added at 28 minutes (2023-01-31 14:22:31 GMT)
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Subthalamic Nucleus - an overview
ScienceDirect ·
https://www.sciencedirect.com › topics › s...
The subthalamic nucleus (STN) is the second input nuclei of the basal ganglia STN neurons are the only glutamatergic neurons in the basal ganglia network.
Note from asker:
Hi Liz and thanks for the suggestions. ECP = DBS (Deep Brain Stimulation). "D" could indicate "right" or "dorsal", or something else; I've considered "basal" for "B" (as in "basal subthalamic nucleus"), but it doesn't seem to be commonly used. I'm really not sure.
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1 hr
Reference:

NSTB = BSTN?

Bilateral Subthalamic Nucleus Deep Brain Stimulation under General Anesthesia

https://pubmed.ncbi.nlm.nih.gov/32967337/

In this analysis the authors highlight the need for uniform, detailed reporting of comprehensive motor and nonmotor DBS outcomes at multiple time points and for a randomized trial of bilateral STN and GPI DBS

https://thejns.org/view/journals/j-neurosurg/103/6/article-p...



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Note added at 1 hr (2023-01-31 15:17:40 GMT)
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Subjects were randomized to receive either optimal drug therapy (ODT) alone or ODT plus bilateral STN DBS. There were two primary aims of the study: to compare safety and tolerability of bilateral STN DBS plus ODT to ODT alone in early stage PD; and (2) to demonstrate that it is possible to recruit, provide meaningful informed consent, and retain subjects in a long-term clinical trial of bilateral STN DBS for the treatment of early PD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4165487/

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Note added at 1 hr (2023-01-31 15:22:06 GMT)
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Describir dos pacientes con EP intervenidos mediante ECP-NST bilateral con el generador de impulsos Percept™ y electrodos direccionales (SenSight™), en los que se aprovechó su potencial para mejorar el síntoma predominante y evitar efectos adversos.

https://www.elsevier.es/en-revista-neurology-perspectives-17...

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Note added at 1 hr (2023-01-31 15:35:06 GMT)
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Effects of deep brain stimulation of dorsal versus ventral subthalamic nucleus regions on gait and balance in Parkinson disease.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3250990/

I agree with María that 'D' could stand for 'dorsal'.

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Note added at 2 hrs (2023-01-31 16:10:36 GMT)
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Glad to be of help, and thanks for the information regarding the 'D'.
Note from asker:
Hi Helena and many thanks for your suggestion. I think you may have found it. In that case, "B" could indicate "Bilateral" and "D" could indicate "Right".
Hi Helena. The following appears in an assiocated report that I have hust started: "externalización del cable de extensión derecho de sistema de estimulador cerebral profundo", so I think in this case it is probably intended to indicate "right". Thanks again for your help with this.
Peer comments on this reference comment:

agree María M. Hernández S. : Sí, es muy posible que sea esto
9 mins
Espero haber podido ayudado a Douglas. Gracias, María :-)
agree José Patrício : Bilateral subthalamic nucleus (STN) Deep brain stimulation (DBS) is a well-established treatment in patients with Parkinson's disease (PD) - https://pubmed.ncbi.nlm.nih.gov/32967337/#:~:text=Bilateral ...
7 hrs
Muchas gracias, José Patricio :-)
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