Spinal Cord Stimulation (SCS) is a newly emerged neuromodulation technique in recent years. It is now a mature technique in the treatment of chronic pain and is generally accepted by patients because of its non-destructive and reversible nature, few complications, no side effects, and avoidance of unnecessary surgical procedures. Combining the results of previous studies and the group's previous research, this study first proposes an innovative treatment protocol for PDS with SCS. We intend to conduct a prospective single-center open clinical trial to evaluate the improvement of orthostatic hypotension, urinary retention, sleep disturbance, dysarthria, and dysphagia in Parkinsonism (PDS) patients before and after SCS treatment, and shed new light on the treatment for PDS.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Spinal cord stimulation (SCS) is a very thin electrode implanted in the dorsal epidural space of the spinal cord to improve the patient's symptoms by stimulating the spinal nerves with pulsed electrical currents, which attenuate or enhance the flow of nerve impulses from the periphery to the central system, i.e., stimulating thick fibers to achieve therapeutic results. SCS system consists of three components: an electrode implanted in the epidural space of the patient's spinal cord, a stimulator implanted subcutaneously in the abdomen or buttocks that delivers electrical impulses, and an extension cord that connects the two.
Department of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China
RECRUITINGChange of blood pressure from baseline to 3 months post-operation
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 3 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 3 months
Change of blood pressure from baseline to 6 months post-operation
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 6 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 6 months
Change of blood pressure from baseline to 9 months post-operation
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 9 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 9 months
Change of blood pressure from baseline to 12 months post-operation
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 12 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 12 months
Change of blood pressure from baseline to 18 months post-operation
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 18 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 18 months
Change of blood pressure from baseline to 24 months post-operation
Change of on-off delta systolic blood pressure and delta diastolic blood pressure from baseline to 24 months post-operation. Delta systolic blood pressure equals the systolic blood pressure of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes. Delta diastolic blood pressure equals the diastolic blood pressure of the patient lying minus the diastolic blood pressure of the patient standing up for 10 minutes.
Time frame: 24 months
Change of oxygen desaturation index from baseline to 3 months post-operation
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 3 months
Change of oxygen desaturation index from baseline to 6 months post-operation
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 6 months
Change of oxygen desaturation index from baseline to 9 months post-operation
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 9 months
Change of oxygen desaturation index from baseline to 12 months post-operation
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 12 months
Change of oxygen desaturation index from baseline to 18 months post-operation
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 18 months
Change of oxygen desaturation index from baseline to 24 months post-operation
Change of oxygen desaturation index measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 24 months
Change of apnea hypopnea index from baseline to 3 months post-operation
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 3 months
Change of apnea hypopnea index from baseline to 6 months post-operation
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Change of apnea hypopnea index measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 6 months
Change of apnea hypopnea index from baseline to 9 months post-operation
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 9 months
Change of apnea hypopnea index from baseline to 12 months post-operation
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 12 months
Change of apnea hypopnea index from baseline to 18 months post-operation
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 18 months
Change of apnea hypopnea index from baseline to 24 months post-operation
Change of apnea hypopnea index measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 24 months
Change of on-off 24-hour blood pressure monitoring from baseline to 3 months post-operation
Change of on-off 24-hour blood pressure monitoring from baseline to 3 months post-operation.
Time frame: 3 months
Change of on-off 24-hour blood pressure monitoring from baseline to 6 months post-operation
Change of on-off 24-hour blood pressure monitoring from baseline to 6 months post-operation.
Time frame: 6 months
Change of on-off 24-hour blood pressure monitoring from baseline to 9 months post-operation
Change of on-off 24-hour blood pressure monitoring from baseline to 9 months post-operation.
Time frame: 9 months
Change of on-off 24-hour blood pressure monitoring from baseline to 12 months post-operation
Change of on-off 24-hour blood pressure monitoring from baseline to 12 months post-operation.
Time frame: 12 months
Change of on-off 24-hour blood pressure monitoring from baseline to 18 months post-operation
Change of on-off 24-hour blood pressure monitoring from baseline to 18 months post-operation.
Time frame: 18 months
Change of on-off 24-hour blood pressure monitoring from baseline to 24 months post-operation
Change of on-off 24-hour blood pressure monitoring from baseline to 24 months post-operation.
Time frame: 24 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 3 months post-operation
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 3 months post-operation.
Time frame: 3 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 6 months post-operation
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 6 months post-operation.
Time frame: 6 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 9 months post-operation
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 9 months post-operation.
Time frame: 9 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 12 months post-operation
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 12 months post-operation.
Time frame: 12 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 18 months post-operation
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 18 months post-operation.
Time frame: 18 months
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 24 months post-operation
Change of on-off time patient spend in supine status, seated status, standing/walking status from baseline to 24 months post-operation.
Time frame: 24 months
Change of serum catecholamine neurotransmitter levels from baseline to 3 months post-operation
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 3 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 3 months
Change of serum catecholamine neurotransmitter levels from baseline to 6 months post-operation
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 6 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 6 months
Change of serum catecholamine neurotransmitter levels from baseline to 9 months post-operation
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 9 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 9 months
Change of serum catecholamine neurotransmitter levels from baseline to 12 months post-operation
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 12 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 12 months
Change of serum catecholamine neurotransmitter levels from baseline to 18 months post-operation
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 18 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 18 months
Change of serum catecholamine neurotransmitter levels from baseline to 24 months post-operation
Change of on-off delta serum catecholamine neurotransmitter levels from baseline to 24 months post-operation. Delta serum catecholamine neurotransmitter levels equals the serum catecholamine neurotransmitter levels of the patient lying minus the serum catecholamine neurotransmitter levels of the patient standing up for 10 minutes.
Time frame: 24 months
Change of on-off delta heart rate variability from baseline to 3 months post-operation
Change of on-off delta heart rate variability from baseline to 3 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 3 months
Change of on-off delta heart rate variability from baseline to 6 months post-operation
Change of on-off delta heart rate variability from baseline to 6 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 6 months
Change of on-off delta heart rate variability from baseline to 9 months post-operation
Change of on-off delta heart rate variability from baseline to 9 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 9 months
Change of on-off delta heart rate variability from baseline to 12 months post-operation
Change of on-off delta heart rate variability from baseline to 12 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 12 months
Change of on-off delta heart rate variability from baseline to 18 months post-operation
Change of on-off delta heart rate variability from baseline to 18 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 18 months
Change of on-off delta heart rate variability from baseline to 24 months post-operation
Change of on-off delta heart rate variability from baseline to 24 months post-operation. Delta heart rate variability equals the heart rate variability of the patient lying minus the heart rate variability of the patient standing up for 10 minutes.
Time frame: 24 months
Change of length of walking during 6-minute walking test from baseline to 3 months post-operation
Change of on-off length of walking during 6-minute walking test from baseline to 3 months post-operation.
Time frame: 3 months
Change of length of walking during 6-minute walking test from baseline to 6 months post-operation
Change of on-off length of walking during 6-minute walking test from baseline to 6 months post-operation.
Time frame: 6 months
Change of length of walking during 6-minute walking test from baseline to 9 months post-operation
Change of on-off length of walking during 6-minute walking test from baseline to 9 months post-operation.
Time frame: 9 months
Change of length of walking during 6-minute walking test from baseline to 12 months post-operation
Change of on-off length of walking during 6-minute walking test from baseline to 12 months post-operation.
Time frame: 12 months
Change of length of walking during 6-minute walking test from baseline to 18 months post-operation
Change of on-off length of walking during 6-minute walking test from baseline to 18 months post-operation.
Time frame: 18 months
Change of length of walking during 6-minute walking test from baseline to 24 months post-operation
Change of on-off length of walking during 6-minute walking test from baseline to 24 months post-operation.
Time frame: 24 months
Change of time of walking during 6-minute walking test from baseline to 3 months post-operation
Change of on-off time of walking during 6-minute walking test from baseline to 3 months post-operation.
Time frame: 3 months
Change of time of walking during 6-minute walking test from baseline to 6 months post-operation
Change of on-off time of walking during 6-minute walking test from baseline to 6 months post-operation.
Time frame: 6 months
Change of time of walking during 6-minute walking test from baseline to 9 months post-operation
Change of on-off time of walking during 6-minute walking test from baseline to 9 months post-operation.
Time frame: 9 months
Change of time of walking during 6-minute walking test from baseline to 12 months post-operation
Change of on-off time of walking during 6-minute walking test from baseline to 12 months post-operation.
Time frame: 12 months
Change of time of walking during 6-minute walking test from baseline to 18 months post-operation
Change of on-off time of walking during 6-minute walking test from baseline to 18 months post-operation.
Time frame: 18 months
Change of time of walking during 6-minute walking test from baseline to 24 months post-operation
Change of on-off time of walking during 6-minute walking test from baseline to 24 months post-operation.
Time frame: 24 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 3 months post-operation
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 3 months post-operation.
Time frame: 3 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 6 months post-operation
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 6 months post-operation.
Time frame: 6 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 9 months post-operation
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 9 months post-operation.
Time frame: 9 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 12 months post-operation
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 12 months post-operation.
Time frame: 12 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 18 months post-operation
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 18 months post-operation.
Time frame: 18 months
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 24 months post-operation
Change of on-off numbers of mistakes made during Stroop Color and Word Test from baseline to 24 months post-operation.
Time frame: 24 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 3 months post-operation
Change of on-off time to complete the Stroop Color and Word Test from baseline to 3 months post-operation.
Time frame: 3 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 6 months post-operation
Change of on-off time to complete the Stroop Color and Word Test from baseline to 6 months post-operation.
Time frame: 6 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 9 months post-operation
Change of on-off time to complete the Stroop Color and Word Test from baseline to 9 months post-operation.
Time frame: 9 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 12 months post-operation
Change of on-off time to complete the Stroop Color and Word Test from baseline to 12 months post-operation.
Time frame: 12 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 18 months post-operation
Change of on-off time to complete the Stroop Color and Word Test from baseline to 18 months post-operation.
Time frame: 18 months
Change of on-off time to complete the Stroop Color and Word Test from baseline to 24 months post-operation
Change of on-off time to complete the Stroop Color and Word Test from baseline to 24 months post-operation.
Time frame: 24 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 3 months post-operation
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 3 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 3 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 6 months post-operation
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 6 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 6 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 9 months post-operation
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 9 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 9 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 12 months post-operation
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 12 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 12 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 18 months post-operation
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 18 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 18 months
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 24 months post-operation
Change of on-off delta brain cortex oxygenated hemoglobin levels from baseline to 24 months post-operation. Delta brain cortex oxygenated hemoglobin levels equals the brain cortex oxygenated hemoglobin levels of the patient lying minus the brain cortex oxygenated hemoglobin levels of the patient standing up for 10 minutes.
Time frame: 24 months
Change of dysarthria symptom from baseline to 3 months post-operation
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 3 months post-operation
Time frame: 3 months
Change of dysarthria symptom from baseline to 6 months post-operation
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 6 months post-operation
Time frame: 6 months
Change of dysarthria symptom from baseline to 9 months post-operation
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 9 months post-operation
Time frame: 9 months
Change of dysarthria symptom from baseline to 12 months post-operation
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 12 months post-operation
Time frame: 12 months
Change of dysarthria symptom from baseline to 18 months post-operation
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 18 months post-operation
Time frame: 18 months
Change of dysarthria symptom from baseline to 24 months post-operation
Change of dysarthria symptom measured by on-off Dysphonia Severity Index of Atoms Speech Assessment System from baseline to 24 months post-operation
Time frame: 24 months
Change of urinary retention from baseline to 3 months post-operation
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 3 months post-operation
Time frame: 3 months
Change of urinary retention from baseline to 6 months post-operation
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 6 months post-operation
Time frame: 6 months
Change of urinary retention from baseline to 9 months post-operation
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 9 months post-operation
Time frame: 9 months
Change of urinary retention from baseline to 12 months post-operation
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 12 months post-operation
Time frame: 12 months
Change of urinary retention from baseline to 18 months post-operation
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 18 months post-operation
Time frame: 18 months
Change of urinary retention from baseline to 24 months post-operation
The change of volume of urinary retention measured by ultrasound and urodynamic study from baseline to 24 months post-operation
Time frame: 24 months
Change of MDS-UPDRS from baseline to 3 months post-operation
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 3 months post-operation
Time frame: 3 months
Change of MDS-UPDRS from baseline to 6 months post-operation
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 6 months post-operation
Time frame: 6 months
Change of MDS-UPDRS from baseline to 9 months post-operation
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 9 months post-operation
Time frame: 9 months
Change of MDS-UPDRS from baseline to 12 months post-operation
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 12 months post-operation
Time frame: 12 months
Change of MDS-UPDRS from baseline to 18 months post-operation
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 18 months post-operation
Time frame: 18 months
Change of MDS-UPDRS from baseline to 24 months post-operation
The change of on- off rating of the Movement Disorders Society sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) from baseline to 24 months post-operation
Time frame: 24 months
Change of UMSARS from baseline to 3 months post-operation
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 3 months post-operation
Time frame: 3 months
Change of UMSARS from baseline to 6 months post-operation
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 6 months post-operation
Time frame: 6 months
Change of UMSARS from baseline to 9 months post-operation
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 9 months post-operation
Time frame: 9 months
Change of UMSARS from baseline to 12 months post-operation
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 12 months post-operation
Time frame: 12 months
Change of UMSARS from baseline to 18 months post-operation
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 18 months post-operation
Time frame: 18 months
Change of UMSARS from baseline to 24 months post-operation
The change of on- off rating of the Unified Multiple System Atrophy Rating Scale (UMSARS) from baseline to 24 months post-operation
Time frame: 24 months
Change of lowest oxygen saturation from baseline to 3 months post-operation
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 3 months
Change of lowest oxygen saturation from baseline to 6 months post-operation
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 6 months
Change of lowest oxygen saturation from baseline to 9 months post-operation
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 9 months
Change of lowest oxygen saturation from baseline to 12 months post-operation
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 12 months
Change of lowest oxygen saturation from baseline to 18 months post-operation
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 18 months
Change of lowest oxygen saturation from baseline to 24 months post-operation
Change of lowest oxygen saturation measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 24 months
Change of mean oxygen saturation from baseline to 3 months post-operation
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 3 months post-operation
Time frame: 3 months
Change of mean oxygen saturation from baseline to 6 months post-operation
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 6 months post-operation
Time frame: 6 months
Change of mean oxygen saturation from baseline to 9 months post-operation
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 9 months post-operation
Time frame: 9 months
Change of mean oxygen saturation from baseline to 12 months post-operation
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 12 months post-operation
Time frame: 12 months
Change of mean oxygen saturation from baseline to 18 months post-operation
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 18 months post-operation
Time frame: 18 months
Change of mean oxygen saturation from baseline to 24 months post-operation
Change of mean oxygen saturation measured by on-off polysomnography from baseline to 24 months post-operation
Time frame: 24 months
Change of SCOPA-AUT from baseline to 3 months post-operation
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 3 months post-operation
Time frame: 3 months
Change of SCOPA-AUT from baseline to 6 months post-operation
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 6 months post-operation
Time frame: 6 months
Change of SCOPA-AUT from baseline to 9 months post-operation
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 9 months post-operation
Time frame: 9 months
Change of SCOPA-AUT from baseline to 12 months post-operation
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 12 months post-operation
Time frame: 12 months
Change of SCOPA-AUT from baseline to 18 months post-operation
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 18 months post-operation
Time frame: 18 months
Change of SCOPA-AUT from baseline to 24 months post-operation
Change of scales for outcomes in Parkinson's disease - autonomic dysfunction from baseline to 24 months post-operation
Time frame: 24 months
Change of delta cerebral artery velocity from baseline to 3 months post-operation
Change of on-off delta cerebral artery velocity from baseline to 3 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 3 months
Change of delta cerebral artery velocity from baseline to 6 months post-operation
Change of on-off delta cerebral artery velocity from baseline to 6 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 6 months
Change of delta cerebral artery velocity from baseline to 9 months post-operation
Change of on-off delta cerebral artery velocity from baseline to 9 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 9 months
Change of delta cerebral artery velocity from baseline to 12 months post-operation
Change of on-off delta cerebral artery velocity from baseline to 12 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 12 months
Change of delta cerebral artery velocity from baseline to 18 months post-operation
Change of on-off delta cerebral artery velocity from baseline to 18 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 18 months
Change of delta cerebral artery velocity from baseline to 24 months post-operation
Change of on-off delta cerebral artery velocity from baseline to 24 months post-operation. Delta cerebral artery velocity equals cerebral artery velocity of the patient lying minus the systolic blood pressure of the patient standing up for 10 minutes.
Time frame: 24 months
Change of TUG from baseline to 3 months post-operation
Change of on-off timed up and go from baseline to 3 months post-operation.
Time frame: 3 months
Change of TUG from baseline to 6 months post-operation
Change of on-off timed up and go from baseline to 6 months post-operation.
Time frame: 6 months
Change of TUG from baseline to 9 months post-operation
Change of on-off timed up and go from baseline to 9 months post-operation.
Time frame: 9 months
Change of TUG from baseline to 12 months post-operation
Change of on-off timed up and go from baseline to 12 months post-operation.
Time frame: 12 months
Change of TUG from baseline to 18 months post-operation
Change of on-off timed up and go from baseline to 18 months post-operation.
Time frame: 18 months
Change of TUG from baseline to 24 months post-operation
Change of on-off timed up and go from baseline to 24 months post-operation.
Time frame: 24 months