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Stereotactic Neurosurgery for Movement Disorders

Published online by Cambridge University Press:  02 December 2014

Aviva Abosch
Affiliation:
Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA
Andres Lozano
Affiliation:
Division of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada
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Abstract

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Stereotactic neurosurgery for the treatment of movement disorders focuses primarily on the treatment of Parkinson's disease (PD), essential tremor (ET), and dystonia. The surgical targets in use are the subthalamic nucleus (STN) and the globus pallidus internus (GPi) for PD, GPi for dystonia, and ventralis intermedius (Vim) nucleus of the thalamus for ET. Following target selection, procedures include the generation of lesions or the placement of deep brain stimulating electrodes in the selected target. Additionally, transplantation has been used in the treatment of PD. The indications, outcomes, and risks of the various procedures are reviewed.

Résumé

RÉSUMÉ

La neurochirurgie stéotaxique dans le traitement des dérdres du mouvement cible principalement le traitement de la maladie de Parkinson (MP), du tremblement essentiel (TE) et de la dystonie. Les cibles chirurgicales sont le noyau sous-thalamique et le globus pallidus internus (GPi) dans la MP, le GPi dans la dystonie et le noyau ventral interméaire dans le TE. Suite au choix de la cible, on créune léon ou on place des éctrodes profondes pour stimuler la zone ciblé La transplantation a élement é utilisédans la MP. Les indications, les réltats et les risques de ces difféntes techniques sont revus.

Type
Research Article
Copyright
Copyright © The Canadian Journal of Neurological 2003

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