2014, Number 1
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Mul Med 2014; 18 (1)
New therapeutic options for Disorders Movement in Parkinson’s disease
Piña TAA
Language: Spanish
References: 43
Page:
PDF size: 355.68 Kb.
ABSTRACT
Movement Disorders, such as Parkinson’s disease, tremor, and dystonia, are among the most common neurological conditions and affect millions of patients. Although medications are the mainstay of therapy for movement disorders, neurosurgery has played an important role in their management for the past 50 years. Surgery is now a viable and safe option for patients with medically intractable Parkinson’s disease, essential tremor, and dystonia. The field of functional neurosurgery has witnessed a renaissance over the past 20 years. This development has been fueled by progress in the neurobiology of movement disorders, surgical technical advancements, therapeutic device developments and innovative approaches. The growth in our understanding of the neural circuitry of the disease has determined and refined our surgical targets and will guide the discovery of additional targets for surgical exploration and clinical research. The evolution of stereotactic surgical tools and techniques is facilitating safe and minimally invasive approaches that enable neurosurgeons to target various brain structures with reliable accuracy. This coupled with rapid advances in imaging technology and capabilities, will play an important role in improving our capability to visualize brain structures and function with unparalleled resolution. The lessons learned from movement-disorder surgical experience are already being applied to surgical treatment of psychiatric and other chronic neurological disorders.
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