Extradural motor cortex stimulation for Parkinson's disease: A review
DOI:
https://doi.org/10.47924/neurotarget2011310Keywords:
Parkinson's disease, deep brain stimulation, epidural, extradural motor cortex stimulation, cortical stimulationAbstract
The survival of patients with Parkinson disease (PD) has improved markedly in recent years due to advances in medical treatment, but several complications have emerged with it. Diverse techniques have been introduced to improve the cardinal symptoms of the disease and treatment complications. Different groups of Neurosurgery in the world are developing alternative surgical techniques for those patients who are not candidates for deep brain stimulation (DBS) in PD. Deep brain stimulation is the surgical treatment of choice for PD, but patient selection must be rigorous to achieve success. Therefore, on the basis of current knowledge of the pathophysiology of the disease and the results of transcranial cortical stimulation in patients with Parkinson's disease and cortical stimulation for the treatment of central pain, is incorporated extradural motor cortex stimulation as an alternative surgical treatment for Parkinson's disease patients who are not candidates for DBS. This technique aims to reduce complications. For your application does not require the placement of the stereotactic frame and the micro-recording.
The aim of this paper is to make an updated review of the literature with regard to extradural (epidural) motor cortex stimulation for PD. We analyze the results of case series published so far.
In conclusion, the current literature reveals that this is a good alternative to the ECP, but still has mixed results and its effectiveness is lost over time.
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Copyright (c) 2011 Javier Lizundia, Erich T. Fonoff, Manoel J. Teixeira
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