Stimulation of the subthalamic region: Indications and results
DOI:
https://doi.org/10.47924/neurotarget2007380Keywords:
subthalamus, subthalamic nucleus, prelemniscal radiatons (RAPRL), deep brain stimulationAbstract
Parkinson´s disease is among the most frequent movement disorders. Patients otherwise refractory to medical therapy and with disabling symptoms are surgical candidates. Surgical applied anatomy of the subthalamic region is reviewed. Indications and results are presented and compared to those of the globus pallidus internus deep brain stimulation. Bilateral subthalamic nucleus stimulation improves motor fluctuations, dyskinesias and tremor. Postoperative programming is more time consuming with respect to a more recently proposed target, which is as useful as or even more effective than the nucleus for tremor control: The prelemniscal radiation. Adverse effects in both regions are usually reversible by adjusting stimulation parameters.
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Copyright (c) 2007 Jairo Espinosa Martínez
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