Editorial commentary
Deep brain stimulation in Parkinson's disease
| The first 150 words of the full text of this article appear below. |
This
issue of the Journal sees the publication of
two papers that increase our knowledge of the functions of the internal architecture of the thalamus and globus pallidus
an important achievement given the existing literature on stereotactic functional surgery for Parkinson's disease.
The paper by Caparros-Lefebvre et
al1 (pp 308-14) is fascinating, because one would
have expected that after nearly 50 years of thalamic surgery every
possible internal thalamic target would have been explored. However,
the surgical outcomes have not always been studied carefully, or
published for others to share. Caparros-Lefebvre et
al compared the functional results and electrode positions
obtained by two teams performing thalamic stimulation for parkinsonism.
Anatomical comparisons were possible because ventriculography had been
performed by both groups. The two teams used similar techniques for the
implantation of electrodes into the ventralis intermedius nucleus of
the thalamus (VIM), although there were minor differences in the
approach
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Relevant Articles
- Improvement of levodopa induced dyskinesias by thalamic deep brain stimulation is related to slight variation in electrode placement: possible involvement of the centre median and parafascicularis complex
- Dominique Caparros-Lefebvre, Serge Blond, Marie-Pierre Feltin, Pierre Pollak, Alim Louis Benabid
J. Neurol. Neurosurg. Psychiatry 1999 67: 308-314.[Abstract] [Full Text] [PDF]
- Acute and chronic effects of anteromedial globus pallidus stimulation in Parkinson's disease
- Franck Durif, Jean-Jacques Lemaire, Bérengère Debilly, Gérard Dordain
J. Neurol. Neurosurg. Psychiatry 1999 67: 315-322.[Abstract] [Full Text] [PDF]
This article has been cited by other articles:
-
Vesper, J, Chabardes, S, Fraix, V, Sunde, N, Ostergaard, K
(2002). Dual channel deep brain stimulation system (Kinetra) for Parkinson's disease and essential tremor: a prospective multicentre open label clinical study. J. Neurol. Neurosurg. Psychiatry
73: 275-280
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