Abstract
The value of functional neurosurgery in the treatment of motor movement disorders is emphasized. The two methods of stereotactic procedures, namely a destructive one with small lesions centered on specific targets, and a non-destructive one with chronically inserted electrodes connected with an also implanted programmable neuropacemaker are described in detail. The results in Parkinsonian tremor, essential tremor, tremor of multiple sclerosis, post-traumatic tremor and in other involuntary movement disorders are reported and demonstrate that stereotactic neurosurgical treatment of these conditions is a safe and efficacious method.
MeSH terms
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Adult
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Aged
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Athetosis / genetics
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Athetosis / physiopathology
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Athetosis / surgery
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Chorea / genetics
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Chorea / physiopathology
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Chorea / surgery
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Dominance, Cerebral / physiology
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Electric Stimulation Therapy
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Electrocoagulation
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Electrodes, Implanted
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Female
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Humans
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Male
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Microsurgery
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Middle Aged
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Muscles / innervation
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Neuromuscular Diseases / genetics
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Neuromuscular Diseases / physiopathology
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Neuromuscular Diseases / surgery*
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Parkinson Disease / genetics
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Parkinson Disease / physiopathology
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Parkinson Disease / surgery
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Postoperative Complications / physiopathology
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Stereotaxic Techniques*
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Thalamic Nuclei / physiopathology
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Thalamic Nuclei / surgery
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Thalamus / physiopathology
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Thalamus / surgery*
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Tremor / genetics
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Tremor / physiopathology
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Tremor / surgery