Surgical options in Parkinson's disease

Surgical options in Parkinson's disease
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DOI:
10.1016/s0025-7125(05)70115-2
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发表时间:
1999-03-01
影响因子:
5.9
通讯作者:
Alterman, RL
Alterman, RL
中科院分区:
医学2区
文献类型:
--
作者:
Arle, JE;Alterman, RL

文献摘要

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帕金森病 (PD) 的手术治疗再次成为这些患者护理的重要辅助手段。我们从历史上进行的数千例病变中学到了很多东西,现在正在将整个运动障碍手术领域推进到新的复杂性和理解水平。过去 5 年,随着深部脑刺激器的最新发展,损伤治疗变得更加精确和可靠,并且实现了多部位干预。由于患者通常可以从这些手术中获得显着的生活质量益处,同时风险很小,因此对于选定的 PD 患者应仔细考虑手术选择。
Surgical treatments for Parkinson's disease (PD) have again become important adjuncts of care in these patients. We have learned much from the thousands of lesions performed historically, and are now advancing the entire field of movement disorder surgery to new levels of sophistication and understanding. The last 5 years have seen more precise and reliable lesioning and the arrival of multiple sites of intervention afforded by recent developments in deep brain stimulators. Because patients typically derive significant benefit in their quality of life from these procedures, while undergoing little risk, the surgical options should be carefully considered for selected PD patients.