Deep-Brain Stimulation of the Subthalamic Nucleus or the Pars Interna of the Globus Pallidus in Parkinson's Disease
Author(s) -
José Á. Obeso,
C. Warren Olanow,
María RodríguezOroz,
Paul Krack,
Ritesh Kumar,
Anthony E. Lang
Publication year - 2001
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa000827
Subject(s) - subthalamic nucleus , deep brain stimulation , globus pallidus , medicine , parkinson's disease , stimulation , parkinsonism , basal ganglia , anesthesia , disease , central nervous system
Increased neuronal activity in the subthalamic nucleus and the pars interna of the globus pallidus is thought to account for motor dysfunction in patients with Parkinson's disease. Although creating lesions in these structures improves motor function in monkeys with induced parkinsonism and patients with Parkinson's disease, such lesions are associated with neurologic deficits, particularly when they are created bilaterally. Deep-brain stimulation simulates the effects of a lesion without destroying brain tissue.
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