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Neuroprotection for the New Millennium
Author(s) -
ANDREWS RUSSELL J.
Publication year - 2001
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.2001.tb03618.x
Subject(s) - deep brain stimulation , subthalamic nucleus , neuroscience , neuroprotection , medicine , parkinson's disease , disease , psychology , pathology
A bstract : A major theme of the 1990s in the pathophysiology of nervous system injury has been the multifactorial etiology of irreversible injury. Multiple causes imply multiple opportunities for therapeutic intervention—hence the abandonment of the “magic bullet” single pharmacologic agent for neuroprotection in favor of pharmacologic “cocktails”. A second theme of the 1990s has been the progress in technology for neuroprotection, minimally‐ or non‐invasive monitoring as well as treatment. Cardiac stenting has eliminated the need, in many cases, for open heart surgery; deep brain stimulation for Parkinson's disease has offered significant improvement in quality of life for many who had exhausted cocktail drug treatment for their disease. Deep brain stimulation of the subthalamic nucleus offers a novel treatment for Parkinson's disease where a technological advance may actually be an intervention with effects that are normally expected from pharmacologic agents. Rather than merely “jamming” the nervous system circuits involved in Parkinson's disease, deep brain stimulation of the subthalamic nucleus appears to improve the neurotransmitter imbalance that lies at the heart of Parkinson's disease. It may also slow the progression of the disease. Given the example of deep brain stimulation of the subthalamic nucleus for Parkinson's disease, in future one may expect other technological or “hardware” interventions to influence the programming or “software” of the nervous system's physiologic response in certain disease states.