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Iatreia
versión impresa ISSN 0121-0793
Resumen
MARIN-MEDINA, Daniel Stiven et al. Deep brain stimulation in Parkinson disease. Iatreia [online]. 2018, vol.31, n.3, pp.262-273. ISSN 0121-0793. https://doi.org/10.17533/udea.iatreia.v31n3a04.
Introduction:
Parkinson’s disease is considered the second cause of neurodegenerative disease, in which motor signs and symptoms such as tremor, bradykinesia, rigidity and postural instability are highlighted, accompanied by non-motor symptoms such as sleep, autonomic, cognitive, gastrointestinal among others disturbances. The pharmacological treatment of the disease at the beginning is usually useful, but when the symptoms persist, the treatment fails or its adverse reactions are not tolerated, it is necessary to consider alternatives such as deep brain stimulation.
Methodology:
This is a narrative review with emphasis on the clinical aspects of deep brain stimulation therapy in patients with Parkinson’s disease.
Discussion:
Deep brain stimulation is a surgical technique in which electrodes are implanted in specific brain regions, usually the subthalamic nucleus, globus pallidus interna or ventral intermediate nucleus of the thalamus, and are connected to a subcutaneous pacemaker from which the activity of these areas is modulated electrically. This therapy has been shown to be cost-effective, provides considerable benefits in improving the symptoms of Parkinson’s disease and has clinical evidence in patients who have been correctly selected.
Palabras clave : Electric Stimulation Therapy; Neurosurgery; Parkinson Disease.