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High-resolution Functional Magnetic Resonance Imaging Methods for Human Midbrain
Published on: May 10, 2012
Pedunculopontine stimulation from primate to patient
Erlick A C Pereira1, Dipankar Nandi, Ned Jenkinson
1Oxford Functional Neurosurgery, Department of Neurological Surgery, The West Wing, The John Radcliffe Hospital, Oxford, OX3 9DU, UK. eacp@eacp.co.uk
Journal of Neural Transmission (Vienna, Austria : 1996)
|March 31, 2011
Summary
Deep brain stimulation (DBS) of the pedunculopontine nucleus (PPN) offers a new treatment for Parkinson's disease gait issues. Primate studies informed surgical targeting for initial patient treatments, showing promise for PPN DBS therapy.
Area of Science:
- Neurosurgery
- Neuroscience
- Movement Disorders
Background:
- Parkinson's disease and related disorders often cause debilitating gait freezing and postural instability.
- Deep brain stimulation (DBS) is an established therapy for motor symptoms in Parkinson's disease.
- The pedunculopontine nucleus (PPN) is a potential target for DBS to address gait and balance issues.
Observation:
- Non-human primate models were used to investigate the PPN.
- Research focused on the anatomical and functional aspects relevant to surgical targeting of the PPN.
- Primate findings were correlated with early clinical outcomes of PPN DBS.
Findings:
- Primate investigations provided crucial data for refining surgical approaches to the PPN.
- The study links preclinical research in primates to the initial clinical application of PPN DBS.
- Early clinical experiences with PPN DBS are informed by the summarized primate research.
Implications:
- This research supports the development of PPN DBS as a targeted therapy for gait and postural symptoms.
- Understanding primate neuroanatomy and function aids in precise surgical targeting for human DBS.
- The findings contribute to advancing neurosurgical options for Parkinson's disease and related conditions.

