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Related Concept Videos

Parkinson's Disease: Treatment01:24

Parkinson's Disease: Treatment

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Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
1.4K

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Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation
11:12

Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation

Published on: July 16, 2014

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Deep brain stimulation in Parkinson's disease.

Raja Mehanna, Eugene C Lai1

  • 1Department of Neurology, Houston Methodist Neurological Institute, 6560 Fannin, Suite 802, Houston 77030, TX, USA. eclai@tmhs.org.

Translational Neurodegeneration
|November 20, 2013
PubMed
Summary

Levodopa helps Parkinson's disease, but motor complications arise. Deep brain stimulation is an option, yet its mechanism, optimal targets, and timing require further investigation.

Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Levodopa is the primary treatment for Parkinson's disease (PD) for 50 years.
  • Motor complications frequently develop within years of levodopa initiation.
  • Deep brain stimulation (DBS) is FDA-approved for PD adjunctive therapy.

Purpose of the Study:

  • To critically review the current literature on deep brain stimulation for Parkinson's disease.
  • To discuss the unresolved questions regarding DBS efficacy and application in PD management.

Main Methods:

  • Comprehensive literature search of existing studies on deep brain stimulation in Parkinson's disease.
  • Critical analysis of the mechanism of action, target selection, and surgical timing of DBS.

Main Results:

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A Novel Approach to Assess Motor Outcome of Deep Brain Stimulation Effects in the Hemiparkinsonian Rat: Staircase and Cylinder Test
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A Novel Approach to Assess Motor Outcome of Deep Brain Stimulation Effects in the Hemiparkinsonian Rat: Staircase and Cylinder Test

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  • Deep brain stimulation is effective in managing motor complications of Parkinson's disease.
  • Significant debate persists regarding the optimal surgical target and timing for DBS implantation.
  • The precise neurobiological mechanisms underlying DBS effects in PD remain incompletely understood.

Conclusions:

  • Deep brain stimulation is a valuable tool for managing Parkinson's disease motor complications.
  • Further research is needed to elucidate the mechanisms, optimize targeting, and determine the ideal timing for DBS surgery.
  • Personalized treatment strategies incorporating DBS may improve outcomes for Parkinson's disease patients.