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Microelectrode-guided Technique for Treatment of Parkinson's Dis-eases

Microelectrode-guided Technique for Treatment of Parkinson's Diseases
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摘要 From May, 2000 to June, 2001, 27 patients with Parkinson disease (PD), including 10 cases of rigidity, 13 cases of tremor, 4 cases of rigidity and tremor, were treated by microelectrode guided technique. Among them, phlebotomy was carried out in 17 cases and thalamotomy in 10 cases. All the targets of lesion were anatomically located by using MR and neurophysiological signals on microelectrode. Our results showed that the efficiency of microelectrode guided technique for treatment of PD was 98 %. The postoperative unified parkinson disease rating scale were 12.3±9.1 and 13.2±8.9 respectively, which significantly improved as compared with those before operation. It was concluded that by recognizing special electrical signals in neurons microelectrode guided neuropsychological techniques can locate target at cellular level, which overcomes the individual difference in anatomy and function, and allow more accuracy, safety and efficiency of operation. This is especially true of PD patients who fail to respond to medical treatment. From May, 2000 to June, 2001, 27 patients with Parkinson disease (PD), including 10 cases of rigidity, 13 cases of tremor, 4 cases of rigidity and tremor, were treated by microelectrode guided technique. Among them, phlebotomy was carried out in 17 cases and thalamotomy in 10 cases. All the targets of lesion were anatomically located by using MR and neurophysiological signals on microelectrode. Our results showed that the efficiency of microelectrode guided technique for treatment of PD was 98 %. The postoperative unified parkinson disease rating scale were 12.3±9.1 and 13.2±8.9 respectively, which significantly improved as compared with those before operation. It was concluded that by recognizing special electrical signals in neurons microelectrode guided neuropsychological techniques can locate target at cellular level, which overcomes the individual difference in anatomy and function, and allow more accuracy, safety and efficiency of operation. This is especially true of PD patients who fail to respond to medical treatment.
出处 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2002年第1期50-51,76,共3页 华中科技大学学报(医学英德文版)
关键词 Parkinson disease stereotactic technique microelectrode guided technique Parkinson disease stereotactic technique microelectrode guided technique
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参考文献4

  • 1[1]Lozano A, Hutchison W. Kiss Z et al. Methods for microelectrode-guided posteroventral pallidotomy. J Neurosurg, 1996,84(2): 194
  • 2[2]Djordje S, Aleksandar B, Michael D et al. Neurophysiological properties of pallidal neurons in Parkinson's desease. Ann Neurol, 1994,35(5) :586
  • 3[3]Cross E, Lombardi J, Hutchison D et al. Variability in lesion location after microelectrode-guided pallidotomy for Parkinson's disease: anatomical, physiological, and technical factors that determine lesion distrbution. J Neurosurg, 1999,90(3): 468
  • 4[4]Kondziolka D, Bonaroti E, Baser S et al. Outcomes after stereotactically guided pallidotomy for advanced Parkinson's desease. J Neurosurg, 1999,90(2): 197

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