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Stimulation cérébrale profonde lors de maladie de Parkinson et autres troubles du mouvement : indications, résultats et complications

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Published in Revue médicale suisse. 2015, vol. 11, no. 472, p. 962-967
Abstract Movement disorders such as Parkinson's disease (PD), essential tremor (ET) and dystonia can benefit from deep brain stimulation (DBS). DBS is considered when symptoms are disabling despite optimal medical therapy. Contraindications include dementia, uncontrolled psychiatric disease and/or comorbid conditions with potential for evolution. Targets are the subthalamic nucleus for PD, the ventral intermediate nucleus for ET and the globus pallidus internus for dystonia. The beneficial effet of DBS has been well documented for symptom control. Optimal target localization of the electrodes reduces the occurrence of side-effects. Stimulation-induced adverse effects can usually be abolished by turning the stimulation off, changing the active contact or other stimulation parameters.
Keywords Deep Brain Stimulation/adverse effects/contraindications/methodsDystonia/physiopathology/therapyEssential Tremor/physiopathology/therapyHumansMovement Disorders/physiopathology/therapyParkinson Disease/physiopathology/therapy
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PMID: 26062221
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Research group Groupe Pierre Burkhard (neurologie) (154)
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FLEURY, Vanessa et al. Stimulation cérébrale profonde lors de maladie de Parkinson et autres troubles du mouvement : indications, résultats et complications. In: Revue médicale suisse, 2015, vol. 11, n° 472, p. 962-967. https://archive-ouverte.unige.ch/unige:88516

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Deposited on : 2016-11-01

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