By Jin Woo Chang, Yoichi Katayama, Takamitsu Yamamoto
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Additional resources for Advances in Functional and Reparative Neurosurgery (Acta Neurochirurgica Supplementum)
1% compared to that before surgery. 76%, respectively. Our results conﬁrm the comprehensive efﬁcacy of bilateral STN-DBS in the treatment of PD and demonstrate that combination of medication and STN-DBS could best improve motor symptoms. The results corroborate the outcome of other published studies. Previous studies showed motor disability improvement in the medication off state varied between 33 and 67% [2, 4, 6–8, 12, 14–17, 19, 20]. Reduction of the UPDRS part IV score varied between 80 and 92% .
Conclusions. Bilateral STN-DBS is a satisfying surgical method for the treatment of advanced PD. It can improve the cardinal PD symptoms up to 45 months. Complications and side effects were rare and usually temporary or reversible. Keywords: Deep brain stimulation; subthalamic nucleus; follow-up. long-term follow-up for up to 5 years. The selected targets varied from subthalamic nucleus (STN) to globus pallidus internus (GPi) [2, 4, 12, 14, 20]. The objective of our study was to demonstrate the effects of bilateral STN-DBS in the treatment of PD after 4–45 months’ follow-up.
Although peripheral denervation is a symptomatic treatment, many of the patients can enjoy symptom free T. Taira et al. life afterwards as if background pathophysiology was completely cured. As mentioned previously, in some complex type of CD and CD with extracervical symptoms, our preference is GPi DBS. Task-speciﬁc focal hand dystonia The most common type of task-speciﬁc focal hand dystonia is writer’s cramp and musician’s cramp. Such condition is very miserable, especially when the symptom is related with the patient’s profession.
Advances in Functional and Reparative Neurosurgery (Acta Neurochirurgica Supplementum) by Jin Woo Chang, Yoichi Katayama, Takamitsu Yamamoto