Türk Nöroşirürji Dergisi 2021 , Vol 31 , Num 3
Deep Brain Stimulation in Parkinson"s Disease: Surgical Technique, Results and Complications
1Ankara Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Ankara, Türkiye
2Muğla Sıtkı Koçman Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Muğla, Türkiye
3Ankara Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Ankara, Türkiye
Surgical methods are remarkably useful in the treatment of Parkinson"s disease. There are two main stereotactic methods in the surgical management of the disease: 1) lesioning (unilateral thalamotomy or pallidotomy with radiofrequency); and 2) Deep Brain Stimulation (DBS). These procedures are performed on several deep brain structures: the subthalamic nucleus (STN), the pallidum (Gpi-internal-posterior part) and thalamus (Vim-nucleus ventrointermedius). The main surgical techniques are CT/MRI stereotactic indirect calculation of the targets; direct targeting of the STN using MRI or CT/MRI image fusion. The main auxiliary intraoperative methods are test stimulation and micro-electrode recording. Bilateral STN neurostimulation has recently become the most prominent surgical method in the control of the cardinal parkinsonian symptoms, e.g., bradykinesia These procedures have high efficiency and low morbidity, when they are performed at experienced centers. In this article, we summarize the technical properties of the surgical techniques used in the treatment of Parkinson"s disease, and their results and complications. Anahtar Kelimeler : Parkinson"s disease, Neurostimulation, Subthalamic nucleus, Results, Complications, Surgical treatment, Surgical technique