Se revisan los conceptos actuales para la cirugía esteotáctica en la enfermedad de Parkinson desde las bases fisiopatológicas del conocimiento actual sobre el funcionamiento de los ganglios basales. Tres son las dianas analizadas, el tálamo, pálido medial y núcleo subtalámico. La idea de la necesidad del registro electrofisiológico y de mejorar las técnicas quirúrgicas para la realización de la lesión transciende en toda la revisión.
The authors review the new possibilities of stereotactic surgery for Parkinson's Disease according with current pathophysiological knowledge of the Basal Ganglia. The thalamus, globus pallidus and subthalamic nucleus are considered as the most important surgical targets for future surgical approaches. The value of electrophysiological recording and the new surgical techniques are analyzed in this review article.
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