Journal Information
Vol. 6. Issue 1.
Pages 32-43 (January 1995)
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Vol. 6. Issue 1.
Pages 32-43 (January 1995)
Nueyas perspectivas de la cirugía estereotáctica en la enfermedad de Parkinson.
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J. Guridi
Departamento de Neurocirugía. Hospital de Navarra. Pamplona
J.A. Obeso*
* Departamento de Neurología. Unidad de Mov. Anormales. Clínica Universitaria. Universidad de Navarra. Pamplona
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Resumen

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.

Palabras clave:
Enfermedad de Parkinson
Cirugía estereotáctica
Palidotornía
Talamotomía
Summary

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.

Key words:
Enfermedad de Parkinson
Cirugía estereotáctica
Palidotomía
Talamotornía

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