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Results by motor cortex stimulation in treatment of focal dystonia, Parkinson’s disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society

2009; Springer Science+Business Media; Linguagem: Inglês

10.1007/978-3-211-78205-7_3

2197-8395

C. A. Pagni, Alberto Albanese, Anna Rita Bentivoglio, Giovanni Broggi, Sergio Canavero, B. Cioni, Marisa De Rose, C. De Simone, Angelo Franzini, Angelo Lavano, Andrea Landi, Mario Meglio, M. Modugno, Luiz Cláudio Ferreira Romanelli, Luigi Romito, Carmelo Lucio Sturiale, Franco Valzania, S. Zeme, Francesco Zenga,

Neuroscience and Neural Engineering

Extradural motor cortex stimulation has been employed in cases of Parkinson’s disease (PD), fixed dystonia (FD) and spastic hemiparesis (SH) following cerebral stroke. Symptoms of PD are improved by EMCS: results were evaluated on the basis of the UPDRS and statistically analysed. In PD EMCS is less efficacious than bilateral subthalamic nucleus (STN) stimulation, but it may be safely employed in patients not eligible for deep brain stimulation (DBS). The most rewarding effect is the improvement, in severely affected patients, of posture and gait. FD, unresponsive to bilateral pallidal stimulation, has been relieved by EDMS. In SH reduction of spasticiy by EMCS allows improvement of the motor function.