La maladie de Parkinson au Canada (serveur d'exploration)

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Deep Brain Stimulation for Disorders of Memory and Cognition

Identifieur interne : 000B05 ( Main/Exploration ); précédent : 000B04; suivant : 000B06

Deep Brain Stimulation for Disorders of Memory and Cognition

Auteurs : Tejas Sankar ; Nir Lipsman ; Andres M. Lozano

Source :

RBID : PMC:4121440

Abstract

The next several decades will see an exponential rise in the number of patients with disorders of memory and cognition, and of Alzheimer’s disease in particular. Impending demographic shifts, an absence of effective treatments, and the significant burden these conditions place on patients, caregivers, and society, mean there is an urgent need to develop novel therapies. Deep brain stimulation (DBS) is a neurosurgical procedure that is a standard-of-care for many patients with treatment-refractory Parkinson’s disease, dystonia, and essential tremor. DBS has proven to be an effective means of modulating activity in disrupted motor circuitry, and has shown promise as a modulator of other dysfunctional circuits, including for mood and anxiety disorders. The deficits in Alzheimer’s disease and other disorders of memory and cognition are also beginning to be thought of as arising from dysfunction in neural circuits. Such dysfunction may be amenable to modulation using focal brain stimulation. A global experience is now emerging for the use of DBS for these conditions, targeting key nodes in the memory circuit, including the fornix and nucleus basalis of Meynert. Such work holds promise as a novel therapeutic approach for one of medicine’s most urgent priorities.

Electronic supplementary material

The online version of this article (doi:10.1007/s13311-014-0275-0) contains supplementary material, which is available to authorized users.


Url:
DOI: 10.1007/s13311-014-0275-0
PubMed: 24777384
PubMed Central: 4121440


Affiliations:


Links toward previous steps (curation, corpus...)


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