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

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Regional anatomy of the pedunculopontine nucleus: Relevance for deep brain stimulation

Identifieur interne : 000F43 ( Main/Exploration ); précédent : 000F42; suivant : 000F44

Regional anatomy of the pedunculopontine nucleus: Relevance for deep brain stimulation

Auteurs : Marie-Pierre Fournier-Gosselin [Canada] ; Nir Lipsman [Canada] ; Jean A. Saint-Cyr [Canada] ; Clement Hamani [Canada] ; Andres M. Lozano [Canada]

Source :

RBID : ISTEX:86E5AD0770B30B87546AA518E00D025833EC5703

English descriptors

Abstract

The pedunculopontine nucleus (PPN) is currently being investigated as a potential deep brain stimulation target to improve gait and posture in Parkinson's disease. This review examines the complex anatomy of the PPN region and suggests a functional mapping of the surrounding nuclei and fiber tracts that may serve as a guide to a more accurate placement of electrodes while avoiding potentially adverse effects. The relationships of the PPN were examined in different human brain atlases. Schematic representations of those structures in the vicinity of the PPN were generated and correlated with their potential stimulation effects. By providing a functional map and representative schematics of the PPN region, we hope to optimize the placement of deep brain stimulation electrodes, thereby maximizing safety and clinical efficacy. © 2013 International Parkinson and Movement Disorder Society

Url:
DOI: 10.1002/mds.25620


Affiliations:


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<div type="abstract">The pedunculopontine nucleus (PPN) is currently being investigated as a potential deep brain stimulation target to improve gait and posture in Parkinson's disease. This review examines the complex anatomy of the PPN region and suggests a functional mapping of the surrounding nuclei and fiber tracts that may serve as a guide to a more accurate placement of electrodes while avoiding potentially adverse effects. The relationships of the PPN were examined in different human brain atlases. Schematic representations of those structures in the vicinity of the PPN were generated and correlated with their potential stimulation effects. By providing a functional map and representative schematics of the PPN region, we hope to optimize the placement of deep brain stimulation electrodes, thereby maximizing safety and clinical efficacy. © 2013 International Parkinson and Movement Disorder Society</div>
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