Milestones in research on the pathophysiology of Parkinson's disease
Identifieur interne : 001551 ( Main/Exploration ); précédent : 001550; suivant : 001552Milestones in research on the pathophysiology of Parkinson's disease
Auteurs : Thomas Wichmann [États-Unis] ; Mahlon R. Delong [États-Unis] ; Jorge Guridi [Espagne] ; Jose A. Obeso [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-05.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Animals, Basal Ganglia (pathology), Basal Ganglia (physiopathology), Basal ganglion, Biomedical Research (history), Biomedical Research (methods), Deep brain stimulation, Dyskinesia, History, 20th Century, History, 21st Century, Humans, Nervous system diseases, Neural Pathways (pathology), Neurons (physiology), Parkinson Disease (pathology), Parkinson Disease (physiopathology), Parkinson disease, Pathophysiology, basal ganglia, deep brain stimulation, direct pathway, dyskinesias, indirect pathway, pallidotomy.
- MESH :
- history : Biomedical Research.
- methods : Biomedical Research.
- pathology : Basal Ganglia, Neural Pathways, Parkinson Disease.
- physiology : Neurons.
- physiopathology : Basal Ganglia, Parkinson Disease.
- Animals, History, 20th Century, History, 21st Century, Humans.
Abstract
Progress in our understanding of the mechanisms underlying the cardinal motor abnormalities of Parkinson's disease (PD), in particular akinesia and bradykinesia and their treatment, has been remarkable. Notable accomplishments include insights into the functional organization of the basal ganglia and their place in the motor system as components of a family of parallel cortico‐subcortical circuits that subserve motor and nonmotor functions and the development of models of the intrinsic organization of the basal ganglia, including delineation of the so‐called direct, indirect, and hyperdirect pathways. Studies in primate models of PD have provided insight into the alterations of neuronal activity that are responsible for the motor features of PD, revealing both altered tonic levels of discharge and significant disturbances of the patterns of discharge throughout the motor circuitry and have led to the formulation of circuit models of PD, providing testable hypotheses for research and stimulating the development of new therapies. Most importantly, the discovery that lesions of the subthalamic nucleus, a key node of the indirect pathway, abolish the cardinal features of PD contributed to the renaissance in the use of surgical approaches to treating patients with PD, including ablation and deep brain stimulation. © 2011 Movement Disorder Society
Url:
- https://api.istex.fr/document/C885A14D7CDB3C451FDD395E132E4C3059E9BCFF/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4272856
DOI: 10.1002/mds.23695
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Progress in our understanding of the mechanisms underlying the cardinal motor abnormalities of Parkinson's disease (PD), in particular akinesia and bradykinesia and their treatment, has been remarkable. Notable accomplishments include insights into the functional organization of the basal ganglia and their place in the motor system as components of a family of parallel cortico‐subcortical circuits that subserve motor and nonmotor functions and the development of models of the intrinsic organization of the basal ganglia, including delineation of the so‐called direct, indirect, and hyperdirect pathways. Studies in primate models of PD have provided insight into the alterations of neuronal activity that are responsible for the motor features of PD, revealing both altered tonic levels of discharge and significant disturbances of the patterns of discharge throughout the motor circuitry and have led to the formulation of circuit models of PD, providing testable hypotheses for research and stimulating the development of new therapies. Most importantly, the discovery that lesions of the subthalamic nucleus, a key node of the indirect pathway, abolish the cardinal features of PD contributed to the renaissance in the use of surgical approaches to treating patients with PD, including ablation and deep brain stimulation. © 2011 Movement Disorder Society</div>
</front>
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