La maladie de Parkinson en France (serveur d'exploration)

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Deep brain stimulation: from neurology to psychiatry?

Identifieur interne : 000267 ( Hal/Corpus ); précédent : 000266; suivant : 000268

Deep brain stimulation: from neurology to psychiatry?

Auteurs : Paul Krack ; Marwan Hariz ; Christelle Baunez ; Jorge Guridi ; Jose Obeso

Source :

RBID : Hal:inserm-00593713

Abstract

Functional stereotaxy was introduced in the late 1940s to reduce the morbidity of lobotomy in psychiatric disease by using more focal lesions. The advent of neuroleptics led to a drastic decline in psychosurgery for several decades. Functional stereotactic neurosurgery has recently been revitalized, starting with treatment of Parkinson's disease, in which deep brain stimulation (DBS) facilitates reversible focal neuromodulation of altered basal ganglia circuits. DBS is now being extended to treatment of neuropsychiatric conditions such as Gilles de la Tourette syndrome, obsessive-compulsive disorder, depression and addiction. In this review, we discuss the concept that dysfunction of motor, limbic and associative cortico-basal ganglia-thalamocortical loops underlies these various disorders, which might now be amenable to DBS treatment.

Url:
DOI: 10.1016/j.tins.2010.07.002

Links to Exploration step

Hal:inserm-00593713

Le document en format XML

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<abstract xml:lang="en">Functional stereotaxy was introduced in the late 1940s to reduce the morbidity of lobotomy in psychiatric disease by using more focal lesions. The advent of neuroleptics led to a drastic decline in psychosurgery for several decades. Functional stereotactic neurosurgery has recently been revitalized, starting with treatment of Parkinson's disease, in which deep brain stimulation (DBS) facilitates reversible focal neuromodulation of altered basal ganglia circuits. DBS is now being extended to treatment of neuropsychiatric conditions such as Gilles de la Tourette syndrome, obsessive-compulsive disorder, depression and addiction. In this review, we discuss the concept that dysfunction of motor, limbic and associative cortico-basal ganglia-thalamocortical loops underlies these various disorders, which might now be amenable to DBS treatment.</abstract>
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