Méně obvyklé indikace hluboké mozkové stimulace

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Title in English Less Common Indications of Deep Brain Stimulation
Authors

CHRASTINA Jan NOVÁK Zdeněk BALÁŽ Marek ŘÍHA Ivo HRABOVSKÝ Dušan BRÁZDIL Milan

Year of publication 2014
Type Article in Periodical
Magazine / Source CESKA A SLOVENSKA NEUROLOGIE A NEUROCHIRURGIE
MU Faculty or unit

Central European Institute of Technology

Citation
Web http://www.csnn.eu/ceska-slovenska-neurologie-clanek/mene-obvykle-indikace-hluboke-mozkove-stimulace-48644?confirm_rules=1
Field Neurology, neurosurgery, neurosciences
Keywords deep brain stimulation; aggresiveness; anorexia nervosa; obesity; vegetative state; Alzheimer disease; drug addication
Attached files
Description The most common indications for deep brain stimulation are movement disorders, mainly late motor complications of Parkinson’s disease and also dystonia and essential tremor. Literature also provide positive results of deep brain stimulation in selected patients with intractable epilepsy and refractory pain. The results of deep brain stimulation in selected patients with some refractory psychiatric disorders (e. g. treatment resistant depression and obsessive compulsive disorder) are encouraging. Deep brain stimulation was also used in small cohorts of patients with various serious refractory disorders, such as uncontrollable aggresiveness, eating disorders, morbid obesity, vegetative state, Alzheimer disesase, drug and alkohol addiction. The papers aims to present an overview of these less frequent indication for deep brain stimulation, basic data about stimulation target structures, description of the clinical data available so far, practical surgical considerations and a short prospective of further use of deep brain stimulation in patients suffering from the above listed serious functional problems.
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