[Deep brain stimulation and motor cortex and spinal cord stimulation in the treatment of movement disorders and pain syndromes -- the theoretical baseline and practical guidelines].
The authors present the current views on the use of electrical stimulation in selected movement disorders (Parkinson's disease, dystonia) and pain syndromes (central and neuropathic pain) refractory to pharmacological therapy. Stimulation should be applied in cases with an established diagnosis (especially Parkinson's disease and dystonia) and with a lack of efficacy despite the best available medical therapy. Therefore it should be the last treatment option, except of generalized dystonia, where it seems to be nowadays the treatment of choice. Suggested selection criteria are based on experience of different centers and on current medical literature. They are published to make the procedure more rational and more available in Poland.
Zabek
Mirosław
M
Oddział Neurochirurgii Czynnościowej i Chorób Układu Pozapiramidowego, Klinika Neurochirurgii, Akademia Medyczna, ul Debinki 7, 80-211 Gdańsk. jaroslawek@amg.gda.pl
Sławek
Jarosław
J
Harat
Marek
M
Koszewski
Waldemar
W
Opala
Grzegorz
G
Friedman
Andrzej
A
D046690:Deep Brain Stimulation / Q000295:instrumentation*; D004421:Dystonia / Q000628:therapy; D006801:Humans; D009044:Motor Cortex / Q000502:physiology*; D009069:Movement Disorders / Q000628:therapy*; D059408:Pain Management; D010300:Parkinson Disease / Q000628:therapy; D013116:Spinal Cord / Q000502:physiology*