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  会員専用

• ホーム
• 52巻11号
• 臨床神経, 52：1103−1105, 2012
• 52巻11号目次

＜シンポジウム（2）―6―4＞パーキンソン病のDBS治療における神経内科医の役割

DBS治療における神経内科医の役割（神経内科の立場から）

下　泰司

順天堂大学医学部脳神経内科〔〒113―8421 東京都文京区本郷2―1―1〕

Deep brain simulation (DBS) is a widely accepted surgical therapy for Parkinson's disease, dystonia and tremor in Japan. In other countries, DBS has been applied to neuropsychiatric or neurodegenerative diseases, such as Tourette syndrome, depression, obsessive compulsive disorder, Alzheimer disease, etc. So far, these diseases have been treated mainly by neurologists or psychiatrists, however after the invention of DBS, neurosurgeons now play an important role in the treatment of these diseases, especially in Parkinson's disease. Several reports showed that better postoperative outcomes can be obtained when patient is managed by a neurologist who is responsible for stimulation programming and drug adjustments. The therapy should be done while adjusting both the drugs and the stimulation (DBS) simultaneously. Hence, neurologists should be familiar with programming of DBS, as well as the medical therapy.
Full Text of this Article in Japanese PDF (330K)

(臨床神経, 52：1103−1105, 2012)
key words：脳深部刺激療法，適応，刺激調整

（受付日：2012年5月24日）