臨床神経学

<シンポジウム(2)―6―3>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(脳神経外科の立場から)

梅村 淳

名古屋市立大学大学院医学研究科脳神経外科〔〒467―8601 名古屋市瑞穂区瑞穂町川澄1〕

Deep brain stimulation (DBS) has been accepted as an effective treatment for medically refractory Parkinson disease (PD). Appropriate patient selection, safe and precise surgery, and proper postoperative adjustment of stimulation and medication, are essential for the success of DBS. Patient selection is the most important role for the neurologist in DBS treatment. Neurologists treating PD should understand the correct indications and contraindications for DBS, and introduce it in a timely manner to patients who can be expected to benefit substantially from it. For long term treatment of PD, ideally the neurologist in charge of the patient should adjust both the stimulation parameters and medication. Neurologists engaged in this treatment should also have a comprehensive understanding of the probable complications and how to avoid them.
Full Text of this Article in Japanese PDF (204K)

(臨床神経, 52:1100−1102, 2012)
key words:パーキンソン病,脳深部刺激療法,手術適応,術後管理

(受付日:2012年5月24日)