Definition
Spinal stimulation for Parkinson treatment is a neuromodulation procedure proposed as therapy for alleviating the motor symptoms of Parkinson’s disease. It requires the epidural implant of bipolar electrodes in the dorsal portion of the spinal cord to deliver electrical pulses at specific frequencies.
Detailed Description
Spinal cord stimulation is a technique used for treating chronic pain conditions which are refractory to pharmacological therapies. In 2009 it was proposed that spinal cord stimulation could be used for treating the motor symptoms of Parkinson’s disease (PD). PD is characterized by a lack of dopamine due to the death of the dopaminergic neurons of the substantia nigra. It interferes with the normal functioning of the corticobasal ganglia causing the classical symptoms of hypokinesia and rigidity, that is, slow movements and stiffness of the joints.
Patients and animal models...
Further Reading
Agari T, Date I (2012) Spinal cord stimulation for the treatment of abnormal posture and gait disorder in patients with Parkinson’s disease. Neurol Med Chir 52:470–474
Fénelon G, Goujon C, Gurruchaga J-M, Cesaro P, Jarraya B, Palfi S, Lefaucheur J-P (2011) Spinal cord stimulation for chronic pain improved motor function in a patient with Parkinson’s disease. Parkinsonism Relat Disord 18:1–2
Fuentes R, Petersson P, Siesser WB, Caron MG, Nicolelis MAL (2009) Spinal cord stimulation restores locomotion in animal models of Parkinson’s disease. Science 323(5921):1578–1582
Fuentes R, Petersson P, Nicolelis MAL (2010) Restoration of locomotive function in Parkinson’s disease by spinal cord stimulation: mechanistic approach. Eur J Neurosci 32(7):1100–1108
Hassan S, Amer S, Alwaki AR, Elborno A (2013) A patient with Parkinson’s disease benefits from spinal cord stimulation. J Clin Neurosci 20:1155–1156
Landi A, Trezza A, Pirillo D, Vimercati A, Antonini A, Sganzerla EP (2012) Spinal cord stimulation for the treatment of sensory symptoms in advanced Parkinson’s disease. Neuromodul J Int Neuromodul Soc 2012:276–279
Thevathasan W, Mazzone P, Jha A, Djamshidian A, Dileone M, Di Lazzaro V, Brown P (2010) Spinal cord stimulation failed to relieve akinesia or restore locomotion in Parkinson disease. Neurology 74(16):1325–1327
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Fuentes, R. (2014). Spinal Stimulation for Parkinson Treatment. In: Jaeger, D., Jung, R. (eds) Encyclopedia of Computational Neuroscience. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7320-6_600-4
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DOI: https://doi.org/10.1007/978-1-4614-7320-6_600-4
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Publisher Name: Springer, New York, NY
Online ISBN: 978-1-4614-7320-6
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