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Tiefe Hirnstimulation des Centrum medianum (CM) thalami bei der pharmakoresistenten Epilepsie

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Tiefe Hirnstimulation

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Zusammenfassung

Das Centrum medianum (CM) und der Nucleus parafascicularis (Pf) liegen eingebettet im hinteren Schenkel der thalamischen Medulla laminaris interna und werden deshalb auch als intralaminäre Kerne bezeichnet [14]. Diese Kerne wurden auch als diffuses thalamisch.es Projektionssystem bezeichnet, da bei fokaler Stimulation dieser Strukturen Signale von multiplen kortikalen Arealen abgeleitet werden konnten [4, 7, 10, 17]. Neuere Untersuchungen zeigen, dass reziproke Verbindungen zwischen den intralaminären Kernen und anderen kortikalen und subkortikalen Strukturen bestehen [9, 11, 13, 15], wobei diese Projektionen nicht diffus sind, wie ursprünglich angenommen wurde, sondern in erster Linie den frontalen und parietalen Kortex einbeziehen [5, 16, 17, 19]. Die intralaminären thalamischen Kerne und ihre Projektionen wurden zusammen mit den mittleren thalamischen Kernen unter dem etwas unscharfen Terminus nichtspezifisches thalamisches System (NSTS) zusammengefasst [8, 16].

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Authors
  1. F. Velasco
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  2. M. Velasco
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  3. A. L. Velasco
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  4. F. Jiménez
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Editor information

Editors and Affiliations

  1. Neurochirurgische Klinik, Universitätsklinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany

    Joachim K. Krauss

  2. Neurologische Klinik, Universitätsklinikum Schleswig-Holstein - Campus Kiel, Schittenhelmstraße 10, 24105, Kiel, Germany

    Jens Volkmann

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© 2004 Springer-Verlag Berlin Heidelberg

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Velasco, F., Velasco, M., Velasco, A.L., Jiménez, F. (2004). Tiefe Hirnstimulation des Centrum medianum (CM) thalami bei der pharmakoresistenten Epilepsie. In: Krauss, J.K., Volkmann, J. (eds) Tiefe Hirnstimulation. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-7985-1956-5_18

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  • DOI: https://doi.org/10.1007/978-3-7985-1956-5_18

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-62359-2

  • Online ISBN: 978-3-7985-1956-5

  • eBook Packages: Springer Book Archive

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