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Results by motor cortex stimulation in treatment of focal dystonia, Parkinson’s disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society | SpringerLink
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Results by motor cortex stimulation in treatment of focal dystonia, Parkinson’s disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society

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Reconstructive Neurosurgery

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 101))

Abstract

Extradural motor cortex stimulation has been employed in cases of Parkinson’s disease (PD), fixed dystonia (FD) and spastic hemiparesis (SH) following cerebral stroke. Symptoms of PD are improved by EMCS: results were evaluated on the basis of the UPDRS and statistically analysed. In PD EMCS is less efficacious than bilateral subthalamic nucleus (STN) stimulation, but it may be safely employed in patients not eligible for deep brain stimulation (DBS). The most rewarding effect is the improvement, in severely affected patients, of posture and gait. FD, unresponsive to bilateral pallidal stimulation, has been relieved by EDMS. In SH reduction of spasticiy by EMCS allows improvement of the motor function.

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Author information

Authors and Affiliations

  1. Muratori 30, 20135, Milano, Italy

    Carlo Alberto Pagni

  2. Neurosurgical and Neurological Departments, Neurological Institute C.Besta, Milano, Italy

    A. Albanese, G. Broggi, A. Franzini & L. M. Romito

  3. Neurosurgical Department, Catholic University, Rome, Italy

    A. Bentivoglio, B. Cioni & M. Meglio

  4. Neurosurgical Clinic, University of Torino, Torino, Italy

    S. Canavero

  5. Neurosurgical Department, University of Catanzaro, Catanzaro, Italy

    M. D. Rose, C. D. Simone & A. Lavano

  6. Neurosurgical Department, University of Milano-Bicocca, Italy

    A. Landi

  7. Neurosurgical Department, Neuromed, Pozzilli (IS), Italy

    M. Modugno & L. Romanelli

  8. Neurosurgical Department, Bellaria Hospital, Bologna, Italy

    C. Sturiale, F. Valzania & S. Zeme

  9. Neurosurgical Department, St.Anna Hospital, Como, Italy

    F. Zenga

Authors
  1. Carlo Alberto Pagni
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  2. A. Albanese
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  3. A. Bentivoglio
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Municipal Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan, R.O.C.

    Wen-Ta Chiu

  2. Department of Neurosurgery, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan, R.O.C.

    Yung-Hsiao Chiang

  3. Department of Neurosurgery, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan, R.O.C.

    Ming-Chien Kao  & Ching-Chang Hung  & 

  4. Center for Neuropsychiatry, China Medical University Hospital, China Medical University, Taichung, Taiwan, R.O.C.

    Shinn-Zong Lin

  5. Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan, R.O.C.

    Han-Jung Chen

  6. Department of Rehabilitation Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan, R.O.C.

    Simon F. T. Tang

  7. National Institute on Drug Abuse, National Institute of Health, Baltimore, USA

    Barry J. Hoffer

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© 2008 Springer-Verlag

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Pagni, C.A. et al. (2008). Results by motor cortex stimulation in treatment of focal dystonia, Parkinson’s disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society. In: Chiu, WT., et al. Reconstructive Neurosurgery. Acta Neurochirurgica Supplementum, vol 101. Springer, Vienna. https://doi.org/10.1007/978-3-211-78205-7_3

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  • DOI: https://doi.org/10.1007/978-3-211-78205-7_3

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-78204-0

  • Online ISBN: 978-3-211-78205-7

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