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

Carlo Alberto Pagni, A. Albanese, A. Bentivoglio, G. Broggi, S. Canavero, B. Cioni, M. D. Rose, C. D. Simone, A. Franzini, A. Lavano, A. Landi, M. Meglio, M. Modugno, L. Romanelli, L. M. Romito, C. Sturiale, F. Valzania, S. Zeme, F. Zenga

Research output: Chapter in Book/Report/Conference proceedingChapter

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.

Original languageEnglish
Title of host publicationActa Neurochirurgica, Supplementum
Pages13-21
Number of pages9
Edition101
DOIs
Publication statusPublished - 2008

Publication series

NameActa Neurochirurgica, Supplementum
Number101
ISSN (Print)00651419

Keywords

  • Extradural motor cortex stimulation
  • fixed dystonia
  • Parkinson's disease
  • posture and gait disturbances
  • spastic hemiparesis

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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    Pagni, C. A., Albanese, A., Bentivoglio, A., Broggi, G., Canavero, S., Cioni, B., Rose, M. D., Simone, C. D., Franzini, A., Lavano, A., Landi, A., Meglio, M., Modugno, M., Romanelli, L., Romito, L. M., Sturiale, C., Valzania, F., Zeme, S., & Zenga, F. (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 Acta Neurochirurgica, Supplementum (101 ed., pp. 13-21). (Acta Neurochirurgica, Supplementum; No. 101). https://doi.org/10.1007/978-3-211-78205-7-3