Neurological Surgery 脳神経外科49巻4号

2021年07月発行

特集 定位・機能神経外科の基礎と臨床 Ⅲ　定位・機能神経外科の外科的治療手技 脳深部刺激療法（DBS）

淡蒼球刺激療法（GPi-DBS）

著者： 樋口佳則¹ 青柳京子² 岡原陽二² 和泉允基¹²

所属機関： ¹千葉大学大学院医学研究院脳神経外科学 ²千葉県循環器病センター脳神経外科

ページ範囲：P.799 - P.809

Point
・淡蒼球刺激術は，パーキンソン病，ジストニアなどの運動過多を生じる不随意運動症の治療オプションである．
・淡蒼球の内側には内包，腹側には視索が存在し，淡蒼球内節（GPi）の腹外側部2/3が感覚運動領域で視床へ投射する．
・パーキンソン病症例では，視床下核（STN）刺激との違い（ジスキネジア抑制効果など）を理解し選択する．

参考文献

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