Abstract:
:Deep brain stimulation (DBS) has proven to be a successful therapeutic approach in several patients with movement disorders such as Parkinson's disease and dystonia. Hitherto its application was mainly restricted to advanced disease patients resistant to medication or with severe treatment side effects. However, there is now growing interest in earlier application of DBS, aimed at improving clinical outcomes, quality of life, and avoiding psychosocial consequences of chronic disease-related impairments. We address the clinical and ethical aspects of two "early" uses of DBS, (1) DBS early in the course of the disease, and (2) DBS early in life (i.e. in children). Possible benefits, risks and burdens are discussed and thoroughly considered. Further research is needed to obtain a careful balance between exposing vulnerable patients to potential severe surgical risks and excluding them from a potentially good outcome.
journal_name
Prog Neurobioljournal_title
Progress in neurobiologyauthors
Woopen C,Pauls KA,Koy A,Moro E,Timmermann Ldoi
10.1016/j.pneurobio.2013.04.002subject
Has Abstractpub_date
2013-11-01 00:00:00pages
74-88eissn
0301-0082issn
1873-5118pii
S0301-0082(13)00038-5journal_volume
110pub_type
杂志文章abstract::Comparative studies of behavioral responses to centrally acting drugs in inbred strains of mice which show differences in brain neurotransmitter activity represent a major strategy in the investigation of the neurochemical bases underlying behavioural expression. Moreover, these studies represent a preliminary stage i...
journal_title:Progress in neurobiology
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