{"title":"深部脑刺激治疗帕金森病的异质性病理生理学","authors":"Rajiv Dharnipragada","doi":"10.25259/ijpp_48_2023","DOIUrl":null,"url":null,"abstract":"Deep brain stimulation affects the pathophysiology of various motor disorders including essential tremor, Parkinson’s disease (PD) and dystonia. The motor deficits from PD have been explained by the firing rate and pattern models. However, due to the variability between patients’ electrophysiology, the pathophysiology for PD is difficult to sparse apart. Neither model can fully explain the spectrum of patient presentations. The localisation and stimulation of various structures including the subthalamic nucleus, globus pallidus internus and ventral intermediate nucleus lead to different effects on the patient’s motor symptoms. This group of targeted structures affects the models of PD in distinct ways. This review aims to explain the models of PD and the effects of stimulation in each structure.","PeriodicalId":13367,"journal":{"name":"Indian journal of physiology and pharmacology","volume":"35 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Deep brain stimulation for the heterogeneous pathophysiology of Parkinson’s disease\",\"authors\":\"Rajiv Dharnipragada\",\"doi\":\"10.25259/ijpp_48_2023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Deep brain stimulation affects the pathophysiology of various motor disorders including essential tremor, Parkinson’s disease (PD) and dystonia. The motor deficits from PD have been explained by the firing rate and pattern models. However, due to the variability between patients’ electrophysiology, the pathophysiology for PD is difficult to sparse apart. Neither model can fully explain the spectrum of patient presentations. The localisation and stimulation of various structures including the subthalamic nucleus, globus pallidus internus and ventral intermediate nucleus lead to different effects on the patient’s motor symptoms. This group of targeted structures affects the models of PD in distinct ways. This review aims to explain the models of PD and the effects of stimulation in each structure.\",\"PeriodicalId\":13367,\"journal\":{\"name\":\"Indian journal of physiology and pharmacology\",\"volume\":\"35 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian journal of physiology and pharmacology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/ijpp_48_2023\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Pharmacology, Toxicology and Pharmaceutics\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian journal of physiology and pharmacology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/ijpp_48_2023","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Pharmacology, Toxicology and Pharmaceutics","Score":null,"Total":0}
Deep brain stimulation for the heterogeneous pathophysiology of Parkinson’s disease
Deep brain stimulation affects the pathophysiology of various motor disorders including essential tremor, Parkinson’s disease (PD) and dystonia. The motor deficits from PD have been explained by the firing rate and pattern models. However, due to the variability between patients’ electrophysiology, the pathophysiology for PD is difficult to sparse apart. Neither model can fully explain the spectrum of patient presentations. The localisation and stimulation of various structures including the subthalamic nucleus, globus pallidus internus and ventral intermediate nucleus lead to different effects on the patient’s motor symptoms. This group of targeted structures affects the models of PD in distinct ways. This review aims to explain the models of PD and the effects of stimulation in each structure.
期刊介绍:
Indian Journal of Physiology and Pharmacology (IJPP) welcomes original manuscripts based upon research in physiological, pharmacological and allied sciences from any part of the world.