[Deep brain stimulation for Parkinson's disease: experience, benefits and limitations in a center in Latin America].

IF 0.5 4区医学 Q4 SURGERY

Cirugia Y Cirujanos Pub Date : 2023-05-11 DOI:10.24875/CIRU.22000438

Óscar F Zorro-Guío, Manuel A Ardila-Martínez, Álvaro Bedoya-Gómez, Héctor F Restrepo, Jhon E Mosquera-Sinisterra, Cristian Páez, Jonathan Lee, Jorge A Romo-Quebradas, Edgar G Ordóñez-Rubiano

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引用次数: 0

Abstract

Background: Parkinson's disease is poorly studied in Colombia. It is pharmacologically managed, but for refractory cases, surgery is a therapeutic option, positively impacting on quality of life.

Objective: To determine the impact of deep brain stimulation as management in the control of progression in patients with Parkinson's disease attended our institution between the years 2014 to 2020.

Method: Descriptive retrospective study, with patients collected between 2014 and 2020 undergoing deep brain stimulation surgery. The MDS-UPDRS (Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale) was applied in the pre- and postoperative period, and the results were compared.

Results: 21 patients were included and the UPDRS was applied, finding a decrease in scores in the postoperative period. One patient had an operative site infection.

Conclusions: There was an improvement in the MDS-UPDRS score, with a low rate of complications. The procedure time was prolonged from the preoperative evaluation. Deep brain stimulation is the management of choice for refractory Parkinson's disease. The patients in this series showed improvement in their symptoms. Unfortunately, there are limitations to perform this procedure in Colombia, such as the delay in the authorization of the procedure.

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[深部脑刺激治疗帕金森病：拉丁美洲一家中心的经验、益处和局限性]。

背景：哥伦比亚对帕金森病的研究很少。该病以药物治疗为主，但对于难治性病例，手术是一种治疗选择，对生活质量有积极影响：目的：确定 2014 年至 2020 年期间，脑深部刺激疗法对控制本院就诊的帕金森病患者病情发展的影响：方法：描述性回顾研究，收集2014年至2020年间接受脑深部刺激手术的患者。在术前和术后使用运动障碍协会赞助的统一帕金森病评分量表修订版（MDS-UPDRS），并对结果进行比较。一名患者出现手术部位感染：结论：MDS-UPDRS评分有所改善，并发症发生率较低。结论：MDS-UPDRS评分有所改善，并发症发生率较低，手术时间比术前评估延长。脑深部刺激是治疗难治性帕金森病的首选方法。这一系列患者的症状均有所改善。遗憾的是，在哥伦比亚进行这种手术还存在一些限制，比如手术审批的延迟。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.