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Targeting the brain: considerations in 332 consecutive patients treated by deep brain stimulation (DBS) for severe neurological diseases

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Abstract

Deep brain stimulation (DBS) extends the treatment of some severe neurological diseases beyond pharmacological and conservative therapy. Our experience extends the field of DBS beyond the treatment of Parkinson disease and dystonia, including several other diseases such as cluster headache and disruptive behavior. Since 1993, at the Istituto Nazionale Neurologico “Carlo Besta” in Milan, 580 deep brain electrodes were implanted in 332 patients. The DBS targets include Stn, GPi, Voa, Vop, Vim, CM–pf, pHyp, cZi, Nacc, IC, PPN, and Brodmann areas 24 and 25. Three hundred patients are still available for follow-up and therapeutic considerations. DBS gave a new therapeutic chance to these patients affected by severe neurological diseases and in some cases controlled life-threatening pathological conditions, which would otherwise result in the death of the patient such as in status dystonicus, status epilepticus and post-stroke hemiballismus. The balance of DBS in severe neurological disease is strongly positive even if further investigations and studies are needed to search for new applications and refine the selection criteria for the actual indications.

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Authors and Affiliations

  1. Fondazione IRCCS Istituto Neurologico “C. Besta”, Via Celoria 11, 20133, Milan, Italy

    Angelo Franzini, Roberto Cordella, Giuseppe Messina, Carlo Efisio Marras, Luigi Michele Romito, Alberto Albanese, Michele Rizzi, Nardo Nardocci, Giovanna Zorzi, Edvin Zekaj, Flavio Villani, Massimo Leone & Giovanni Broggi

  2. Università degli Studi-AO San Paolo, Via A. di Rudinì 8, 20100, Milan, Italy

    Orsola Gambini

  3. Università Cattolica di Milano, Largo Gemelli 1, 20100, Milan, Italy

    Luigi Michele Romito & Alberto Albanese

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  1. Angelo Franzini
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  2. Roberto Cordella
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Correspondence to Roberto Cordella.

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Franzini, A., Cordella, R., Messina, G. et al. Targeting the brain: considerations in 332 consecutive patients treated by deep brain stimulation (DBS) for severe neurological diseases. Neurol Sci 33, 1285–1303 (2012). https://doi.org/10.1007/s10072-012-0937-9

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