AI Article Synopsis

  • Stimulation of the M1 brain region has been used since 1991 to help with chronic pain and movement disorders, including Parkinson's disease.
  • A review of literature showed 459 cases of motor cortex stimulation (MCS) used, with 72 focused on movement disorders, and a specific report on 4 Parkinson's patients treated with MCS.
  • Initial improvements in motor function were noted within 6 months, but most benefits diminished by the end of 12 months, suggesting more extensive research is needed to consider MCS a viable alternative to existing treatments like deep brain stimulation (DBS).

Article Abstract

Object: Since the initial 1991 report by Tsubokawa et al., stimulation of the M1 region of cortex has been used to treat chronic pain conditions and a variety of movement disorders.

Methods: A Medline search of the literature published between 1991 and the beginning of 2007 revealed 459 cases in which motor cortex stimulation (MCS) was used. Of these, 72 were related to a movement disorder. More recently, up to 16 patients specifically with Parkinson disease were treated with MCS, and a variety of results were reported. In this report the authors describe 4 patients who were treated with extradural MCS.

Results: Although there were benefits seen within the first 6 months in Unified Parkinson's Disease Rating Scale Part III scores (decreased by 60%), tremor was only modestly managed with MCS in this group, and most benefits seen initially were lost by the end of 12 months.

Conclusions: Although there have been some positive findings using MCS for Parkinson disease, a larger study may be needed to better determine if it should be pursued as an alternative surgical treatment to DBS.

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Source
http://dx.doi.org/10.3171/JNS/2008/109/7/0133DOI Listing

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