Autonomic neurosurgery: from microvascular decompression to image guided stimulation
| Autor: | Eac Pereira, Al Green |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
microvascular decompression Deep brain stimulation Radiological and Ultrasound Technology business.industry medicine.medical_treatment Biomedical Engineering periaqueductal grey Stimulation Microvascular decompression Review Article Rostral ventrolateral medulla Autonomic disorder deep brain stimulation rostral ventrolateral medulla Orthostatic vital signs Autonomic Blood pressure nervous system Anesthesia medicine Radiology Nuclear Medicine and imaging neurosurgery Neurosurgery business |
| Zdroj: | Biomedical Imaging and Intervention Journal |
| ISSN: | 1823-5530 |
| Popis: | The paper reviews mechanisms underlying autonomic disorders, with a focus on cardiovascular dysfunction. Neurosurgical approaches are described for medically refractory hypertension and orthostatic hypotension. After review of microvascular decompression of the rostral ventrolateral medulla, stereotactic CT and MRI guided deep brain stimulation of the periaqueductal grey matter (PAG) is evaluated. Results are presented from patient studies showing reductions in blood pressure with ventral PAG stimulation and increases in blood pressure with dorsal PAG stimulation. A rationale for the treatment of autonomic disorders by neurosurgical intervention is discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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