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伽玛刀治疗震颤麻痹
引用本文:姚家楫 吴锡标 朱建堃 邓印辉 于晓君. 伽玛刀治疗震颤麻痹[J]. 现代临床医学生物工程学杂志, 1996, 2(2): 89-91
作者姓名:姚家楫 吴锡标 朱建堃 邓印辉 于晓君
作者单位:广州医学院第二附属医院神经科学研究所,广州医学院第二附属医院神经科学研究所,广州伽玛刀治疗研究中心,广州伽玛刀治疗研究中心,广州伽玛刀治疗研究中心 广州 510260,广州 510260,广州 510260
摘    要:报告了伽玛刀治疗震颤麻痹60例,靶点分别为丘脑腹外侧核之腹中间核(Vim),共54例,苍白球内侧部(pm)6例,总有效率为73.3%,无死亡。认为震颤麻痹手术治疗的疗效以震颤、肌张力增高及运动困难的改善情况进行评价。伽玛刀治疗震颤麻痹是一种准确、安全、有效的新方法。

关 键 词:伽玛刀(γ-刀)  震颤麻痹  丘脑复外侧核之腹中间核  苍白球内侧部

Treatment of Parkinson''s disease with Gamma Knife
Yao Jiaji,Wu Xibiao,Zhu Jiankun,Deng Yinhui,Yu Xiaojun. Treatment of Parkinson''s disease with Gamma Knife[J]. Journal of Modern Clinical Medical Bioengineering, 1996, 2(2): 89-91
Authors:Yao Jiaji  Wu Xibiao  Zhu Jiankun  Deng Yinhui  Yu Xiaojun
Abstract:60 cases of parkinson's disease have been treated with gamma knife. Targets selection: Nucleus Ventro - intermedias of thalamus (Vim) was chosen in 54 cases which showed tremor mainly. Pallidus medial (p.m) was chosen in 6 cases which appeared rigidity. The maximum dose was 140-ISOGy, the 20% isodose of the 4mm collimator at the medial edge of the internal capsule. Complication:There were 3 cases of hemiparasis. For re -examination of MR scan, local edema was evident than non -hemiplegia. They recovered in varied degree by treatment. The total effective rate was 73.3%. No death occured. Author suggested that operation result should be evaluated by main symptoms of parkinson's disease: frcmor, tonic and rigidity. Treatment of parkinson's disease with gamma knife would be a new kind of accurate, safe and effective method.
Keywords:Gamma knife Parkinson's disease Nucleus ventro - intermedias of thalamus (Vim) Pallidus medial (p.m.)  
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