The role of neurosurgery in Parkinson’s disease
literature review
DOI:
https://doi.org/10.11606/issn.1679-9836.v99i1p66-75Keywords:
Parkinson disease, Neurosurgery, Deep brain stimulation, Surgery, TherapyAbstract
With population aging and increased life expectancy, dementias have grown significantly. The increase in the elderly population also increases the number of chronic diseases associated with aging, such as neurodegenerative diseases. Parkinson’s disease is a chronic and progressive disorder of the central nervous system, specifically the nuclei of the base, involving the progressive loss of dopaminergic neurons of the substantia nigra. It is the second most common neurodegenerative disease, surpassed only by Alzheimer’s disease. It is estimated that approximately five million people worldwide have Parkinson’s disease and about 200 thousand individuals in Brazil. Surgical treatment in Parkinson’s disease is of paramount importance for the improvement of patients quality of life. The present study aims to contribute to future research that addresses new treatments for Parkinson’s disease. The aim of this article is to demonstrate, through a large literature review, the importance of surgical treatment in Parkinson’s disease, addressing its indications, types and techniques, complications and impact on the quality of life of the patient submitted to the treatment in question, through bibliographical, descriptive and retrospective review of the last twenty years (1998 to 2018). Articles were selected in the databases Lilacs, SciELO, PubMed, Cochrane and Medline, in Portuguese and English languages. The terms used in the search were related to the surgical treatment of Parkinson’s disease. The main surgical techniques used are deep brain stimulation with electrode implant and stereotactic ablation. It is essential that the health professionals know the surgical possibilities in Parkinson’s disease, since the postoperative needs multidisciplinary follow-up.
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References
1. Galhardo MMAMC, Amaral AKFJ, Vieira ACC. Caracterização dos distúrbios cognitivos na doença de Parkinson. Rev CEFAC. 2009;11(l2):251-7. http://dx.doi.org/10.1590/S1516-18462009000600015.
2. Rito M. Doença de Parkinson: instrumentos avaliativos. Arq Fisioter. 2006;1(2):27-45.
3. Soares GS, Peyré-Tartaruga LA. Doença de Parkinson e exercício físico: uma revisão da literatura. Ciên Mov. 2010;24:69-86. http://dx.doi.org/10.15602/1983-9480/cmbs.v12n24p69-85.
4. Bovolenta TM, Felício AC. O doente de Parkinson no contexto das Políticas Públicas de Saúde no Brasil. Einstein (São Paulo). 2016;14(3):7-9. doi: 10.1590/S1679-45082016ED3780.
5. Souza CFM, Almeida HCP, Sousa JB, Costa PH, Silveira YSS, Bezerra JCL. A doença de Parkinson e o processo de envelhecimento motor: uma revisão de literatura. Rev Neurocienc (São Paulo). 2011;19(4):718-723. Disponível em: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8330.
6. Lopes LES, Carvalho MS, Freitas MM, Marques CSF, Souza Neto CM. Métodos terapêuticos para a doença de Parkinson disponíveis atualmente na neurociência. In: International Nursing Congress. Good practices of nursing representations in the construction of society. May 9-12, 2017. Disponível em: https://pdfs.semanticscholar.org/f912/d1cbe7d2f00af85dcad040e37eec71cf808a.pdf.
7. Valcarenghi RV, Alvarez AM, Santos SSC, Siewert JS, Nunes SFL, Tomasi AVR. O cotidiano das pessoas com a doença de Parkinson. Rev Bras Enferm. 2018;71(2):293-300. http://dx.doi.org/10.1590/0034-7167-2016-0577.
8. Moreira CS, Martins KFC, Neri VC, Araújo PG. Doença de Parkinson: como diagnosticar e tratar. Rev Cient Fac Med Campos. 2007;2(2):19-29. Disponível em: http://www.fmc.br/revista/V2N2P19-29.pdf.
9. Saito TC. A doença de Parkinson e seus tratamentos: uma revisão bibliográfica [Monografia]. Londrina, PR: UniFil – Centro Universitário Filadelfia; 2011. p.36. Disponível em: https://web.unifil.br/pergamum/vinculos/000004/00000414.pdf.
10. Steidl EMS, Ziegler JR, Ferreira FV. Doença de Parkinson: revisão bibliográfica. Rev Eletronica Disciplinarum Scientia. 2007;8(1):115-29. Disponível em: https://periodicos.ufn.edu.br/index.php/disciplinarumS/article/view/921/865.
11. Basto MA, Linhares P, Sousa AN, Rosas MJ, Garrett C, Mendes A, et al. A imagem na cirurgia da doença de Parkinson. Acta Med Port. 2003;16:135-40. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/download/1174/826.
12. Brandão RS, Araújo G, Coimbra J. Doença de Parkinson – suas características fisiopatológicas sob as perspectivas dos profissionais da área da saúde. In: Anais Simpósio NIPPROMOVE, 2015. Disponível em: http://nippromove.hospedagemdesites.ws/anais_simposio/arquivos_up/documentos/artigos/6d4e8edcce78666091ae0a216d6acbc6.pdf.
13. Ferraz FP, Aguiar PMC, Ferraz HB, Bidó JO, Bouza AA, Andrade LAF. Talamotomia e palidotomia estereotáxica com planejamento computadorizado no tratamento da doença de Parkinson. Arq Neuropsiquiatr. 1998;56(4):789-97. http://dx.doi.org/10.1590/S0004-282X1998000500014.
14. Chauhan A, Jeans AF. Is Parkinson’s disease truly a prion-like disorder? An appraisal of current evidence. Neurol Res Int. 2015;2015:345285. doi:10.1155/2015/345285.
15. Machado FM, Reppold CT. The effect of deep brain stimulation on motor and cognitive symptoms of Parkinson’s disease. Dement Neuropsychol. 2015;9(1):24-31. doi: 10.1590/S1980-57642015DN91000005.
16. Felicio AC. Doença de Parkinson: papel da neuroimagem molecular do transportador de dopamina nos casos de dúvida diagnóstica [Tese]. São Paulo: UNIFESP - Escola Paulista de Medicina; 2011. p.29. Disponível em: http://repositorio.unifesp.br/handle/11600/9342.
17. Deuschl G, Schade-Brittinger C, Krack P, Volkmann J, Schäfer H, Bötzel K, et al. A randomized trial of deep-brain stimulation for Parkinson’s disease. N Engl J Med. 2006 31;355(9):896-908. doi: 10.1056/NEJMoa060281.
18. Teixeira MJ, Fonoff ET. Neurosurgical treatment of movement disorders. Rev Med (São Paulo) 2004;83(1-2):1-16.
19. Hariz MI, Blomstedt P, Zrinzo L. Deep brain stimulation between 1947 and 1987: the untold story. Neurosurg Focus. 2010 Aug;29(2):E1. doi: 10.3171/2010.4.FOCUS10106.
20. Teixeira MJ, Fonoff E. Breve história da estereotaxia. Rev Med (São Paulo) 2004;83(12):50-53. https://doi.org/10.11606/issn.1679-9836.v83i1-2p50-53.
21. Yu H, Neimat JS. The treatment of movement disorders by deep brain stimulation. Neurotherapeutics. 2008;5(1):26-36. doi: 10.1016/j.nurt.2007.10.072.
22. Vilela Filho O, Silva DJ. Unilateral subthalamic nucleus lesioning - a safe and effective treatment for Parkinson`s disease. Arq Neuropsiquiatr. 2002;60(4):935-48. doi: 10.1590/s0004-282x2002000600010.
23. Schwalb JM, Hamani C. The history and future of deep brain stimulation. Neurotherapeutics. 2008;5(1):3-13. doi: 10.1016/j.nurt.2007.11.003.
24. Stewart HB. Deep brain stimulation. Neurol Clin Pract. 2012;67-71. doi: 10.1212/CPJ.0b013e31824c6cee.
25. Williams A, Gill S, Varma T, Jenkinson C, Quinn N, Mitchell R, et al. Deep brain stimulation plus best medical therapy versus best medical therapy alone for advanced Parkinson’s disease (PD SURG trial): a randomised, open-label trial. Lancet Neurol. 2010;9(6):581-91. doi: 10.1016/S1474-4422(10)70093-4.
26. Pinto RASR, Borges V, Aguiar PMC, Ferraz FAP, Hisatugo MKI, Ferraz HB. Avaliação das atividades da vida diária dos pacientes com doença de Parkinson submetidos a cirurgia estereotáxica. Arq Neuropsiquiatr. 2002;60(2-B):435-41. http://dx.doi.org/10.1590/S0004-282X2002000300018.
27. Ajaújo IS. Aplicações de técnica estereotáctica para a neurocirurgia molecular: uma revisão. Rev Bras Neurol. 2009;45(4):27-33. http://files.bvs.br/upload/S/0101-8469/2009/v45n4/a27-33.pdf.
28. Aguiar PMC, Feraz HB, Ferraz FP, Saba RA, Hisatugo MKI, Andrade LAF. Motor performance after posteroventral pallidotomy and vim-thalamotomy in Parkinson’s disease. Arq Neuropsiquiatr. 2000;58(3-B):830-5. http://dx.doi.org/10.1590/S0004-282X2000000500007.
29. Samuel M, Caputo E, Brooks DJ, Schrag A, Scaravilli T, Branston NM, et al. A study of medial pallidotomy for Parkinson’s disease: clinical outcome, MRI location and complications. Brain. 1998;121:59-75. Doi: 10.1093/brain/121.1.59.
30. Rodriguez-Oroz MC, Zamarbide I, Guridi J, Palmero MR, Obeso JA. Efficacy of deep brain stimulation of the subthalamic nucleus in Parkinson’s disease 4 years after surgery: double blind and open label evaluation. J Neurol Neurosurg Psychiatry. 2004;75(10):1382-5. doi: 10.1136/jnnp.2003.031294.
31. Schuepbach WMM, Rau J, Knudsen K, Volkmann J, Krack P, Timmermann L, et al. Neurostimulation for Parkinson’s disease with early motor complications. N Engl J Med. 2013;368(7):610-22. doi: 10.1056/NEJMoa1205158.
32. Limousin P, Speelman JD, Gielen F, Janssenset M, et al. Multicentre european study of thalamic stimulation in parkinsonian and essential tremor. J Neurol Neurosurg Psychiatry. 1999;66:289-96. doi: 10.1136/jnnp.66.3.289.
33. Weaver FM, Follett K, Stern M, Hur K, Harris C, Marks WJ, et al. Bilateral deep brain stimulation vs best medical therapy for patients with advanced Parkinson disease: a randomized controlled trial. JAMA. 2009;301(1):63-73. doi: 10.1001/jama.2008.929.
2. Rito M. Doença de Parkinson: instrumentos avaliativos. Arq Fisioter. 2006;1(2):27-45.
3. Soares GS, Peyré-Tartaruga LA. Doença de Parkinson e exercício físico: uma revisão da literatura. Ciên Mov. 2010;24:69-86. http://dx.doi.org/10.15602/1983-9480/cmbs.v12n24p69-85.
4. Bovolenta TM, Felício AC. O doente de Parkinson no contexto das Políticas Públicas de Saúde no Brasil. Einstein (São Paulo). 2016;14(3):7-9. doi: 10.1590/S1679-45082016ED3780.
5. Souza CFM, Almeida HCP, Sousa JB, Costa PH, Silveira YSS, Bezerra JCL. A doença de Parkinson e o processo de envelhecimento motor: uma revisão de literatura. Rev Neurocienc (São Paulo). 2011;19(4):718-723. Disponível em: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8330.
6. Lopes LES, Carvalho MS, Freitas MM, Marques CSF, Souza Neto CM. Métodos terapêuticos para a doença de Parkinson disponíveis atualmente na neurociência. In: International Nursing Congress. Good practices of nursing representations in the construction of society. May 9-12, 2017. Disponível em: https://pdfs.semanticscholar.org/f912/d1cbe7d2f00af85dcad040e37eec71cf808a.pdf.
7. Valcarenghi RV, Alvarez AM, Santos SSC, Siewert JS, Nunes SFL, Tomasi AVR. O cotidiano das pessoas com a doença de Parkinson. Rev Bras Enferm. 2018;71(2):293-300. http://dx.doi.org/10.1590/0034-7167-2016-0577.
8. Moreira CS, Martins KFC, Neri VC, Araújo PG. Doença de Parkinson: como diagnosticar e tratar. Rev Cient Fac Med Campos. 2007;2(2):19-29. Disponível em: http://www.fmc.br/revista/V2N2P19-29.pdf.
9. Saito TC. A doença de Parkinson e seus tratamentos: uma revisão bibliográfica [Monografia]. Londrina, PR: UniFil – Centro Universitário Filadelfia; 2011. p.36. Disponível em: https://web.unifil.br/pergamum/vinculos/000004/00000414.pdf.
10. Steidl EMS, Ziegler JR, Ferreira FV. Doença de Parkinson: revisão bibliográfica. Rev Eletronica Disciplinarum Scientia. 2007;8(1):115-29. Disponível em: https://periodicos.ufn.edu.br/index.php/disciplinarumS/article/view/921/865.
11. Basto MA, Linhares P, Sousa AN, Rosas MJ, Garrett C, Mendes A, et al. A imagem na cirurgia da doença de Parkinson. Acta Med Port. 2003;16:135-40. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/download/1174/826.
12. Brandão RS, Araújo G, Coimbra J. Doença de Parkinson – suas características fisiopatológicas sob as perspectivas dos profissionais da área da saúde. In: Anais Simpósio NIPPROMOVE, 2015. Disponível em: http://nippromove.hospedagemdesites.ws/anais_simposio/arquivos_up/documentos/artigos/6d4e8edcce78666091ae0a216d6acbc6.pdf.
13. Ferraz FP, Aguiar PMC, Ferraz HB, Bidó JO, Bouza AA, Andrade LAF. Talamotomia e palidotomia estereotáxica com planejamento computadorizado no tratamento da doença de Parkinson. Arq Neuropsiquiatr. 1998;56(4):789-97. http://dx.doi.org/10.1590/S0004-282X1998000500014.
14. Chauhan A, Jeans AF. Is Parkinson’s disease truly a prion-like disorder? An appraisal of current evidence. Neurol Res Int. 2015;2015:345285. doi:10.1155/2015/345285.
15. Machado FM, Reppold CT. The effect of deep brain stimulation on motor and cognitive symptoms of Parkinson’s disease. Dement Neuropsychol. 2015;9(1):24-31. doi: 10.1590/S1980-57642015DN91000005.
16. Felicio AC. Doença de Parkinson: papel da neuroimagem molecular do transportador de dopamina nos casos de dúvida diagnóstica [Tese]. São Paulo: UNIFESP - Escola Paulista de Medicina; 2011. p.29. Disponível em: http://repositorio.unifesp.br/handle/11600/9342.
17. Deuschl G, Schade-Brittinger C, Krack P, Volkmann J, Schäfer H, Bötzel K, et al. A randomized trial of deep-brain stimulation for Parkinson’s disease. N Engl J Med. 2006 31;355(9):896-908. doi: 10.1056/NEJMoa060281.
18. Teixeira MJ, Fonoff ET. Neurosurgical treatment of movement disorders. Rev Med (São Paulo) 2004;83(1-2):1-16.
19. Hariz MI, Blomstedt P, Zrinzo L. Deep brain stimulation between 1947 and 1987: the untold story. Neurosurg Focus. 2010 Aug;29(2):E1. doi: 10.3171/2010.4.FOCUS10106.
20. Teixeira MJ, Fonoff E. Breve história da estereotaxia. Rev Med (São Paulo) 2004;83(12):50-53. https://doi.org/10.11606/issn.1679-9836.v83i1-2p50-53.
21. Yu H, Neimat JS. The treatment of movement disorders by deep brain stimulation. Neurotherapeutics. 2008;5(1):26-36. doi: 10.1016/j.nurt.2007.10.072.
22. Vilela Filho O, Silva DJ. Unilateral subthalamic nucleus lesioning - a safe and effective treatment for Parkinson`s disease. Arq Neuropsiquiatr. 2002;60(4):935-48. doi: 10.1590/s0004-282x2002000600010.
23. Schwalb JM, Hamani C. The history and future of deep brain stimulation. Neurotherapeutics. 2008;5(1):3-13. doi: 10.1016/j.nurt.2007.11.003.
24. Stewart HB. Deep brain stimulation. Neurol Clin Pract. 2012;67-71. doi: 10.1212/CPJ.0b013e31824c6cee.
25. Williams A, Gill S, Varma T, Jenkinson C, Quinn N, Mitchell R, et al. Deep brain stimulation plus best medical therapy versus best medical therapy alone for advanced Parkinson’s disease (PD SURG trial): a randomised, open-label trial. Lancet Neurol. 2010;9(6):581-91. doi: 10.1016/S1474-4422(10)70093-4.
26. Pinto RASR, Borges V, Aguiar PMC, Ferraz FAP, Hisatugo MKI, Ferraz HB. Avaliação das atividades da vida diária dos pacientes com doença de Parkinson submetidos a cirurgia estereotáxica. Arq Neuropsiquiatr. 2002;60(2-B):435-41. http://dx.doi.org/10.1590/S0004-282X2002000300018.
27. Ajaújo IS. Aplicações de técnica estereotáctica para a neurocirurgia molecular: uma revisão. Rev Bras Neurol. 2009;45(4):27-33. http://files.bvs.br/upload/S/0101-8469/2009/v45n4/a27-33.pdf.
28. Aguiar PMC, Feraz HB, Ferraz FP, Saba RA, Hisatugo MKI, Andrade LAF. Motor performance after posteroventral pallidotomy and vim-thalamotomy in Parkinson’s disease. Arq Neuropsiquiatr. 2000;58(3-B):830-5. http://dx.doi.org/10.1590/S0004-282X2000000500007.
29. Samuel M, Caputo E, Brooks DJ, Schrag A, Scaravilli T, Branston NM, et al. A study of medial pallidotomy for Parkinson’s disease: clinical outcome, MRI location and complications. Brain. 1998;121:59-75. Doi: 10.1093/brain/121.1.59.
30. Rodriguez-Oroz MC, Zamarbide I, Guridi J, Palmero MR, Obeso JA. Efficacy of deep brain stimulation of the subthalamic nucleus in Parkinson’s disease 4 years after surgery: double blind and open label evaluation. J Neurol Neurosurg Psychiatry. 2004;75(10):1382-5. doi: 10.1136/jnnp.2003.031294.
31. Schuepbach WMM, Rau J, Knudsen K, Volkmann J, Krack P, Timmermann L, et al. Neurostimulation for Parkinson’s disease with early motor complications. N Engl J Med. 2013;368(7):610-22. doi: 10.1056/NEJMoa1205158.
32. Limousin P, Speelman JD, Gielen F, Janssenset M, et al. Multicentre european study of thalamic stimulation in parkinsonian and essential tremor. J Neurol Neurosurg Psychiatry. 1999;66:289-96. doi: 10.1136/jnnp.66.3.289.
33. Weaver FM, Follett K, Stern M, Hur K, Harris C, Marks WJ, et al. Bilateral deep brain stimulation vs best medical therapy for patients with advanced Parkinson disease: a randomized controlled trial. JAMA. 2009;301(1):63-73. doi: 10.1001/jama.2008.929.
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Published
2020-02-03
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Artigos de Revisão/Review Articles
How to Cite
Cunha, J. M. da, & Siqueira, E. C. de. (2020). The role of neurosurgery in Parkinson’s disease: literature review. Revista De Medicina, 99(1), 66-75. https://doi.org/10.11606/issn.1679-9836.v99i1p66-75
