Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)

Detalhes bibliográficos
Autor(a) principal: Correia , Gabriela Hornung
Data de Publicação: 2024
Outros Autores: Wojcik, Ana Leticia Loesch, Fabris Neto, João, Ferreira , Emilene Dias Fiuza
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/44980
Resumo: Parkinson's disease has an unknown etiology and is characterized by signs and symptoms such as rigidity, akinesia, bradykinesia, tremors, postural instability, among others. The need for more effective developments in disease management encouraged the development of this project, which aims, through a literature review, to carry out a more in-depth study of Deep Brain Stimulation (DBS) and the evolution of the procedure in recent years to the treatment of Parkinson's disease.Through this project, the disease, symptomatology, available treatments, and promising treatments that may increase the quality and life expectancy of the patient were analyzed, aiming at reducing possible sequelae and early initiation of non-pharmacological treatment. Focusing, therefore, on the most effective surgical procedure in recent years, deep brain stimulation (DBS), which has achieved better results. The methodology involved searching for systematic reviews and meta-analyses published in English and Portuguese, in the databases PubMed, LILACS, Scielo, and Google Scholar addressing the subject. Additionally, studies found in a general search in the same databases with the same keywords, but focusing on their use in titles and abstracts, were included. It is concluded that DBS is a beneficial treatment, bringing significant improvements in the quality of life of patients with Parkinson's. However, it is used as a last resort when drug therapy becomes ineffective and starts to bring more harm than benefit to the patient.
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spelling Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)Enfermedad de Parkinson: Una visión y tratamiento mediante Estimulación Cerebral Profunda (ECP)Doença de Parkinson: Uma visão fisiopatológica e o tratamento por Estimulação Cerebral Profunda (DBS)Parkinson'sDyskinesiaTreatmentPathology.ParkinsonDiscinesiaTratamientoPatología.ParkinsonDiscinesiaTratamentoPatologia.Parkinson's disease has an unknown etiology and is characterized by signs and symptoms such as rigidity, akinesia, bradykinesia, tremors, postural instability, among others. The need for more effective developments in disease management encouraged the development of this project, which aims, through a literature review, to carry out a more in-depth study of Deep Brain Stimulation (DBS) and the evolution of the procedure in recent years to the treatment of Parkinson's disease.Through this project, the disease, symptomatology, available treatments, and promising treatments that may increase the quality and life expectancy of the patient were analyzed, aiming at reducing possible sequelae and early initiation of non-pharmacological treatment. Focusing, therefore, on the most effective surgical procedure in recent years, deep brain stimulation (DBS), which has achieved better results. The methodology involved searching for systematic reviews and meta-analyses published in English and Portuguese, in the databases PubMed, LILACS, Scielo, and Google Scholar addressing the subject. Additionally, studies found in a general search in the same databases with the same keywords, but focusing on their use in titles and abstracts, were included. It is concluded that DBS is a beneficial treatment, bringing significant improvements in the quality of life of patients with Parkinson's. However, it is used as a last resort when drug therapy becomes ineffective and starts to bring more harm than benefit to the patient.La enfermedad de Parkinson es de etiología desconocida y se caracteriza por manifestaciones como la rigidez, acinesia, bradicinesia, temblores, inestabilidad postural, entre otros. La necesidad de avances más efectivos en el manejo de enfermedades animó el desarrollo de este proyecto, que pretende, a través de una revisión de la literatura, profundizar en el estudio de la Estimulación Cerebral Profunda (ECP) y la evolución del procedimiento en los últimos años para el tratamiento de la enfermedad de Parkinson. Este proyecto analizó la enfermedad, sus síntomas y tratamientos disponibles que pueden aumentar la calidad y la esperanza de vida del paciente, con vistas a reducir las posibles secuelas e iniciar precozmente un tratamiento no farmacológico. Hemos centrado la atención en el procedimiento quirúrgico más eficaz de los últimos años, la estimulación cerebral profunda (ECP), la cual ha obtenido los mejores resultados. La metodología consistió en una búsqueda de revisiones sistemáticas y metaanálisis publicados en las lenguas inglesa y portuguesa en las bases de datos PubMed, LILACS, Scielo y Google Académico. Además, fueron utilizados artículos encontrados en una búsqueda general en las mismas bases de datos con las mismas palabras clave, pero abordando su uso en los títulos y resúmenes. Se concluyó que la ECP es un tratamiento beneficioso y que aporta mejoras significativas en la calidad de vida. Sin embargo, se utiliza como último recurso cuando el tratamiento farmacológico resulta ineficaz y empieza a ser más perjudicial que beneficioso para el paciente.A doença de Parkinson possui etiologia desconhecida e é caracterizada por sinais e sintomas como rigidez, acinesia, bradicinesia, tremores, instabilidade postural, dentre outros. A necessidade de evoluções mais eficazes em manejos da doença incentivou a elaboração deste projeto, que tem por objetivo, por meio de uma revisão de literatura, realizar o estudo mais aprofundado da Estimulação cerebral profunda (DBS) e as evoluções do procedimento nos últimos anos para o tratamento da doença de Parkinson. Por meio desse projeto, foi analisada a doença, sintomatologia e os tratamentos disponíveis e tratamentos promissores que possam aumentar a qualidade e expectativa de vida do paciente, visando diminuição de possíveis sequelas e início precoce do tratamento não farmacológico. Focando, portanto, no procedimento cirúrgico mais eficaz dos últimos anos, a estimulação cerebral profunda (DBS), que tem obtido melhores resultados. A metodologia envolveu a busca de revisões sistemáticas e meta-análises publicadas em inglês e português, nas bases de dados PubMed, LILACS, Scielo e Google Acadêmico que abordem o assunto. Além disso, foram utilizados trabalhos encontrados em uma busca geral nas mesmas bases com as mesmas palavras-chave, porém abordando seu uso nos títulos e resumos. Conclui-se que a DBS é um tratamento benéfico, que traz melhoras significativas na qualidade de vida dos pacientes com Parkinson. Entretanto, é utilizada em última instância, quando a terapia medicamentosa torna-se ineficaz e começa a trazer mais malefícios do que benefícios ao paciente.Research, Society and Development2024-02-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4498010.33448/rsd-v13i2.44980Research, Society and Development; Vol. 13 No. 2; e4913244980Research, Society and Development; Vol. 13 Núm. 2; e4913244980Research, Society and Development; v. 13 n. 2; e49132449802525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/44980/35930Copyright (c) 2024 Gabriela Hornung Correia ; Ana Leticia Loesch Wojcik; João Fabris Neto; Emilene Dias Fiuza Ferreira https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCorreia , Gabriela Hornung Wojcik, Ana Leticia Loesch Fabris Neto, João Ferreira , Emilene Dias Fiuza 2024-03-04T09:47:20Zoai:ojs.pkp.sfu.ca:article/44980Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-03-04T09:47:20Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
Enfermedad de Parkinson: Una visión y tratamiento mediante Estimulación Cerebral Profunda (ECP)
Doença de Parkinson: Uma visão fisiopatológica e o tratamento por Estimulação Cerebral Profunda (DBS)
title Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
spellingShingle Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
Correia , Gabriela Hornung
Parkinson's
Dyskinesia
Treatment
Pathology.
Parkinson
Discinesia
Tratamiento
Patología.
Parkinson
Discinesia
Tratamento
Patologia.
title_short Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
title_full Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
title_fullStr Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
title_full_unstemmed Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
title_sort Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
author Correia , Gabriela Hornung
author_facet Correia , Gabriela Hornung
Wojcik, Ana Leticia Loesch
Fabris Neto, João
Ferreira , Emilene Dias Fiuza
author_role author
author2 Wojcik, Ana Leticia Loesch
Fabris Neto, João
Ferreira , Emilene Dias Fiuza
author2_role author
author
author
dc.contributor.author.fl_str_mv Correia , Gabriela Hornung
Wojcik, Ana Leticia Loesch
Fabris Neto, João
Ferreira , Emilene Dias Fiuza
dc.subject.por.fl_str_mv Parkinson's
Dyskinesia
Treatment
Pathology.
Parkinson
Discinesia
Tratamiento
Patología.
Parkinson
Discinesia
Tratamento
Patologia.
topic Parkinson's
Dyskinesia
Treatment
Pathology.
Parkinson
Discinesia
Tratamiento
Patología.
Parkinson
Discinesia
Tratamento
Patologia.
description Parkinson's disease has an unknown etiology and is characterized by signs and symptoms such as rigidity, akinesia, bradykinesia, tremors, postural instability, among others. The need for more effective developments in disease management encouraged the development of this project, which aims, through a literature review, to carry out a more in-depth study of Deep Brain Stimulation (DBS) and the evolution of the procedure in recent years to the treatment of Parkinson's disease.Through this project, the disease, symptomatology, available treatments, and promising treatments that may increase the quality and life expectancy of the patient were analyzed, aiming at reducing possible sequelae and early initiation of non-pharmacological treatment. Focusing, therefore, on the most effective surgical procedure in recent years, deep brain stimulation (DBS), which has achieved better results. The methodology involved searching for systematic reviews and meta-analyses published in English and Portuguese, in the databases PubMed, LILACS, Scielo, and Google Scholar addressing the subject. Additionally, studies found in a general search in the same databases with the same keywords, but focusing on their use in titles and abstracts, were included. It is concluded that DBS is a beneficial treatment, bringing significant improvements in the quality of life of patients with Parkinson's. However, it is used as a last resort when drug therapy becomes ineffective and starts to bring more harm than benefit to the patient.
publishDate 2024
dc.date.none.fl_str_mv 2024-02-13
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44980
10.33448/rsd-v13i2.44980
url https://rsdjournal.org/index.php/rsd/article/view/44980
identifier_str_mv 10.33448/rsd-v13i2.44980
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44980/35930
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 13 No. 2; e4913244980
Research, Society and Development; Vol. 13 Núm. 2; e4913244980
Research, Society and Development; v. 13 n. 2; e4913244980
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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