Parkinson’s disease: A pathophysiological view and treatment by Deep Brain Stimulation (DBS)
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , |
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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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
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 |
language |
por |
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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1797052638047502336 |