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Autonomic neurosurgery: from microvascular decompression to image guided stimulation.
MedLine Citation:
PMID:  21614256     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Eac Pereira; Al Green
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Publication Detail:
Type:  Journal Article     Date:  2007-01-01
Journal Detail:
Title:  Biomedical imaging and intervention journal     Volume:  3     ISSN:  1823-5530     ISO Abbreviation:  Biomed Imaging Interv J     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2011-05-26     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101258681     Medline TA:  Biomed Imaging Interv J     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  e14     Citation Subset:  -    
Affiliation:
Oxford Functional Neurosurgery, Department of Neurosurgery, Radcliffe Infirmary, United Kingdom.
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