Department of Clinical Neuroscience, University Hospital, Umeå 90185, Sweden.
Neurosurg Clin N Am. 2023 Apr;34(2):291-299. doi: 10.1016/j.nec.2022.11.006. Epub 2023 Jan 30.
Should one recommend stereotactic ablation for Parkinson disease, tremor, dystonia, and obsessive compulsive disorder, in this era of DBS? The answer depends on several variables such as the symptoms to treat, the patient's preferences and expectations, the surgeons' competence and preference, the availability of financial means (by government health care, by private insurance), the geographical issues, and not least the current and dominating fashion at that particular time. Both ablation and stimulation can be either used alone or even combined (provided expertise in both of them) to treat various symptoms of movement and mind disorders.
在 DBS 时代，是否应该推荐立体定向消融术治疗帕金森病、震颤、肌张力障碍和强迫症？答案取决于几个变量，如要治疗的症状、患者的偏好和期望、外科医生的能力和偏好、财务手段的可用性（由政府医疗保健、私人保险提供）、地理问题，以及在特定时间当前和主导的时尚潮流。消融和刺激都可以单独使用，甚至可以结合使用（提供这两种技术的专业知识）来治疗运动和精神障碍的各种症状。
