{"id":85559,"date":"2000-03-07T00:00:00","date_gmt":"2000-03-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-reorganizacion-funcional-de-los-ganglios-de-la-base-despues-de-la-ciruga%c2%ada-del-nucleo-palido-en-la-enfermedad-de-parkinson\/"},"modified":"2000-03-07T00:00:00","modified_gmt":"2000-03-07T00:00:00","slug":"estudio-de-la-reorganizacion-funcional-de-los-ganglios-de-la-base-despues-de-la-ciruga%c2%ada-del-nucleo-palido-en-la-enfermedad-de-parkinson","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-reorganizacion-funcional-de-los-ganglios-de-la-base-despues-de-la-ciruga%c2%ada-del-nucleo-palido-en-la-enfermedad-de-parkinson\/","title":{"rendered":"Estudio de la reorganizaci\u00f3n funcional de los ganglios de la base despu\u00e9s de la cirugia del nucleo palido en la enfermedad de parkinson."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alexandre Gironell Carrer\u00f3 <\/strong><\/h2>\n<p>En los ganglios de la base se han identificado cinco circuitos que funcionan en paralelo segregados anat\u00f3mica y funcionalmente. Es conocida la mejora de los s\u00edntomas motores en la enfermedad de parkinson con la cirug\u00eda palidal. ahora bien, no se conocen bien las posibles repercusiones cognitivas, psicopatol\u00f3gicas, comportamentales y oculomotoras debidas a una afectaci\u00f3n de los otros circuitos funcionales de los ganglios basales. La hip\u00f3tesis del presente trabajo es que si realmente existe un segregaci\u00f3n funcional, una lesi\u00f3n circusncrita en la parte sensorio-motriz del n\u00facleo p\u00e1lido medial mediante neuroimagen y registro microneuronal lintraoperatorio, no tiene que afectar, o si lo hace deber ser de forma muy leve, el funcionalismo de los otros cirucuitos de los ganglios basales.  el estudio se ha llevado a cabo conlos 16 primero pacientes consecutivos intervenidos en nuestro hospital. Se ha efectuado un estudio de las repercusiones de la cirug\u00eda palidal hasta 12 meses despu\u00e9s de la cirug\u00eda sobre cada uno de los cinco circuitos funcionales de los ganglios de la base.  circuito motor  1- escala cl\u00ednica updrs, test cronometrados capit, escala de dicinesias, escala de schwab &amp; england, dosis daria de levodopa.  2- exploraciones neurofisiol\u00f3gicas: potencial premotor, variaci\u00f3n contingente negativa, potencial somest\u00e9tico frontal n30 y estimulaci\u00f3n magn\u00e9tica transcraneal.  3- estudio de perfusi\u00f3n cerebral del \u00e1rea motora suplementaria con maniobras de neuroactivaci\u00f3n motora mediante spect cerebral con 99tc-hmpao.  circuito prefrontal dorsolateral  1- estudio neuropsicol\u00f3gico, donde se ha empleado un grupo control de 10 pacientes coparables para evitar el fen\u00f3meno test-retest, valor\u00e1ndose las funciones m\u00e9sicas-aprendizaje, pruebas de atenci\u00f3n-velocidad,pruebas visuoespaciales, funciones ejecutivas y funciones premotoras.  2- potencial evocado end\u00f3geno cognitivo p300.  3- estudio de perfusi\u00f3n cerebral del<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la reorganizaci\u00f3n funcional de los ganglios de la base despu\u00e9s de la cirugia del nucleo palido en la enfermedad de parkinson.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la reorganizaci\u00f3n funcional de los ganglios de la base despu\u00e9s de la cirugia del nucleo palido en la enfermedad de parkinson. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alexandre Gironell Carrer\u00f3 <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/07\/2000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jaime Kulisevsky Bojarsky<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: francesc Jan\u00e9 carrenca <\/li>\n<li>frederic Bartomeus jane (vocal)<\/li>\n<li>Antonio Escartin siquier (vocal)<\/li>\n<li>marcelo Luis Berthier torres (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alexandre Gironell Carrer\u00f3 En los ganglios de la base se han identificado cinco circuitos que funcionan en [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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