High frequency stimulation of the basal ganglia has gained much interest during the
last years. Based on the reevaluation of the results of functional neurosurgery for
movement disorders from Leksell's group, pallidotomy as lesional procedure was the
first functional operation that underwent a renaissance for the treatment of movement
disorders. The work by Benabid and Siegfried who carried out thalamic high frequency
stimulation to suppress tremor, the knowledge about deep brain stimulation (DBS) for
the treatment of chronic pain as well as better understanding in basal ganglia physiology
and the development of reliable stimulation hardware led to an increasing number of
centers worldwide who currently apply high frequency DBS for different movement disorders.
In the present review the current status of DBS for movement disorders is presented
and the results with high frequency stimulation targeted at different brain areas
are summarized.
Basal Ganglia - Deep Brain Stimulation - Dystonia - Essential Tremor - Globus Pallidus
- Parkinson's Disease - Subthalamic Nucleus - Thalamus