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GRIN Verlag Auswirkungen der Tiefenhirnstimulation bei Morbus Parkinson auf die rigid-hypokinetische Dysarthrie

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Description

Magisterarbeit aus dem Jahr 2013 im Fachbereich Pädagogik - Heilpädagogik, Sonderpädagogik, Note: 2,7, Bayerische Julius-Maximilians-Universität Würzburg (Sonderpädagogik), Sprache: Deutsch, Abstract: Diese Magisterarbeit greift die Beziehung Morbus Parkinson und Dysarthrie auf und verknüpft diese mit der Therapiemöglichkeit der Tiefenhirnstimulation des Nucleus Subthalamicus. Die Tiefenhirnstimulation stellt eine Therapieform der Parkinson-Krankheit dar, die mittlerweile seit knapp 30 Jahren Anwendung findet. Heute gehört die Tiefenhirnstimulation zu den favorisierenden angewandten interventionellen Therapieverfahren des idiopathischen Parkinson-Syndroms. Daneben sind noch die subkutane Applikation von Apomorphin und die Gabe von L-Dopa zu erwähnen. Neurochirurgische Verfahren, wie die Tiefenhirnstimulation, sollen die medikamentösen Behandlungen jedoch ablösen bzw. soll die Medikamentendosis dadurch verringert werden können. Folgende Verfahren sind in Deutschland derzeit zulässig: Thalamotomie, Pallidotomie, kontinuierliche Hochfrequenzstimulation des Thalamus, des Globus pallidus internus und des Nucleus subthalamicus. Welche Vor- und Nachteile diese Verfahren haben, wird im Laufe dieser Arbeit geklärt. Zu der medikamentösen Behandlung zählt eine Vielzahl an verschiedenen Medikamenten, die jeweils unterschiedliche Wirkungen erzielen. Das bekannteste Medikament ist das Levodopa. Das sogenannte L-Dopa ersetzt die Dopaminzufuhr im Gehirn. Es gehört zu dem Medikament mit dem besten Verhältnis von Wirkung und Nebenwirkung. Allerdings sollte das Medikament nur der kurzfristigen Therapie dienen, denn nach einer Langzeiteinnahme überwiegen häufig die Nebenwirkungen. Daher suchte man nach einer längerfristigen Behandlungsmethode, die womöglich in der Tiefenhirnstimulation gefunden wurde. Hauptsächlich erwartet man sich von dieser operativen Methode eine dauerhafte Besserung der Kardinalsymptome der Parkinson-Krankheit (vgl. Schwarz & Storch 2007). Die Frage nach dem

Product Specifications

Format
paperback
Domain
Amazon UK
Release Date
03 March 2014
Listed Since
04 March 2014

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