Deep brain stimulation for movement disorders treatment in Africa: The current status, outcomes, and challenges

Movement disorders (MDs), a diverse group of neurological conditions characterized by abnormal and involuntary movements, have a profound impact on individuals, families, and healthcare systems. Deep Brain Stimulation (DBS) has emerged as a promising therapeutic intervention, offering relief from sy...

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Veröffentlicht in:Clinical neurology and neurosurgery 2024-01, Vol.236, p.108113-108113, Article 108113
Hauptverfasser: Daghi, Mohamed, Lakhdar, Abdelhakim, El Otmani, Hicham
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Sprache:eng
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Zusammenfassung:Movement disorders (MDs), a diverse group of neurological conditions characterized by abnormal and involuntary movements, have a profound impact on individuals, families, and healthcare systems. Deep Brain Stimulation (DBS) has emerged as a promising therapeutic intervention, offering relief from symptoms and improved quality of life. By implanting electrodes in specific brain regions and connecting them to a pulse generator, DBS modulates aberrant neural activity underlying these disorders. While DBS has gained recognition globally, its utilization in African countries remains limited. This comprehensive article presents the results of a literature review on the status of DBS therapy for MDs in Africa. The review assesses treatment outcomes, patient demographics, and challenges tied to implementing DBS in the African context. The findings reveal promising developments in DBS therapy across several African countries, particularly in treating Parkinson's disease and dystonia. However, challenges related to awareness, access to specialized care, and a scarcity of expertise still impede broader adoption. The article underscores the urgent need for collaborative efforts, policy changes, and increased training to expand the reach of DBS therapy, thus mitigating the burden of MDs on the African continent. •DBS therapy shows promise for MDs in Africa, improving symptoms and quality of life.•Challenges include limited awareness, inadequate expertise, and financial barriers.•Urgent need for collaborative initiatives and enhanced training programs.•Genetic factors, especially specific mutations, aid in predicting DBS outcomes.•Shortage of neurologists hampers effective integration of DBS in African healthcare.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2023.108113