黑质
壳核
基底神经节
多巴胺
医学
纹状体
帕金森病
尾状核
神经科学
左旋多巴
中脑
神经学
静止性震颤
疾病
运动减退
内科学
心理学
中枢神经系统
精神科
作者
Gerald D. Fischbach,Guy M. McKhann
标识
DOI:10.1056/nejm200103083441011
摘要
Parkinson's disease is characterized by the progressive loss of dopamine neurons in the substantia nigra of the midbrain. These neurons project widely throughout the cerebral hemispheres, but the motor symptoms of Parkinson's disease — bradykinesia, muscle rigidity, and resting tremor — are almost certainly due to the loss of dopamine nerve terminals in the caudate and putamen nuclei (the striatum) of the basal ganglia and the unbalancing of circuits required for coordinated movement. One of the therapeutic successes of clinical neurology has been the use of levodopa, the precursor of dopamine, in patients with Parkinson's disease. In nearly all patients, . . .
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