A 72-year-old man with Parkinson disease on maximum-tolerated levodopa-carbidopa and ropinirole presents with worsening freezing episodes and bradykinesia. Vital signs: BP 138/82, HR 68, RR 16, Temp 37°C, SpO2 98% on room air. Motor examination reveals rigidity and postural instability; cognition remains intact. Recent MRI shows no structural lesions. Deep brain stimulation is being considered for symptomatic management. Which of the following structures is a common target for this intervention?

  1. A)Subthalamic nucleusGABARITO
  2. B)Caudate head
  3. C)Mammillary body
  4. D)Nucleus accumbens
  5. E)Lateral geniculate nucleus

Explicação

DBS in Parkinson disease commonly targets the subthalamic nucleus or globus pallidus internus. Ver explicação completa e trilha adaptativa →

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