{"id":265726,"date":"2005-12-22T00:00:00","date_gmt":"2005-12-22T00:00:00","guid":{"rendered":""},"modified":"2005-12-22T00:00:00","modified_gmt":"2005-12-22T00:00:00","slug":"patologie-neurologiche-iniziativa-per-terapie-dbs","status":"publish","type":"post","link":"https:\/\/www.varesenews.it\/2005\/12\/patologie-neurologiche-iniziativa-per-terapie-dbs\/265726\/","title":{"rendered":"Patologie neurologiche: iniziativa per terapie DBS"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: justify\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">Il Consiglio regionale ha approvato una risoluzione, proposta dalla Commissione \u201cSanit\u00e0\u201d presieduta da Pietro Macconi (AN), che impegna la Giunta regionale \u201ca valutare l\u2019estensione della rimborsabilit\u00e0\u201d della terapia di \u201cstimolazione cerebrale profonda\u201d (DBS) oltre che per la terapia del Parkinsonismo anche a patologie neurologiche invalidanti quali la cefalea a grappolo (Cluster headhache), distonie, tremore essenziale, sindrome de la Tourette.<\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: justify\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">L\u2019iniziativa fa seguito ad una audizione Commissione Sanit\u00e0 del direttore del Dipartimento di Neurochirurgia dell\u2019Istituto nazionale neurologico \u201cBesta\u201d di Milano, durante la quale sono stati illustrati i risultati, con efficacia quasi totale, ottenuti nell\u2019applicazione terapeutica della DBS per neuropatie diverse dal Parkinson.<\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: justify\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">Da oltre un quinquennio la Regione Lombardia riconosce agli ospedali il rimborso totale dei neurostimolatori cerebrali profondi (DBS) applicati nella terapia del parkinsonismo mentre <span style=\"mso-spacerun: yes\">\u00a0<\/span>questa procedura non \u00e8 ancora prevista per le altre patologie neurologiche. Secondo uno studio presentato alla Commissione dal Dipartimento di Neurochirurgia del \u201cBesta\u201d, il costo medio del solo impianto protesico (quello \u201cbilaterale\u201d, il pi\u00f9 complesso), si aggira attorno ai<span style=\"mso-spacerun: yes\">\u00a0 <\/span>22 mila euro (personale medico e non medico compresi). Rapportato all\u2019impianto e alla conseguente terapia per cefalea a grappolo, <span style=\"mso-spacerun: yes\">\u00a0<\/span>l\u2019applicazione della DBS permetterebbe un risparmio annuo, per paziente, di circa 36.000 euro. <\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: justify\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">\u00a0<\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: justify\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">\u201cLa richiesta avanzata dai ricercatori \u2013 dice il presidente della Commissione, Pietro Macconi \u2013 \u00e8 un argomento che dobbiamo approfondire seriamente. Da un lato per dare soluzione ad un reale problema delle strutture sanitarie, dall\u2019altro per riconoscere la valenza della sperimentazione attuata dando speranza e sollievo alle persone colpite da patologie neurologiche invalidanti. Questo il motivo per cui con questa risoluzione abbiamo voluto sensibilizzare la Giunta regionale per un rapido intervento\u201d.<\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: justify\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">\u00a0<\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: justify\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">La tecnica DBS prevede l\u2019impianto di elettrodi a livello cerebrale e di un generatore di impulsi completamente impiantati. Al momento l\u2019intervento chirurgico viene effettuato nei seguenti centri:<\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt 36pt; TEXT-INDENT: -18pt; TEXT-ALIGN: justify; tab-stops: list 36.0pt; mso-list: l9 level1 lfo47\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">&#8211;<span style=\"FONT: 7pt \"Times New Roman\"\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">IRCCS Istituto neurologico \u201cBesta\u201d di Milano;<\/p>\n<p \/><\/span><\/p>\n<p class=\"MsoNormal\" style=\"MARGIN: 0cm 0cm 0pt 36pt; TEXT-INDENT: -18pt; TEXT-ALIGN: justify; tab-stops: list 36.0pt; mso-list: l9 level1 lfo47\"><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">&#8211;<span style=\"FONT: 7pt \"Times New Roman\"\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/span><span style=\"FONT-SIZE: 12pt; FONT-FAMILY: Arial\">Azienda ospedaliera Maggiore Policlinico, Mangiagalli, 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