Download or read book Deep Brain Stimulation for Parkinson s Disease written by Gordon H. Baltuch and published by CRC Press. This book was released on 2007-03-19 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considered the largest breakthrough in the treatment of Parkinson's disease in the past 40 years, Deep Brain Stimulation (DBS) is a pioneering procedure of neurology and functional neurosurgery, forging enormous change and growth within the field. The first comprehensive text devoted to this surgical therapy, Deep Brain Stimulation for Parkinson's
Download or read book Surgery for Parkinson s Disease written by Robert R. Goodman and published by Springer. This book was released on 2019-01-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep brain stimulation for the treatment of patients with Parkinson’s disease was introduced in the 1990s. Initially performed only at academic centers, over the past decade it has become a widespread surgical procedure. A variety of surgical techniques are employed and innovations are introduced frequently. This book is an ideal source of information for the many practicing neurosurgeons who did not learn this surgery during their training but would now like to add it to their practice, as well as an excellent update on exciting new developments in surgery for Parkinson’s disease. This book is designed to provide practicing neurosurgeons with current knowledge on the practical aspects of surgical treatment of patients with Parkinson’s disease. It explains how to identify surgical candidates and determine the optimal surgery, describes the various surgical techniques that are currently employed, and offers insights into how to optimize deep brain stimulation therapy after implantation. The keys to avoidance of surgical complications are carefully elucidated. In addition, an overview is provided of potential advances on the near-term horizon, including closed-loop deep brain stimulation, gene therapy, and optogenetics. All topics are covered by experienced Parkinson’s disease surgeons, in a concise and digestable format. The book will be an ideal source of information for the many practicing neurosurgeons who would like to add deep brain stimulation to their practice, as well as an excellent update on new developments in surgery for Parkinson’s disease.
Download or read book Brain Stimulation written by Günther Deuschl and published by Elsevier Inc. Chapters. This book was released on 2013-11-11 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep brain stimulation is one of the most effective treatments of Parkinson’s disease (PD). This report summarizes the state of the art as at January 2013. Stimulation of the subthalamic nucleus is the most commonly used approach. It improves the core motor symptoms better than medication in patients with advanced disease. It also improves the majority of nonmotor symptoms, such as mood, impulse control disorders, sleep, and some autonomic dysfunctions. Quality of life (QoL) is improved significantly more than with medication. Long-term data show that the treatment is effective for up to 10 years, but the late appearance of l-dopa-resistant symptoms is seemingly not influenced. Internal globus pallidus (GPi) stimulation is less well studied but seems to have similar short-term efficacy. Importantly l-dopa use cannot be reduced with GPi DBS, which is a major disadvantage for patients suffering from medication side-effects, although gait may be influenced more positively. Although short-term QoL improvement seems to be similar to that for subthalamic nucleus (STN) DBS – gait and speech may be better improved – long-term data are rare for GPi DBS. Thalamic stimulation in the ventral intermediate nucleus (VIM) is applied only in tremor-dominant elderly patients. The treatment improves the dopa-sensitive symptoms and effectively reduces fluctuations leading to an overall QoL improvement. Although most of the controlled studies have been on advanced PD, the recently published EARLYSTIM study suggests that even patients with a very short duration of their fluctuations and dyskinesia are doing significantly better with neurostimulation in terms of QoL and all major motor outcome parameters.
Download or read book Subthalamic Deep Brain Stimulation for Advanced Parkinson s Disease written by Rens Verhagen and published by . This book was released on 2022 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Brain Stimulation written by Pierre Pollak and published by Elsevier Inc. Chapters. This book was released on 2013-11-11 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: Proper selection of patients who will reliably benefit from deep brain stimulation (DBS) is critical to its success. This requires careful evaluation that should be delivered by an expert multidisciplinary team involving a movement disorder neurologist, a neurosurgeon, a neuropsychologist, and a psychiatrist. The most suitable candidates for DBS suffer from Parkinson’s disease with motor fluctuations and/or dyskinesias that are not adequately controlled with optimized medical therapy, or with medication-refractory tremor. During the best on-motor periods, gait difficulties, instability, and speech problems should be minimal, reflecting an excellent response to levodopa in the ideal candidate. The cognitive, psychiatric, and behavioral status must be normal or minimally affected, with the exception of dopamine agonist drug-induced impulse control disorders, which are usually improved after successful surgery and drug withdrawal. Moreover, the patients have no serious comorbidities. Most patients corresponding to this profile suffer from a relatively young onset of Parkinson’s disease, and are aged less than 70 years at the time of surgery. Indeed, most patients fall outside this ideal description, and the medical art is to appreciate for each patient the extent to which the alterations of these features can be accepted. Eventually, patients make their own decision from detailed information of their individualized risks and benefits of DBS. Patient expectations, cooperation, and familial support are also important considerations.
Download or read book Deep Brain Stimulation Management written by William J. Marks, Jr and published by Cambridge University Press. This book was released on 2015-09-03 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential reference guide for clinicians working with DBS patients, fully revised throughout with new chapters on epilepsy and psychiatric disorders.
Download or read book Surgical Treatment of Parkinson s Disease and Other Movement Disorders written by Daniel Tarsy and published by Springer Science & Business Media. This book was released on 2002-10-14 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Surgical Treatment of Parkinson's Disease and Other Movement Disorders, a panel of highly experienced neurosurgeons, neurophysiologists, neuropsychologists, and neuroanatomists join forces to create an integrated, cutting-edge survey all of the methodologies necessary for successful surgical treatment.
Download or read book The Effect of Dopamine Agonists on Patients with Advanced Parkinson s Disease Subjected to Subthalamic Deep Brain Stimulation written by Mazen Gerges Jabre and published by . This book was released on 2000 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Deep Brain Stimulation written by Shilpa Chitnis MD, PhD and published by Oxford University Press. This book was released on 2020-06-30 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep Brain Stimulation addresses the practical tips required to program and manage deep brain stimulation devices in the clinic. The number of deep brain stimulation devices worldwide will soon eclipse 200,000 and is an approved surgical treatment for medically refractory neurological movement disorders such as Parkinson disease, tremors, and dystonia. It is, therefore, inevitable that clinicians and nurses will require the necessary tools, and exemplary real-life cases, to manage these complex patients. This book offers a case-based approach to common and uncommon neurologic problems related to deep brain stimulator problems. Each case is a clinical pearl, accompanied by a discussion as well as practical tips to improve patient management.
Download or read book Deep Brain Stimulation written by Peter Bain and published by Oxford University Press. This book was released on 2009-03-05 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook provides an overview of the use of deep brain stimulation (DBS) for the treatment of movement disorders as well as an introduction to the developing area of DBS for the management of psychiatric disease.
Download or read book Brain Stimulation written by Anna Castrioto and published by Elsevier Inc. Chapters. This book was released on 2013-11-11 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep brain stimulation has become an established treatment for advanced Parkinson’s disease. Its postoperative management is a delicate phase, dedicated to finding the optimal balance between stimulation and dopaminergic treatment. Postoperative management can be divided into an acute phase, aimed at the selection of the best stimulation contact, and a stabilization phase, aimed at the progressive adjustment of stimulation parameters and medications. A good knowledge of the electrophysiological anatomy of the target and surrounding structures, of the potential consequences of dopaminergic treatment modifications, and of the time course and interactions between stimulation and medication effects is mandatory for optimal outcome. This chapter focuses on the main strategies for the acute and chronic management of stimulation parameters and medication in the three main nuclei targeted in Parkinson’s disease, namely the subthalamic nucleus, the ventral intermediate thalamic nucleus, and the internal part of the globus pallidus.
Download or read book Deep Brain Stimulation Management written by William J. Marks, Jr and published by Cambridge University Press. This book was released on 2010-10-28 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep Brain Stimulation Management is a practical guide to the use of this paradigm-shifting therapy for movement disorders, including Parkinson's disease, essential tremor, and dystonia. This title is an essential resource for clinicians who wish to begin utilizing DBS, as well as current practitioners seeking to improve their understanding and application of the technique. Highly illustrated and in full color throughout, this comprehensive book covers the key aspects of DBS practice, including patient selection, device programming and activation to achieve optimum symptom control, long-term management, and troubleshooting. With contributions from some of the most experienced clinical leaders in the field of DBS and extremely practical content, this is an essential reference text for any clinician working with DBS patients.
Download or read book Deep Brain Stimulation of the Subthalamic Nucleus and Globus Pallidus Internus for Advanced Parkinson s Disease written by Vincentius Jozef Johannes Odekerken and published by . This book was released on 2016 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Deep Brain Stimulation (DBS) for Parkinson's disease is a treatment option in patients with medication-induced motor response fluctuations, when medication schedule adjustments are no longer able to sustain optimal functioning in daily life. DBS mainly improves motor symptoms that initially responded well to dopaminergic treatment, such as tremor, bradykinesia and rigidity. DBS also reduces the time spent in off-drug phase, dyskinesias, and medication use. The most important complications of surgery are intracerebral hematoma (rarely encountered), infection, hardware complications, and cognitive impairment and behavioral changes. Both globus pallidus parts interna (GPi) DBS and subthalamic nucleus (STN) DBS improve motor symptoms, but it is unclear which nucleus improves symptoms more. Moreover, STN DBS might be associated with more side-effects on cognition, mood, and behavior. The Netherlands SubThalamic And Pallidal Study (NSTAPS) is a randomized controlled trial that compares outcome after GPi DBS and STN DBS up to three years after surgery. Functioning, cognition, mood, behavior, motor symptoms, quality of life and complications of surgery are evaluated. The results are discussed in this thesis. The hypothesis of the study was that GPi DBS and STN DBS give a similar improvement in motor symptoms, but that GPi DBS would result in a better daily functioning due to fewer adverse effects on cognition, mood, and behavior."--Samenvatting auteur.
Download or read book Deep Brain Stimulation written by Peter Bain and published by OUP Oxford. This book was released on 2009-03-05 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep brain stimulation (DBS) is increasingly used for the treatment of patients with severe Parkinson's disease and other movement disorders, but the technique and science behind it is still poorly understood by most clinicians. This book is intended to provide an overview of the use of deep brain stimulation for movement disorders and provide an introduction to the developing arena of DBS for psychiatric disease. The first part of the book covers the varying surgical techniques involved in implanting electrodes into various deep nuclei within the brain. The neurophysiological techniques involved in this process and the complex issue of programming the implanted stimulator in order to optimise therapeutic efficacy and minimise stimulation induced adverse effects. The second part of the book describes how to select appropriate patients for DBS and describes the results of DBS treatment for Parkinson's disease, dystonia and various tremors, as well as psychiatric conditions. Edited by three of the world's leading experts in the DBS field, this pocketbook will provide neurologists, trainees and specialist nurses with an overview of the therapeutics use of DBS
Download or read book Trends in Clinical Deep Brain Stimulation written by Marcus L. F. Janssen and published by MDPI. This book was released on 2021-03-17 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers the current trends in clinical deep brain stimulation (DBS) research. This collection of papers from experts in the field provides state of the art knowledge and future perspectives in clinical DBS research. A range of topics involved in DBS is presented, ranging from high resolution imaging, electrophysiology and personalized medicine, in a broad range of brain disorders.
Download or read book Deep Brain Stimulation written by Shilpa Chitnis and published by Oxford University Press, USA. This book was released on 2020 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep Brain Stimulation addresses the practical tips required to program and manage deep brain stimulation devices in the clinic. The number of deep brain stimulation devices worldwide will soon eclipse 200,000 and is an approved surgical treatment for medically refractory neurological movementdisorders such as Parkinson disease, tremors, and dystonia. It is, therefore, inevitable that clinicians and nurses will require the necessary tools, and exemplary real-life cases, to manage these complex patients. This book offers a case-based approach to common and uncommon neurologic problemsrelated to deep brain stimulator problems. Each case is a clinical pearl, accompanied by a discussion as well as practical tips to improve patient management.
Download or read book Parkinson s Disease Current and Future Therapeutics and Clinical Trials written by Néstor Gálvez-Jiménez and published by Cambridge University Press. This book was released on 2016-03-24 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book emphasizes treatment options for Parkinson's disease, providing the necessary clinical and scientific basis for the foundations of solid therapeutics.
