Deep Brain Stimulation Programming for Movement Disorders

作者: Ioannis U. Isaias , Michele Tagliati

DOI: 10.1007/978-1-59745-360-8_20

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摘要: The clinical success of deep brain stimulation (DBS) for treating advanced movement disorders is crucially dependent on the quality postoperative neurological management. A well-implanted lead in an appropriately selected patient useless without application proper settings. DBS therapy introduces many cases a delicate balance electrical and pharmacological treatment that requires critical understanding principles pulse generator programming. While countless number possible setting combinations seems to make programming complicated time-consuming endeavor, systematic approach can prove invaluable optimizing therapy. This chapter outlines general stimulation, including parameters may be modulated optimize We also review common steps required select optimal contacts independent anatomical target troubleshooting guidelines. Programming issues relative individual targets are addressed, which include elements anatomy, contact selection, medication adjustment (when appropriate), specific stimulation-related side effects.

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