Deep brain stimulation for Parkinson's disease: Surgical technique and perioperative management

@article{Machado2006DeepBS,
  title={Deep brain stimulation for Parkinson's disease: Surgical technique and perioperative management},
  author={Andre G. Machado and Ali R. Rezai and Brian H. Kopell and Robert E. Gross and Ashwini Sharan and Alim Louis Benabid},
  journal={Movement Disorders},
  year={2006},
  volume={21}
}
Deep brain stimulation (DBS) is a widely accepted therapy for medically refractory Parkinson's disease (PD). Both globus pallidus internus (GPi) and subthalamic nucleus (STN) stimulation are safe and effective in improving the symptoms of PD and reducing dyskinesias. STN DBS is the most commonly performed surgery for PD as compared to GPi DBS. Ventral intermediate nucleus (Vim) DBS is infrequently used as an alternative for tremor predominant PD patients. Patient selection is critical in… Expand
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References

SHOWING 1-10 OF 58 REFERENCES
Deep brain stimulation for Parkinson's disease. A critical re-evaluation of STN versus GPi DBS.
  • J. Vitek
  • Medicine
  • Stereotactic and functional neurosurgery
  • 2002
TLDR
A critical eye is taken to the present data and addresses the outstanding questions that remain with well-designed clinical trials that evaluate motor, nonmotor and adverse events and address the above clinical variables by randomizing patients, using standardized methods of assessment and defining the lead location. Expand
Deep Brain Stimulation for Parkinson’s Disease
  • J. Vitek
  • Psychology
  • Stereotactic and Functional Neurosurgery
  • 2002
Deep brain stimulation (DBS) in the subthalamic nucleus (STN) and the internal segment of the globus pallidus (GPi) is increasingly being used for the treatment of advanced Parkinson’s disease (PD).Expand
Deep brain stimulation of the subthalamic nucleus for Parkinson's disease: methodologic aspects and clinical criteria.
TLDR
DBS of the subthalamic nucleus of Parkinson's disease is associated with a marked improvement of motor function even in patients with advanced PD, and the most precise localization of the STN is obtained by using ventriculography to determine the stereotactic coordinates of theSTN. Expand
Comparison of pallidal and subthalamic nucleus deep brain stimulation for advanced Parkinson's disease: results of a randomized, blinded pilot study.
TLDR
Pallidal and STN stimulation appears to be safe and efficacious for the management of advanced PD, with significant differences in symptom response and the interaction of L-dopa with stimulation at either site. Expand
Acute and long-term effects of subthalamic nucleus stimulation in Parkinson's disease.
TLDR
STN stimulation in patients suffering from severe akinetic forms of PD, postulated that the excessive output from the subthalamic nucleus plays a critical role, is carried out. Expand
COMPARISON OF THREE METHODS OF TARGETING THE SUBTHALAMIC NUCLEUS FOR CHRONIC STIMULATION IN PARKINSON'S DISEASE
TLDR
The use of the RN as an internal fiducial marker for targeting the optimal region of STN stimulation was reliable and closely approximates the position of the electrode contact that provides the optimal clinical results. Expand
Placement of Deep Brain Stimulators into the Subthalamic Nucleus or Globus pallidus internus: Technical Approach
  • P. Starr
  • Medicine
  • Stereotactic and Functional Neurosurgery
  • 2002
TLDR
The technical approach to subthalamic nucleus (STN) and globus pallidus internus (GPi) DBS implantation, based on 180 STN implants and 75 GPi implants is presented. Expand
Microelectrode-guided implantation of deep brain stimulators into the globus pallidus internus for dystonia: techniques, electrode locations, and outcomes.
TLDR
Patients with juvenile-onset primary dystonia and those with the tardive form benefited greatly from this procedure, whereas benefits for most secondary dystonias and the adult-ONSet craniocervical form of this disorder were more modest. Expand
Electrical stimulation of the subthalamic nucleus in advanced Parkinson's disease.
TLDR
Electrical stimulation of the subthalamic nucleus is an effective treatment for advanced Parkinson's disease and the severity of symptoms off medication decreases, and the dose of levodopa can be reduced with consequent reduction in dyskinesias. Expand
Stimulation of the subthalamic nucleus compared with the globus pallidus internus in patients with Parkinson disease.
TLDR
The improvement of parkinsonian symptoms during stimulation of the GPi, STN, and both nuclei simultaneously may indicate a similar DBS mechanism for both nucleo in inducing antiparkinsonian effects, although STN is more effective. Expand
...
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