Introduction to the programming of deep brain stimulators

  title={Introduction to the programming of deep brain stimulators},
  author={Jens Volkmann and Jan Herzog and Florian Kopper and G Deuschl},
  journal={Movement Disorders},
The clinical success of deep brain stimulation (DBS) for treating Parkinson's disease, tremor, or dystonia critically depends on the quality of postoperative neurologic management. Movement disorder specialists becoming involved with this therapy need to acquire new skills to optimally adapt stimulation parameters and medication after implantation of a DBS system. In clinical practice, the infinite number of possible parameter settings in DBS can be reduced to few relevant combinations. In this… 
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This chapter reviews the current uses of DBS, the understanding of underlying neurophysiology, and of devices, followed by emerging applications, progress in device optimization, and the future of functional neurosurgery.
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An up-to-date overview of the principles of DBS, its neural mechanisms and its potential future applications is given.
Deep brain stimulation.
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Nursing time to program and assess deep brain stimulators in movement disorder patients.
It took twice as long to program the stimulator in patients with Parkinson's disease as it did in patientsWith essential tremor or dystonia, when setting up a program for movement disorders surgery, nursing time spent on patient assessment and programming should be considered in the workload.
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Although this is a retrospective study dealing with dystonia of heterogeneous etiology, the results strongly suggest that GPi DBS has a better outcome than VLp DBS.
Identification of the target neuronal elements in electrical deep brain stimulation
It is concluded that the primary targets of stimulation in both nuclei are most probably large myelinated axons, taking advantage of the difference in strength–duration time constant of largeMyelinatedAxons.
Globus pallidus deep brain stimulation for generalized dystonia: Clinical and PET investigation
Altering basal ganglia function with GPi DBS reverses the overactivity of certain motor cortical areas present in dystonia.
Bilateral pallidal stimulation for cervical dystonia: dissociated pain and motor improvement.
Two patients with idiopathic cervical dystonia (ICD) with only mild motor improvement but marked amelioration of pain symptoms following bilateral DBS of the posteroventral GPi are reported.
Pallidal stimulation for generalized dystonia. Report of three cases.
Three patients with generalized dystonia are described and their improvement after bilateral pallidal stimulation at follow-up times of between 6 and 18 months is described.
Parkinson’s Disease and Movement Disorders
  • W. Weiner
  • Medicine, Psychology
    Current Clinical Practice
  • 2000
•Get comprehensive, current information on every aspect (including behavioral and psychologic concomitants) of all common and uncommon movement disorders, including Parkinson's disease, other