Deep brain stimulation for Parkinson's disease: Patient selection and evaluation

2002 ◽  
Vol 17 (S3) ◽  
pp. S94-S101 ◽  
Author(s):  
Anthony E. Lang ◽  
Hakan Widner
2011 ◽  
Vol 27 (2) ◽  
pp. 325-326 ◽  
Author(s):  
Takashi Asahi ◽  
Yukichi Inoue ◽  
Nakamasa Hayashi ◽  
Kazutomi Araki ◽  
Shunro Endo

2013 ◽  
Vol 17 (1) ◽  
pp. 102-103 ◽  
Author(s):  
Yasushi Shimo ◽  
Shihoko Natori ◽  
Genko Oyama ◽  
Madoka Nakajima ◽  
Hisato Ishii ◽  
...  

2022 ◽  
Vol 15 ◽  
Author(s):  
Yu Tian ◽  
Jiaming Wang ◽  
Xin Shi ◽  
Zhaohai Feng ◽  
Lei Jiang ◽  
...  

Patients requiring deep brain stimulation due to intracerebral metallic foreign substances have not been reported elsewhere in the world. Additionally, the long-term effects of metallic foreign bodies on deep brain stimulation (DBS) are unknown. A 79-year-old man with a 5-year history of Parkinson's disease (PD) reported that, 40 years ago, while playing with a pistol, a metallic bullet was accidentally discharged into the left brain through the edge of the left eye, causing no discomfort other than blurry vision in the left eye. DBS was performed due to the short duration of efficacy for oral medication. Because the bullet was on the left subthalamic nucleus (STN) electrode trajectory and the patient's right limb was primarily stiff, the patient received globus pallidus interna (GPi)-DBS implantation in the left hemisphere and STN-DBS implantation in the right hemisphere. During a 6-month postoperative follow-up, the patient's PD symptoms were effectively managed with no noticeable discomfort.


Author(s):  
Renato P. Munhoz ◽  
Marina Picillo ◽  
Susan H. Fox ◽  
Veronica Bruno ◽  
Michel Panisset ◽  
...  

AbstractIn this review, the available evidence to guide clinicians regarding eligibility for deep brain stimulation (DBS) in the main conditions in which these forms of therapy are generally indicated—Parkinson’s disease (PD), tremor, and dystonia—is presented. In general, the literature shows that DBS is effective for PD, essential tremor, and idiopathic dystonia. In these cases, key points in patient selection must include the level of disability and inability to manage symptoms using the best available medical therapy. Results are, however, still not optimal when dealing with other aetiologies, such as secondary tremors and symptomatic dystonia. Also, in PD, issues such as age and neuropsychiatric profile are still debatable parameters. Overall, currently available literature is able to guide physicians on basic aspects of patient selection and indications for DBS; however, a few points are still debatable and controversial. These issues should be refined and clarified in future studies.


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