TY - JOUR T1 - Deep brain stimulation for movement disorders: Patient selection and technical options JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - S19 LP - S24 DO - 10.3949/ccjm.79.s2a.04 VL - 79 IS - 7 suppl 2 AU - Hubert H. Fernandez AU - Nestor Galvez-Jimenez AU - Andre G. Machado AU - Milind Deogaonkar AU - Scott Cooper Y1 - 2012/07/01 UR - http://www.ccjm.org/content/79/7_suppl_2/S19.abstract N2 - Deep brain stimulation (DBS) is used as a treatment for movement disorders. Unlike ablative procedures, DBS is reversible and adjustable. It is approved in the United States for treatment of Parkinson disease (PD), dystonia, and tremor. This surgical procedure is considered safe and effective for the management of the motor symptoms of these disorders, although it does not cure the underlying conditions. Potential complications of DBS surgery include intracranial hemorrhage, infections, and complications related to the hardware. There may also be complications related to stimulation or programming, although these are usually associated with dosages of dopaminergic medications and are reversible. DBS is usually performed under conscious sedation with awake evaluation during intraoperative physiologic testing. Typically, the procedure is performed with stereotactic image guidance, using computed tomography or magnetic resonance imaging (MRI) for targeting. Surgery can be accomplished with stereotactic frames or frameless systems. Recently, intraoperative MRI guidance has become available and is an alternative to the traditional surgical procedure, allowing for implantation of the DBS device under general anesthesia. ER -