RT Journal Article
SR Electronic
T1 Deep brain stimulation for movement disorders: Patient selection and technical options
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP S19
OP S24
DO 10.3949/ccjm.79.s2a.04
VO 79
IS 7 suppl 2
A1 Fernandez, Hubert H.
A1 Galvez-Jimenez, Nestor
A1 Machado, Andre G.
A1 Deogaonkar, Milind
A1 Cooper, Scott
YR 2012
UL http://www.ccjm.org/content/79/7_suppl_2/S19.abstract
AB 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.