Deep brain stimulation for Parkinson's disease: surgical issues.
Publication/Presentation Date
6-1-2006
Abstract
Numerous factors need to be taken into account when implanting deep brain stimulation (DBS) systems into patients with Parkinson's disease. The surgical procedure itself can be divided into immediate preoperative, intraoperative, and immediate postoperative phases. Preoperative considerations include medication withdrawal issues, stereotactic equipment choices, imaging modalities, and targeting strategy. Intraoperative considerations focus on methods for physiological confirmation of a given target for DBS electrode deployment. Terms such as microelectrode recording, microstimulation, and macrostimulation will be defined to clarify inconsistencies in the literature. Advantages and disadvantages of each technique will be addressed. Furthermore, operative decisions such as staging, choice of electrode and implantable pulse generator, and methods of device fixation will be outlined. Postoperative issues include imaging considerations, including magnetic resonance safety, device-device interactions, and immediate surgical complications pertaining to the DBS procedure. This report outlines answers to a series of questions developed to address all aspects of the DBS surgical procedure and decision-making with a systematic overview of the literature (until mid-2004) and by the expert opinion of the authors. This is a report from the Consensus on Deep Brain Stimulation for Parkinson's Disease, a project commissioned by the Congress of Neurological Surgeons and the Movement Disorder Society. It outlines answers to a series of questions developed to address all surgical aspects of deep brain stimulation.
Volume
21 Suppl 14
First Page
197
Last Page
218
ISSN
0885-3185
Published In/Presented At
Rezai, A. R., Kopell, B. H., Gross, R. E., Vitek, J. L., Sharan, A. D., Limousin, P., & Benabid, A. L. (2006). Deep brain stimulation for Parkinson's disease: surgical issues. Movement disorders : official journal of the Movement Disorder Society, 21 Suppl 14, S197–S218. https://doi.org/10.1002/mds.20956
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
16810673
Department(s)
Administration and Leadership
Document Type
Article