| Deep brain stimulation: preoperative issues. | |
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MedLine Citation:
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PMID: 16810718 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Numerous factors need to be taken into account in deciding whether a patient with Parkinson's disease (PD) is a candidate for deep brain stimulation. Patient-related personal factors including age and the presence of other comorbid disorders need to be considered. Neuropsychological and neuropsychiatric concerns relate both to the presurgical status of the patient and to the potential for surgery to result in new problems postoperatively. A number of factors related to the underlying PD need to be considered, including the specific parkinsonian motor indications (e.g., tremor, bradykinesia, gait dysfunction), previous medical therapies, including benefit from current therapy and adverse effects, and past surgical treatments. Definable causes of Parkinsonism, particularly atypical Parkinsonisms, should be considered. Finally, methods of evaluating outcomes should be defined and formalized. 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 (MDS). The report has been endorsed by the Scientific Issues Committee of the MDS and the American Society of Stereotactic and Functional Neurosurgery. It outlines answers to a series of questions developed to address all aspects of deep brain stimulation preoperative decision-making. |
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Authors:
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Anthony E Lang; Jean-Luc Houeto; Paul Krack; Cynthia Kubu; Kelly E Lyons; Elena Moro; William Ondo; Rajesh Pahwa; Werner Poewe; Alexander I Tröster; Ryan Uitti; Valerie Voon |
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Publication Detail:
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Type: Consensus Development Conference; Journal Article |
Journal Detail:
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Title: Movement disorders : official journal of the Movement Disorder Society Volume: 21 Suppl 14 ISSN: 0885-3185 ISO Abbreviation: Mov. Disord. Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-08-07 Completed Date: 2006-09-14 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8610688 Medline TA: Mov Disord Country: United States |
Other Details:
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Languages: eng Pagination: S171-96 Citation Subset: IM |
Affiliation:
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Department of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada. lang@uhnres.utoronto.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain
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surgery* Cognition Deep Brain Stimulation / methods* Depression / etiology Dopamine / physiology Guidelines as Topic Humans Parkinson Disease / physiopathology, therapy* Postoperative Complications Preoperative Care* Suicide, Attempted / prevention & control, psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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