Document Detail


Deep brain stimulation: preoperative issues.
MedLine Citation:
PMID:  16810718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Consensus Development Conference; Journal Article    
Journal Detail:
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:
Created Date:  2006-08-07     Completed Date:  2006-09-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8610688     Medline TA:  Mov Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S171-96     Citation Subset:  IM    
Affiliation:
Department of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada. lang@uhnres.utoronto.ca
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MeSH Terms
Descriptor/Qualifier:
Brain / 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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