Is a patient controller for Parkinson's disease patients with subthalamic nucleus deep brain stimulation reasonable?

Abstract:

BACKGROUND:A patient controller (PC) is an optional device for patients with deep brain stimulation (DBS) to have limited control of their stimulator system. OBJECTIVES:We investigated the impact of a PC on DBS safety, most notably the handling/prevention of unexpected DBS failure in patients with Parkinson's disease (PD). METHODS:PD patients with subthalamic DBS were educated in the use of a PC. After a first impulse generator (IPG) replacement, data on the use of the PC were obtained from the patients' records and by a patient questionnaire. RESULTS:A total of 27 patients with IPG replacements after 4.4 ± 0.8 years (118.8 patient-years) were included. Thirteen patients transiently used the PC to optimize stimulation amplitudes. Eighteen patients reported events when they used the PC to ensure DBS being on. No accidental switch off by environmental electromagnetism was confirmed. In contrast, 4 patients accidentally turned the IPG off with the PC. Sixteen patients regularly checked the IPG battery but only 1 patient noted a low battery status before quarterly control visits. Of the 27 patients, 26 had anticipated and only 1 an unanticipated IPG replacement. CONCLUSIONS:A PC is not needed for patient safety. However, in some patients, a PC is helpful to optimize stimulation amplitudes and to increase the patients' own perception of safety.

authors

Allert N,Mehnert C,Lehrke R,Maarouf M,Sturm V

doi

10.1159/000329361

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

305-10

issue

5

eissn

1011-6125

issn

1423-0372

pii

000329361

journal_volume

89

pub_type

杂志文章
  • Black holes, white dwarfs and supernovas: imaging after radiosurgery.

    abstract:PURPOSE:To evaluate the imaging and pathological correlates of successful or risk-related stereotactic radiosurgery (SR). Methods and Materials. The ten-year Gamma Knife experience in 2,344 patients at the University of Pittsburgh was reviewed. In addition, the results or radiosurgery primate, rat, and mouse models wer...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056401

    authors: Lunsford LD,Kondziolka D,Maitz A,Flickinger JC

    更新日期:1998-10-01 00:00:00

  • A 13-year experience with epilepsy surgery.

    abstract::Between 1985 and 1997, 563 therapeutic craniotomies were performed: 311 anterior temporal (ATL) and 158 extramesial temporal (XMT) resections, 67 callosotomies, 20 hemispherectomies and 7 multiple subpial transections. Sixty-seven percent of nonlesional ATL cases were seizure free (SF), and 76% of nonlesional ATL case...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029763

    authors: Smith JR,Lee MR,Jenkins PD,King DW,Murro AM,Park YD,Lee GP,Meador KJ,Loring DW

    更新日期:1999-01-01 00:00:00

  • Successful bilateral subthalamic nucleus stimulation for segmental dystonia after unilateral pallidotomy.

    abstract:BACKGROUND:Several subcortical structures have been targeted for surgical treatment of dystonia, including motor thalamus, internal segment of globus pallidus (GPi), and more recently, the subthalamic nucleus (STN). Deep brain stimulation of GPi is currently the preferred surgical treatment, but it is unclear if target...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000112428

    authors: Novak KE,Nenonene EK,Bernstein LP,Vergenz S,Cozzens JW,Rezak M

    更新日期:2008-01-01 00:00:00

  • Less is more: adaptation of voltage after battery replacement in deep brain stimulation for dystonia.

    abstract:BACKGROUND:To maintain the efficacy of deep brain stimulation (DBS) on dystonic symptoms, slight incremental increase in voltage may be necessary over years after a steady state has been reached following the initial programming of optimal settings. So far however, no data are available regarding the adjustment of volt...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000319958

    authors: Blahak C,Capelle HH,Bäzner H,Kinfe T,Hennerici MG,Krauss JK

    更新日期:2010-01-01 00:00:00

  • Surgical repositioning of misplaced subthalamic electrodes in Parkinson's disease: location of effective and ineffective leads.

    abstract::There is no clear consensus regarding the optimal location for placing deep brain stimulation (DBS) electrodes within the subthalamic nucleus (STN) target region in Parkinson's disease. In cases of poor symptom control or adverse effects following lead placement, leads presumed to be inadequately positioned may be cor...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000230692

    authors: Richardson RM,Ostrem JL,Starr PA

    更新日期:2009-01-01 00:00:00

  • Efficacy of corticosteroids in hearing preservation after radiosurgery for vestibular schwannoma: a prospective study.

    abstract:OBJECTIVES:We prospectively investigated the efficacy of corticosteroid medication in salvaging acute hearing deterioration after radiosurgery for vestibular schwannoma (VS) and analyzed prognostic factors for hearing preservation. METHODS:Forty-one patients with serviceable hearing treated with gamma knife radiosurge...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000321913

    authors: Kim JW,Kim DG,Paek SH,Chung HT,Kim YH,Han JH,Park CK,Jung HW

    更新日期:2011-01-01 00:00:00

  • A preliminary study of transient confusional states following bilateral subthalamic stimulation for Parkinson's disease.

    abstract::Transient postoperative confusion (POC) occurs in 5-25% of patients following bilateral subthalamic nucleus stimulation. We retrospectively reviewed data on 96 patients who underwent bilateral subthalamic nucleus deep brain stimulation for Parkinson's disease. Nine percent of patients developed POC. There was no signi...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000086676

    authors: Pilitsis JG,Rezai AR,Boulis NM,Henderson JM,Busch RM,Kubu CS

    更新日期:2005-01-01 00:00:00

  • A noncontacting 3-D digitizer for use in image-guided neurosurgery.

    abstract::Current neuronavigational systems face two primary challenges: (1) automatic and robust registration between preoperative images and the operating room space, and (2) compensation for brain deformations that compromise the accuracy of the initial registration. To contend with these difficulties, we firstly estimate th...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000075171

    authors: Sun H,Farid H,Roberts DW,Rick K,Hartov A,Paulsen KD

    更新日期:2003-01-01 00:00:00

  • Implementation of a stereotactic microscope using an optically coupled tracking system.

    abstract::Image-directed neurosurgical systems allow the correlation of a point in the operative field to a corresponding point on the patient's CT/MR scans. We have modified a surgical microscope by mounting three light-emitting diodes (LEDs) on a small frame attached to the microscope. The operative field was registered to th...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099675

    authors: Hirschberg H

    更新日期:1996-01-01 00:00:00

  • Positron emission tomography imaging-directed stereotactic neurosurgery.

    abstract::The diagnostic yield of stereotactic biopsies depends upon safely sampling the most representative regions of masses. Potentially, localization information presently available from CT and MR scans might be improved by considering regional levels of cerebral metabolism by PET. In 10 selected stereotactic biopsies of in...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098986

    authors: Maciunas RJ,Kessler RM,Maurer C,Mandava V,Watt G,Smith G

    更新日期:1992-01-01 00:00:00

  • Gamma Knife Stereotactic Radiosurgery for Trigeminal Neuralgia Caused by a Developmental Venous Anomaly.

    abstract::Background: Trigeminal neuralgia (TN) is mostly caused by vascular compression of the nerve's root entry zone due to an ectatic artery. Rarer causes include compression from tumors, vascular malformations or multiple sclerosis plaques. Developmental venous anomalies (DVAs) are benign, aberrantly appearing venous struc...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000369562

    authors: Harrison G,Lunsford LD,Monaco Iii EA

    更新日期:2015-01-01 00:00:00

  • Thalamotomy and caudatotomy with the Gamma Knife as a treatment for parkinsonism with a comment on lesion sizes.

    abstract::Radiosurgery with the Gamma Knife was performed in 12 patients with parkinsonism. In 9 patients small lesions were created in the head of the caudate nucleus bilaterally. Two patients underwent radiosurgical thalamotomy, and 1 patient was treated with caudatotomy and thalamotomy. After a follow-up period of 1-12 month...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098781

    authors: Friehs GM,Ojakangas CL,Pachatz P,Schröttner O,Ott E,Pendl G

    更新日期:1995-01-01 00:00:00

  • Deep brain stimulation of the ventral intermediate nucleus of the thalamus for control of tremors in Parkinson's disease and essential tremor.

    abstract::The beneficial effects of ventral intermediate nucleus (VIM) stimulation were evaluated in 20 patients with tremor refractory to medical therapy. Thalamic stimulation is a non-ablative procedure which has the advantage of a reversible, non-destructive lesion. Eleven patients [7 with Parkinson's disease (PD) and 4 with...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000029671

    authors: Kumar K,Kelly M,Toth C

    更新日期:1999-01-01 00:00:00

  • Quality assurance of Leksell gamma units.

    abstract::A Leksell Gamma Unit was commissioned and a Lars Leksell Center for Radiosurgery was established at the University of Virginia Health Sciences Center in March 1989. At that time a formal quality assurance program designed for the Leksell Gamma Unit was put into effect. This paper will review the components of suggeste...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099561

    authors: Berk HW,Agarwal SK

    更新日期:1991-01-01 00:00:00

  • Pressure monitoring inside Meckel's cave during percutaneous microcompression of gasserian ganglion.

    abstract::During percutaneous microcompression of the gasserian ganglion for the relief of trigeminal neuralgia, a computerized technique for monitoring the pressure inside Meckel's cave was employed in 22 patients. A dedicated transducer connected to a computer records the balloon inflation pressure. Its variations are discern...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099391

    authors: Zanusso M,Curri D,Landi A,Colombo F,Volpin L,Cervellini P

    更新日期:1991-01-01 00:00:00

  • Leksell Gamma Knife treatment of tic douloureux.

    abstract::Stereotactic radiosurgery under local anesthesia with the Leksell Gamma Knife can effectively treat some patients with recurrent tic douloureux after unsuccessful medical/surgical procedures. Seven of 12 patients have shown complete relief or improvement of their trigeminal neuralgia. No complications have been observ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000100663

    authors: Rand RW,Jacques DB,Melbye RW,Copcutt BG,Levenick MN,Fisher MR

    更新日期:1993-01-01 00:00:00

  • Microvascular Decompression Alone without Rhizotomy Is an Effective Way of Treating Glossopharyngeal Neuralgia: Clinical Analysis of 46 Cases.

    abstract:BACKGROUND:Microvascular decompression (MVD) has been the right choice for glossopharyngeal neuralgia (GPN) patients. However, whether glossopharyngeal/vagal nerve root rhizotomy should be combined with MVD is still controversial. OBJECTIVE:To evaluate whether glossopharyngeal/vagal nerve root rhizotomy during MVD is ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000505712

    authors: Zheng X,Wei XY,Zhu J,Yuan Y,Ying TT,Li ST

    更新日期:2020-01-01 00:00:00

  • Electrical Stimulation of Subiculum for the Treatment of Refractory Mesial Temporal Lobe Epilepsy with Hippocampal Sclerosis: A 2-Year Follow-Up Study.

    abstract:INTRODUCTION:Evidence has been provided that the subiculum may play an important role in the generation of seizures. Electrical stimulation at this target has been reported to have anticonvulsive effects in kindling and pilocarpine rat models, while in a clinical study of hippocampal deep brain stimulation (DBS), conta...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000510295

    authors: Vázquez-Barrón D,Cuéllar-Herrera M,Velasco F,Velasco AL

    更新日期:2020-10-28 00:00:00

  • Topographic analysis of the gyral patterns of the central area.

    abstract::Great advances in imaging technology allows the surgeon to visualize the entire brain surface during surgery. However, the cerebral convolutions are extremely complex, so that it is often difficult to define the central area precisely. Using the curvilinear reconstruction technique (Gyroview) and MRI, we have analyzed...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000029597

    authors: Lee U,Bastos AC,Alonso-Vanegas MA,Morris R,Olivier A

    更新日期:1998-01-01 00:00:00

  • Development of a Standardized Cranial Phantom for Training and Optimization of Functional Stereotactic Operations.

    abstract:BACKGROUND:In recent years, simulations based on phantom models have become increasingly popular in the medical field. In the field of functional and stereotactic neurosurgery, a cranial phantom would be useful to train operative techniques, such as stereo-electroencephalography (SEEG), to establish new methods as well...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000489581

    authors: Krüger MT,Coenen VA,Egger K,Shah M,Reinacher PC

    更新日期:2018-01-01 00:00:00

  • Effects of bilateral deep brain stimulation of the subthalamic nucleus on olfactory function in Parkinson's disease patients.

    abstract:OBJECTIVE:The goal of the present study was to evaluate the effects of bilateral deep brain stimulation (DBS) of the subthalamic nucleus (STN) on olfaction in patients with Parkinson's disease (PD). METHODS:15 patients suffering from sporadic PD-related dysosmia were implanted with bilateral electrodes aimed at the ST...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000131662

    authors: Guo X,Gao G,Wang X,Li L,Li W,Liang Q,Zhang H

    更新日期:2008-01-01 00:00:00

  • Long-Term Efficacy of Deep Brain Stimulation of Bilateral Globus Pallidus Internus in Primary Meige Syndrome.

    abstract:OBJECTIVE:Deep brain stimulation (DBS) of the internal segment of the globus pallidus (GPi) is an alternative therapy in ameliorating the clinical symptoms of primary Meige syndrome. Nevertheless, proof of its efficacy and safety is insufficient due to several case reports and small-sample clinical studies. This study ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000504861

    authors: Tian H,Yu Y,Zhen X,Zhang L,Yuan Y,Zhang B,Wang L

    更新日期:2019-01-01 00:00:00

  • Posttraumatic stress disorder: neurocircuitry and implications for potential deep brain stimulation.

    abstract::Posttraumatic stress disorder (PTSD) is a prevalent and highly disabling psychiatric disorder that is notoriously difficult to treat. At some point in their lifetimes, 5-8% of men, 10-14% of women, and up to a quarter of combat veterans carry this diagnosis. Despite pharmacological and behavioral therapies, up to 30% ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000343148

    authors: Taghva A,Oluigbo C,Corrigan J,Rezai AR

    更新日期:2013-01-01 00:00:00

  • Comparison of Surgical Resection and Stereotactic Radiosurgery in the Initial Treatment of Brain Metastasis.

    abstract:BACKGROUND:Brain metastasis (BM) is the most common brain malignancy and a common cause of death in cancer patients. However, the relative outcome-related advantages and disadvantages of surgical resection (SR) and stereotactic radiosurgery (SRS) in the initial treatment of BM are controversial. METHOD:We systematical...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: meta分析

    doi:10.1159/000509319

    authors: Liu Z,He S,Li L

    更新日期:2020-01-01 00:00:00

  • Thalamic deep brain stimulation for the treatment of action myoclonus caused by perinatal anoxia.

    abstract:BACKGROUND:Perinatal anoxia rarely causes myoclonus as the main neurologic abnormality. The exact neuronal mechanism underlying myoclonus induced by perinatal anoxia remains unknown. Some studies have indicated that the development of involuntary movements may be related to the maturation of the thalamus after birth. ...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000315464

    authors: Kobayashi K,Katayama Y,Otaka T,Obuchi T,Kano T,Nagaoka T,Kasai M,Oshima H,Fukaya C,Yamamoto T

    更新日期:2010-01-01 00:00:00

  • Exploration of the role of the upper brainstem in motor control.

    abstract::The rostral areas of the brainstem have been extensively studied in higher mammals and to a lesser extent in humans in the last two decades, looking for anatomical, electrophysiological and neurochemical evidence of involvement in the initiation and control of voluntary movement. This has come with the realisation tha...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000068961

    authors: Nandi D,Stein JF,Aziz TZ

    更新日期:2002-01-01 00:00:00

  • MRI-guided stereotactic thalamotomy for cerebral palsy patients with mixed dyskinesia.

    abstract::The author has performed 108 stereotactic thalamotomies using MRI (MGSTs) without ventriculography in 77 cerebral palsy (CP) patients with dyskinesia(s) from January 1992 to January 1997. The clinical results were verified in terms of improvement of major preoperative symptom and patient's (or relative's) satisfaction...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099891

    authors: Lee KH

    更新日期:1997-01-01 00:00:00

  • Analysis of neuroelectric implant integrity.

    abstract::A 10-year follow-up study of neuroelectric implant integrity has been completed for 27 subjects who were treated for movement disorders associated with cerebral palsy. Data used for analysis included X-ray material, clinical data, and results from electrophysiological testing. Of the 21 subjects with subcutaneous rece...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000099487

    authors: Harris GF,Hemmy DC,Coad JE,Mothkur SR,Weber RC

    更新日期:1989-01-01 00:00:00

  • Comparison of radiosurgery planning modalities for acoustic neuroma with regard to conformity and mean target dose.

    abstract:PURPOSE:To evaluate dose conformity and mean target dose in light of previous comparative studies and state-of-the-art radiosurgery delivery modalities. MATERIALS AND METHODS:Seven patients with acoustic neuromas deemed clinically suitable for linear accelerator or Gamma Knife radiosurgery were planned such that the m...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000089987

    authors: Perks JR,El-Hamri K,Blackburn TP,Plowman PN

    更新日期:2005-01-01 00:00:00

  • Gamma Knife Radiosurgery of Brainstem Cavernous Malformations.

    abstract:BACKGROUND/AIMS:Our study aimed to evaluate the efficiency and morbidity of Gamma Knife radiosurgery (GKS) in the treatment of hemorrhagic brainstem cavernous malformations (CMs). METHODS:We included in this study all patients who underwent GKS for the treatment of a hemorrhagic brainstem CM(s) in our institution betw...

    journal_title:Stereotactic and functional neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000452844

    authors: Aboukais R,Estrade L,Devos P,Blond S,Lejeune JP,Reyns N

    更新日期:2016-01-01 00:00:00