Early application of deep brain stimulation: clinical and ethical aspects.

Abstract:

:Deep brain stimulation (DBS) has proven to be a successful therapeutic approach in several patients with movement disorders such as Parkinson's disease and dystonia. Hitherto its application was mainly restricted to advanced disease patients resistant to medication or with severe treatment side effects. However, there is now growing interest in earlier application of DBS, aimed at improving clinical outcomes, quality of life, and avoiding psychosocial consequences of chronic disease-related impairments. We address the clinical and ethical aspects of two "early" uses of DBS, (1) DBS early in the course of the disease, and (2) DBS early in life (i.e. in children). Possible benefits, risks and burdens are discussed and thoroughly considered. Further research is needed to obtain a careful balance between exposing vulnerable patients to potential severe surgical risks and excluding them from a potentially good outcome.

journal_name

Prog Neurobiol

journal_title

Progress in neurobiology

authors

Woopen C,Pauls KA,Koy A,Moro E,Timmermann L

doi

10.1016/j.pneurobio.2013.04.002

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

74-88

eissn

0301-0082

issn

1873-5118

pii

S0301-0082(13)00038-5

journal_volume

110

pub_type

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