Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease: Valuable Programming Insights from Anecdotal Observations.

Abstract:

:In this article, we use a case to illustrate and discuss some practically important learning points about programming subthalamic nucleus deep brain stimulation for Parkinson's disease patients and highlight clinically relevant issues resulting from anatomical and device-related anomalies. These include the phenomenon of a dominant subthalamic nucleus, clinical variability with delayed response to stimulation, equivalence of electrical charge when using short-pulse settings, and issues regarding conversion of settings between constant-current and constant-voltage devices that are increasingly common with the use of device components from multiple manufacturers.

authors

Dayal V,Akram H,Zrinzo L,Limousin P,Foltynie T

doi

10.1159/000505701

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

62-64

issue

1

eissn

1011-6125

issn

1423-0372

pii

000505701

journal_volume

98

pub_type

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    authors: Nuttin B,Knauth M,Gybels J,Verbeeck R,Vandermeulen D,Michiels J,Suetens P,Marchal G

    更新日期:1994-01-01 00:00:00

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    doi:

    authors: Leksell DG

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    pub_type: 杂志文章

    doi:10.1159/000098897

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    doi:10.1159/000099736

    authors: Ott K

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    doi:10.1159/000107360

    authors: Wårdell K,Blomstedt P,Richter J,Antonsson J,Eriksson O,Zsigmond P,Bergenheim AT,Hariz MI

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    doi:10.1159/000280823

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    doi:10.1159/000505712

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    doi:10.1159/000500491

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    doi:10.1159/000455930

    authors: Cao C,Zhang H,Li D,Zhan S,Zhang J,Zhang X,Zuo C,Sun B

    更新日期:2017-01-01 00:00:00

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    doi:10.1159/000316761

    authors: Kelman C,Ramakrishnan V,Davies A,Holloway K

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    authors: Nuti C,Vassal F,Mertens P,Lemaire JJ,Magnin M,Peyron R

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    doi:10.1159/000099557

    authors: Lindquist C,Kihlström L,Hellstrand E

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    doi:10.1159/000495414

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    authors: Iseki H,Masutani Y,Iwahara M,Tanikawa T,Muragaki Y,Taira T,Dohi T,Takakura K

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