Deep brain stimulation (DBS) is increasingly used for the treatment of patients with severe Parkinsons disease and other movement disorders, but the technique and science behind it is still poorly understood by most clinicians. This book is intended to provide an overview of the use of deep brain stimulation for movement disorders and provide an introduction to the developing arena of DBS for psychiatric disease. The first part of the book covers the varying surgical techniquesinvolved in implanting electrodes into various deep nuclei within the brain. The neurophysiological techniques involved in this process and the complex issue of programming the implanted stimulator in order to optimise therapeutic efficacy and minimise stimulation induced adverse effects. The secondpart of the book describes how to select appropriate patients for DBS and describes the results of DBS treatment for Parkinsons disease, dystonia and various tremors, as well as psychiatric conditions. Edited by three of the worlds leading experts in the DBS field, this pocketbook will provide neurologists, trainees and specialist nurses with an overview of the therapeutics use of DBS
Part 1 - Surgical techniques; Subthalamic nucleus stimulation; Globus pallidus stimulation; Thalamic stimulation; Zona incerta and Pediculopontine stimulation; Part 2 - Operative physiological techniques and post-operative stimulator programming; Microelectrode recording; Macroelectrode recording; Test stimulation; DBS stimulator programming; Part 3 - DBS for movement disorders; Selecting appropriate Parkinsons patients for DBS; The long term results of STN stimulation; The long term results of GPi stimulation; Post-STN DBS Parkinsons disease; Selecting appropriate dystonic patient for GPi stimulation; The results of GPi stimulation for generalized dystonia; The results of GPi stimulation for focal dystonia; Selecting appropriate tremor patients for DBS; The results of DBS for tremor; Part 4 - DBS for psychiatric conditions; DBS for Gilles de la Tourette syndrome; DBS for obsessive compulsive disorder; Cingulate area 25 DBS for depression; Part 5 - Mathematical modelling of DBS; Modelling approaches to DBS; Appendix: Useful links;
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