Deep brain stimulation: Practice, Follow-up, Difficult-to-treat patients
Yasemin Ünal1, Ali Savaş2, M. Cenk Akbostancı3
1Muğla Sıtkı Koçman Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı, Muğla, Türkiye
2Ankara Üniversitesi Tıp Fakültesi Beyin Cerrahi Anabilim Dalı, Ankara, Türkiye
3Ankara Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı, Ankara, Türkiye
Keywords: Deep brain stimulation programming; deep brain stimulation; Parkinson's disease.
Abstract
Deep brain stimulation (DBS) is a proven treatment method for advanced stage Parkinson’s disease associated with motor complications. Proper patient selection and correct surgical technique as well as postoperative programming and adjustment of medical treatment increase the success of DBS. Deep brain stimulation improves some signs of the disease, while dyskinesia, dystonia, speech, gait and balance disorders, and psychiatric symptoms may worsen postoperatively. In this article, we review the surgical management, postoperative follow-up, stimulator programming, and adjustment of medical management in Parkinson’s disease.