Functional Surgery in Parkinson’s Disease; Programming and Medication Adjustment in the Stabilization Period of Deep Brain Stimulation
Ayşe BORA TOKÇAER
Gazi Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı, Ankara, Türkiye
Keywords: Generator; neuromodulation; Parkinson’s disease; subthalamic nucleus; surgery; treatment.
Abstract
Being used in the treatment of advanced Parkinson’s disease, deep brain stimulation treatment is a method that requires close follow-up of the patient in the postoperative period. Surgical targets are predominantly subthalamic nucleus and sometimes globus pallidus internus, and also the thalamus ventral intermediolateral (VIM) nucleus for tremor-dominant Parkinson’s disease patients. Programming the stimulator differs for each target and the dopaminergic drugs are slowly reduced during the patient’s neuromodulation. Intrinsic and extrinsic side effects should be carefully tracked during the voltage adjustment in follow-ups and the patient should be controlled by optimal treatment.