Deep brain stimulation management
edited by William J. Marks, Jr., Professor of Neurology, Department of Neurology, School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Bok Engelsk 2015 · Electronic books.
| Medvirkende | Marks, William J., (editor.)
|
|---|---|
| Omfang | 1 online resource (xiii, 235 pages) : : digital, PDF file(s).
|
| Utgave | Second edition.
|
| Opplysninger | Title from publisher's bibliographic system (viewed on 05 Oct 2015).. - Cover -- Half-title -- Title page -- Copyright information -- Dedication -- Table of contents -- List of contributors -- Preface -- List of abbreviations -- Chapter 1 Introduction: The expanding role of deep brain stimulation -- Overview -- The DBS device and implant surgery -- Indications for DBS -- Factors for success in DBS -- DBS: a different way to think about neurological and psychiatric treatment -- How this book can help -- Chapter 2 Patient selection: when to consider deep brain stimulation for patients with Parkinson's disease, essential tremor, or dystonia -- Importance of patient selection -- Parkinson's disease -- Who will benefit from treatment with DBS? -- Indications for treatment with DBS -- Certainty of diagnosis -- Identification of motor symptoms and their disability -- Status of pharmacological treatment -- Extent of dopaminergic responsiveness -- Identification of nonmotor symptoms -- Cognitive status -- Mood and psychotic symptoms -- Autonomic symptoms -- Sleep disturbances -- Sensory symptoms -- Upper age limit -- DBS used in early motor complications -- Unilateral versus bilateral treatment -- Simultaneous versus staged -- Awake versus asleep surgery -- Previous surgery for PD -- Surgical brain target selection -- Essential tremor -- Certainty of diagnosis of ET -- Identification of severity of tremor and related disability -- Status of pharmacological treatment -- Target selection -- Unilateral versus bilateral treatment -- Type of intervention -- Dystonia -- Classification -- Clarification of diagnosis -- Documentation of dystonia -- Assessment of disability -- Status of pharmacological treatment -- Predictive factors -- Neuropsychological and psychiatric assessments -- Target choice -- Counseling patients on expected DBS outcome -- Factors relevant to PD, ET, and dystonia patients considering DBS surgery.. - DBS lead or wire break (Figure 12.7).. - Efforts to simplify stimulation parameters -- Safety -- Implications for clinical care -- References -- Chapter 6 Fundamentals of deep brain stimulation programming -- Introduction -- Hardware components -- Neurostimulator -- Single-channel neurostimulators -- Dual-channel neurostimulators -- Quadripolar DBS leads -- Extensions -- Clinician programmer -- Patient programmers -- Adjustability of DBS -- Electrode configuration -- Amplitude -- Pulse width -- Rate -- Initial visit (Table 6.1) -- Preparation -- Timing -- Duration -- Medication state -- Participants -- Surgical and imaging data -- Documentation -- Interval history -- Physical exam -- Selecting a sign or symptom to assess -- Choosing sides -- Explanation of the process -- Programming -- Check impedances -- Screen the electrodes for effects -- Set the amplitude -- Attend to final steps -- Patient education -- Patient programmer -- Safety -- Follow-up visits (Table 6.2) -- Preparation -- Timing -- Duration -- Medication state -- What to bring -- Systematic approach -- Interval history -- Physical exam -- Programming -- Documenting starting parameters -- Impedance -- Usage data -- Battery status -- Electrode selection -- Amplitude selection -- Final steps -- Patient education -- Further reading -- Chapter 7 Managing essential tremor patients treated with deep brain stimulation -- Data collection before beginning device programming -- Patient programming -- Stimulation-related adverse effects -- Tremor medication adjustments -- Follow-up -- Patient instructions -- Management of other forms of tremor -- References -- Chapter 8 Managing Parkinson's disease patients treated with deep brain stimulation -- Introduction -- Clinical effects of DBS of Vim, STN, and GPi -- Choice of stimulation location -- Preoperative patient management -- General postoperative patient management issues.. - Practical aspects of anterior nucleus thalamic DBS for epilepsy -- Hippocampal deep brain stimulation -- The responsive neurostimulation trial for epilepsy -- Conclusions -- References -- Chapter 11 Managing patients with psychiatric conditions treated with deep brain stimulation -- Introduction -- Historical overview -- Patient selection -- Surgical candidacy review -- Preoperative medical evaluation and informed consent -- Implantation -- DBS device programming -- Initial parameter optimization -- Follow-up visits -- Common adverse events -- Expected outcomes -- Future directions -- References -- Chapter 12 Assessing patient outcome and troubleshooting deep brain stimulation -- Introduction -- Assessment of DBS outcome -- Assessment of clinical outcome following DBS -- Assessment of patient quality of life following DBS -- Quality of Life Satisfaction - Deep Brain Stimulation (QLSm-DBS) scale -- Quality of Life in Essential Tremor Questionnaire (QUEST) -- Quality of life for dystonia -- Assessment of neuropsychiatric and neuropsychological outcome following DBS -- Approach to DBS troubleshooting -- Potential problems/issues and solutions encountered with DBS -- Troubleshooting surgery-related complications (Table 12.4) -- Intracerebral hemorrhage/subdural hematoma -- Prevention -- Troubleshooting -- Delayed deep cerebral venous bleeding/infarction -- Prevention -- Troubleshooting -- Seizure -- Troubleshooting -- Sterile seroma -- Troubleshooting -- Pulmonary embolism -- Prevention -- Troubleshooting -- Pneumonia -- Troubleshooting -- Postoperative confusion -- Troubleshooting -- Suboptimal DBS lead placement (Figure 12.3) -- Prevention -- Troubleshooting -- Management of device-related issues -- Infection (Figure 12.5) -- Prevention -- Troubleshooting (Figure 12.6) -- Skin erosion -- Prevention -- Troubleshooting.. - Surgical risk -- Type of DBS neurostimulator -- Patient expectations and social support -- Interdisciplinary and multidisciplinary consensus -- References -- Chapter 3 Surgical placement of deep brain stimulating leads for the treatment of movement disorders - intraoperative aspects: physiological mapping, test stimulation, and patient evaluation -- Introduction -- Basal ganglia anatomy: parallel distributed functional anatomy allows for local therapy, such as DBS -- Movement disorders may be thought of as brain arrhythmias: DBS as a brain pacemaker -- DBS lead implantation -- Anatomical targeting -- Intraoperative microelectrode recording -- MER: method for determining anatomical boundaries and the sensorimotor region -- Mapping the sensorimotor region -- Boundary and sensorimotor mapping using MER -- Microstimulation at the base of every MER track -- DBS lead insertion and intraoperative DBS test stimulation -- Subthalamic nucleus (STN) -- Globus pallidus (GPi) -- Vim thalamus -- Making the map -- Postoperative imaging: lead location confirmation -- Pitfalls and potential sources of error in the outcome of DBS lead placement -- References -- Chapter 4 New techniques for deep brain stimulation lead implantation -- Introduction -- Preoperative imaging -- Challenges with awake surgery -- Intraoperative imaging -- Image-guided DBS surgery -- MRI-guided DBS implantation -- CT-guided DBS implantation -- Pros and cons of MRI-guided versus CT-guided awake DBS -- Conclusions -- References -- Chapter 5 Principles of neurostimulation -- Introduction -- Background -- Rough approximation of effective DBS -- The basic unit of information in the brain -- The electronics of DBS -- Constant-voltage versus constant-current neurostimulators -- Active electrode configurations -- Putting it together -- DBS rate -- The ''U-shaped'' response.. - The role of postoperative imaging -- DBS device programming in Parkinson's disease -- Assessment and record-keeping of clinical effects -- Scheduling Vim DBS programming sessions -- Vim DBS programming algorithm (Figure 8.1) -- Determination of efficacy on tremor with Vim DBS -- Determination of efficacy on drug-induced dyskinesia with Vim DBS -- Delayed stimulation adjustment and medication adjustment with Vim DBS -- Scheduling GPi, STN, or PPN DBS programming sessions -- GPi DBS programming algorithm (Figure 8.3) -- Determination of efficacy on off-period parkinsonism with GPi DBS -- Determination of efficacy on drug-induced dyskinesia with GPi DBS -- Delayed stimulation and medication adjustment with GPi DBS -- STN DBS programming algorithm (Figure 8.4) -- Determination of efficacy on off-period parkinsonism with STN DBS -- Determination of efficacy on drug-induced dyskinesia with STN DBS -- Long-term patient management with STN DBS -- Management of motor symptoms with STN DBS -- Management of behavioral and cognitive effects of STN stimulation -- The evolving phenotype of advanced Parkinson's disease in the DBS era -- PPN stimulation -- Conclusion -- References -- Chapter 9 Managing dystonia patients treated with deep brain stimulation -- Introduction -- Anatomical target and best lead location -- Initial programming -- Active electrode choice -- Electrode configuration -- Stimulation parameters -- Amplitude -- Pulse width -- Rate -- Follow-up programming -- Troubleshooting -- Stimulation-related adverse effects -- References -- Chapter 10 Managing epilepsy patients treated with deep brain stimulation -- Introduction -- Epilepsy syndromes and resective epilepsy surgery -- Neurostimulation for the treatment of pharmacoresistant epilepsy -- Deep brain stimulation in epilepsy -- The SANTE trial.. - This concise guide to deep brain stimulation (DBS) outlines a practical approach to the use of this paradigm-shifting therapy for neurologic and psychiatric disorders. Fully revised throughout, the new edition provides extensive information about the application of DBS to movement disorders, and includes new chapters on DBS to treat epilepsy and psychiatric conditions. With the evolution of surgical techniques for DBS lead implantation, a brand new section focused on interventional MRI approaches is also included. All key aspects of DBS practice are covered, including patient selection, device programming to achieve optimal symptom control, long-term management, and troubleshooting. It is a guide to be kept in the clinic and consulted in the course of managing patients being considered for, or treated with, DBS. With contributions from some of the most experienced clinical leaders in the field, this is a must-have reference guide for any clinician working with DBS patients.
|
| Emner | |
| Sjanger | |
| Dewey | |
| ISBN | 1-316-02662-0. - 1-316-02833-X. - 1-316-02881-X
|
