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Postoperative management of subthalamic nucleus stimulation for Parkinson's disease

✍ Scribed by Paul Krack; Valérie Fraix; Alexandre Mendes; Alim-Louis Benabid; Pierre Pollak

Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
75 KB
Volume
17
Category
Article
ISSN
0885-3185

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✦ Synopsis

The postoperative neurologic management of patients with deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson' s disease is a complex dynamic process that involves a progressive increase in stimulation intensity and a parallel decrease in antiparkinsonian medication while assessing the interactions of both treatments. Neurologists responsible for postoperative management of patients receiving STN DBS must have expert knowledge of the electroanatomy of the subthalamic area and be familiar with the medical treatment of motor and nonmotor symptoms, including the management of long-term complications of levodopa treatment. Neurosurgeons who perform DBS need to understand the principles that guide the postoperative adaptation of treatment. This article defines guidelines for setting stimulation parameters, adapting drugs and managing adverse effects.

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