Deep Brain Stimulation最新文献_第6页

Deep Brain Stimulation for Essential Tremor 脑深部电刺激治疗特发性震颤

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0003

B. Bluett

引用次数: 3

Stimulation-Induced Dyskinesia, Interleaving Settings, and Management of Subthalamic Nucleus Deep Brain Stimulation in DYT1 Dystonia DYT1肌张力障碍中刺激诱导的运动障碍，交错设置和丘脑下核深部脑刺激的管理

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0038

Kyle T. Mitchell, Kristen Dodenhoff, P. Starr, J. Ostrem

引用次数: 1

Rescue Ventral Intermediate Thalamus Deep Brain Stimulation to Address Refractory Tremor Following Subthalamic Nucleus Deep Brain Stimulation With Brittle Dyskinesia 救援腹侧中间丘脑深部脑刺激治疗丘脑下核深部脑刺激后伴脆性运动障碍的难治性震颤

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0023

Mitra Afshari, J. Ostrem, M. S. Luciano, P. Larson

引用次数: 0

Tardive Dystonia and Dyskinesia Responsive to Deep Brain Stimulation 迟发性肌张力障碍和运动障碍对深部脑刺激的反应

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0044

Shannon Y. Chiu, I. Malaty

引用次数: 0

Choosing a Target for Deep Brain Stimulation in Dystonia-Associated Tremor 肌张力障碍相关震颤的深部脑刺激靶点选择

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0037

M. Siddiqui, S. Tatter

引用次数: 0

Genetic Mutations and Deep Brain Stimulation 基因突变和深部脑刺激

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0011

J. T. Hinkle, A. Butala, V. Parfenov, Kelly A. Mills, Z. Mari

引用次数: 0

Deep Brain Stimulation Targeting the Ventral Intermediate Nucleus of the Thalamus for Parkinsonian Tremor and Later Adding the Globus Pallidus Interna for Parkinson Disease Features 针对丘脑腹侧中间核的深部脑刺激治疗帕金森性震颤，随后加入内苍白球治疗帕金森病特征

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0033

Qiang Zhang, T. Thomsen

{"title":"Deep Brain Stimulation Targeting the Ventral Intermediate Nucleus of the Thalamus for Parkinsonian Tremor and Later Adding the Globus Pallidus Interna for Parkinson Disease Features","authors":"Qiang Zhang, T. Thomsen","doi":"10.1093/med/9780190647209.003.0033","DOIUrl":"https://doi.org/10.1093/med/9780190647209.003.0033","url":null,"abstract":"Deep brain stimulation (DBS) targeting the ventral intermediate (Vim) nucleus of thalamus has been established as an effective therapy for patients with debilitating essential tremor. However, some patients initially diagnosed with essential tremor (ET) later develop idiopathic Parkinson disease (PD), and Vim DBS is not as effective for other PD-related symptoms, including bradykinesia, rigidity, and dyskinesia. This chapter describes a patient with PD who initially presented with debilitating right-dominant tremor that was misdiagnosed as ET. He received bilateral Vim DBS with good tremor control. Two years later, he received bilateral globus pallidus internus (GPi) DBS for progression of his PD, and he has been reporting adequate relief of his PD symptoms. For patients with debilitating tremor, but relatively mild or no parkinsonian symptoms on presentation, after medical trials have been administered, a Vim DBS is a reasonable option for tremor relief. A second DBS placement targeting the GPi or subthalamic nucleus (STN) may be considered if more parkinsonian symptoms evolve and progress.","PeriodicalId":100359,"journal":{"name":"Deep Brain Stimulation","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83682658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral Globus Pallidus Deep Brain Stimulation for Dystonia and Dystonic Tremor in Spinocerebellar Ataxia 17 双侧苍白球深部脑刺激治疗脊髓小脑共济失调患者肌张力障碍和肌张力障碍震颤17

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0042

A. Shukla, Pamela Zeilman

{"title":"Bilateral Globus Pallidus Deep Brain Stimulation for Dystonia and Dystonic Tremor in Spinocerebellar Ataxia 17","authors":"A. Shukla, Pamela Zeilman","doi":"10.1093/med/9780190647209.003.0042","DOIUrl":"https://doi.org/10.1093/med/9780190647209.003.0042","url":null,"abstract":"Spinocerebellar ataxia 17 (SCA17) is a rare form of autosomal dominant cerebellar ataxia. SCA17 results from trinucleotide repeat expansions and has no effective symptomatic treatments to date. This chapter describes a case of SCA17 with dystonic symptoms that presented during adolescence. Symptoms were generalized in distribution and were accompanied with a dystonic tremor of the arms. Because many medication trials did not alleviate the patient’s symptoms, he underwent bilateral globus pallidus interna (GPi) deep brain stimulation (DBS) surgery. Several DBS programming sessions were performed. Dystonia and dystonic tremor were controlled with the settings adjusted at high pulse widths and low frequencies. Furthermore, the cyclic mode of stimulation was employed to mitigate the capsular side effects. Two years after DBS surgery, the patient presented with cerebellar ataxia that prompted an extensive workup, including genetic testing and revision of his diagnosis from generalized dystonia to a dystonia syndrome. The patient continues to endorse symptomatic benefits with DBS for dystonia and dystonic tremor 11 years after surgery, despite a diagnosis of dystonia syndrome. The current case of SCA17 cerebellar ataxia indicates that bilateral GPi DBS is a potential option for the long-term symptomatic treatment of dystonia and tremor symptoms manifesting as a part of a clinical syndrome.","PeriodicalId":100359,"journal":{"name":"Deep Brain Stimulation","volume":"169 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80629640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Selection Criteria for Deep Brain Stimulation for Parkinson Disease 帕金森病深部脑刺激的患者选择标准

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0008

Laura S. Surillo Dahdah, P. O'Suilleabhain, Hrishikesh Dadhich, Mazen T Elkurd, Shilpa Chitnis, R. Dewey

{"title":"Patient Selection Criteria for Deep Brain Stimulation for Parkinson Disease","authors":"Laura S. Surillo Dahdah, P. O'Suilleabhain, Hrishikesh Dadhich, Mazen T Elkurd, Shilpa Chitnis, R. Dewey","doi":"10.1093/med/9780190647209.003.0008","DOIUrl":"https://doi.org/10.1093/med/9780190647209.003.0008","url":null,"abstract":"Patient selection is critical for optimizing clinical outcomes after deep brain stimulation (DBS) surgery. Patient expectations need to be addressed before DBS surgery to avoid disappointment. There are generally accepted criteria for DBS candidacy for treatment of Parkinson disease (PD), essential tremor (ET), and dystonia. For PD, selection criteria include a diagnosis of idiopathic PD and the presence of disabling or troubling motor symptoms such as motor fluctuations or dyskinesia (despite optimized pharmacologic treatment). Medication-resistant tremor is also an indication. The response of problematic motor symptoms to dopaminergic drugs is an important predictor of DBS response, favoring selection of patients for whom levodopa substantially improves tremor, bradykinesia, and rigidity. Rarely, gait is improved with DBS, and in some cases freezing can improve, although this is not a predictable post-DBS feature. Exclusion criteria include serious medical comorbidities, uncontrolled psychiatric illness (thought and mood disorders), and dementia. Preoperative magnetic resonance imaging with extensive white matter changes, vascular malformations, severe cerebral atrophy, or hydrocephalus can also be exclusions. The patient should clearly understand the risks and benefits of DBS, which should be assessed using a preoperative multidisciplinary evaluation (neurology, neurosurgery, neuropsychology, psychiatry, and rehabilitation). Use of a social worker and/or nutritionist can also be helpful in select cases.","PeriodicalId":100359,"journal":{"name":"Deep Brain Stimulation","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81459196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cerebral Venous Infarction After Deep Brain Stimulation Surgery 脑深部刺激手术后脑静脉梗死

Deep Brain Stimulation Pub Date : 2020-06-01 DOI: 10.1093/med/9780190647209.003.0029

Andi N. Sendjaja, T. Morishita, Tooru Inoue

引用次数: 0