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Deep brain stimulation for Parkinson's disease: surgical issues.
Ali R Rezai1, Brian H Kopell, Robert E Gross
1Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. rezaia@ccf.org
Summary
This consensus report details the surgical aspects of deep brain stimulation (DBS) for Parkinson's disease, covering preoperative, intraoperative, and postoperative phases. It clarifies techniques and decision-making for optimal DBS system implantation.
Area of Science:
- Neurosurgery
- Neurology
- Medical Devices
Background:
- Parkinson's disease management involves complex deep brain stimulation (DBS) surgical procedures.
- Effective DBS requires careful consideration of multiple factors across surgical phases.
Framework:
- This report synthesizes expert opinion and literature (until mid-2004) on DBS surgery for Parkinson's disease.
- It addresses key decision points and potential challenges in DBS implantation.
Implementation:
- Preoperative planning includes medication management, equipment selection, imaging, and targeting strategies.
- Intraoperative confirmation uses microelectrode recording and stimulation techniques, with defined terminology.
- Postoperative care involves imaging safety, device interactions, and complication management.
Implications:
- Standardizes understanding and decision-making for DBS surgical procedures.
- Aims to improve outcomes for Parkinson's disease patients undergoing DBS.