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Updated: Jun 19, 2026

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Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation
Published on: July 16, 2014
Parkinson's disease and deep brain stimulator placement
1Department of Anesthesiology, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. Stacie.deiner@mountsinai.org
Anesthesiology Clinics
|October 15, 2009
Summary
Anesthesiologists play a crucial role in managing Parkinson's disease (PD) patients undergoing deep brain stimulation (DBS). Effective care requires understanding PD pathophysiology, surgical procedures, and implications, focusing on preoperative assessment and medication management.
Area of Science:
- Neurology
- Neurosurgery
- Anesthesiology
Background:
- Deep brain stimulation (DBS) improves quality of life for Parkinson's disease (PD) patients.
- Anesthesiologists require specialized knowledge for managing PD patients during DBS procedures.
Purpose of the Study:
- To examine the anesthesiologist's role in pre- and perioperative care for DBS procedures in PD patients.
- To highlight key considerations for anesthetic management in this patient population.
Main Methods:
- Review of the pathophysiology of Parkinson's disease.
- Analysis of surgical procedures and postoperative implications of DBS.
- Examination of anesthetic management strategies for PD patients.
Main Results:
- No single anesthetic regimen is suitable for all PD patients undergoing DBS.
- Preoperative assessment is critical for optimal patient management.
- Maintenance of PD drug therapy and avoidance of precipitating agents are essential.
Conclusions:
- Anesthesiologists can optimize care by understanding PD, DBS procedures, and anesthetic implications.
- Personalized anesthetic approaches are necessary for PD patients undergoing DBS.
- Careful preoperative planning and intraoperative management are vital for successful outcomes.

