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Targeting Neuronal Fiber Tracts for Deep Brain Stimulation Therapy Using Interactive, Patient-Specific Models
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Referring patients for deep brain stimulation: an improving practice.

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  • 1Department of Neurology, The Mount Sinai Medical Center, New York, New York, USA.

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Referrals for deep brain stimulation (DBS) have improved, with more appropriate candidates being identified. However, there

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Area of Science:

  • Neurology
  • Neurosurgery
  • Medical Device Technology

Background:

  • Deep brain stimulation (DBS) is an emerging therapeutic option.
  • Limited research exists on current referral practices for DBS procedures.
  • Understanding referral patterns is crucial for optimizing patient selection.

Purpose of the Study:

  • To analyze referral trends to a major movement disorders center.
  • To assess the contemporary understanding of patient eligibility for DBS.
  • To evaluate the quality of DBS referrals over time.

Main Methods:

  • Retrospective analysis of 197 patient records referred for DBS.
  • Data collected from December 2005 to November 2009 at a tertiary care center.
  • Categorization of candidates based on standardized DBS selection criteria (good, possible future, poor due to neurological/medical contraindications).

Main Results:

  • 83.8% of referrals had indicated ailments; 50.8% were good candidates (Parkinson disease, dystonia, essential tremor).
  • Movement disorder specialists referred significantly more good candidates (66.7%) compared to other sources (40.4%).
  • Referrals of good candidates decreased yearly, while possible future and poor candidates increased.

Conclusions:

  • DBS referral quality has shown improvement compared to previous studies.
  • An increasing proportion of referred patients are possible future or poor candidates.
  • This trend may indicate growing confidence in DBS efficacy and procedural safety.