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A Comprehensive Approach to Deep Brain Stimulation for Movement Disorders.

Umer Akbar1, Wael F Asaad2

  • 1Assistant Professor of Neurology, Brown University Alpert Medical School and Movement Disorders Program, Department of Neurology, Rhode Island Hospital and Butler Hospital; member of the Norman Prince Neurosciences Institute of Lifespan.

Rhode Island Medical Journal (2013)
|June 1, 2017
PubMed
Summary

Deep brain stimulation (DBS) optimizes therapy for movement disorders like Parkinson's disease. A multidisciplinary team approach combined with intra-operative testing enhances patient outcomes.

Keywords:
Deep Brain StimulationEssential TremorParkinson’s diseasemovement disordersneurosurgery

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Area of Science:

  • Neuromodulation
  • Neurosurgery
  • Neurology

Background:

  • Deep brain stimulation (DBS) is a primary treatment for movement disorders, including Parkinson's disease (PD) and Essential Tremor (ET).
  • Effective patient selection for DBS requires a collaborative, multidisciplinary clinical team.

Purpose of the Study:

  • To outline an optimized approach for Deep brain stimulation (DBS) therapy.
  • To highlight the integration of multidisciplinary evaluations and intra-operative techniques.

Main Methods:

  • Utilizing a team-based approach involving neurology, neurosurgery, psychiatry, neuropsychology, and rehabilitation specialists.
  • Employing intra-operative neurophysiology, test stimulation, and advanced imaging during surgery.
  • Tailoring DBS therapy to individual patient needs.

Main Results:

  • The described methods facilitate optimized Deep brain stimulation (DBS) therapy.
  • A comprehensive, team-based evaluation improves patient selection and surgical planning.
  • Intra-operative techniques allow for real-time adjustments to maximize therapeutic benefit.

Conclusions:

  • Optimizing Deep brain stimulation (DBS) involves a synergistic combination of multidisciplinary assessment and precise intra-operative management.
  • This integrated approach is crucial for maximizing the efficacy of DBS in treating movement disorders.