Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-669899f699-tzmfd Total loading time: 0 Render date: 2025-04-25T12:36:41.976Z Has data issue: false hasContentIssue false

Chapter 2 - Implementing Deep Brain Stimulation into Practice

Models of Patient Care

Published online by Cambridge University Press:  09 June 2022

By
Stephen Grill
Edited by
William J. Marks  and
Jill L. Ostrem
William J. Marks
Affiliation:
Stanford University, California
Jill L. Ostrem
Affiliation:
University of California, San Francisco
Get access

Summary

The goal of a deep brain stimulation (DBS) program is to treat those patients who have appropriate indications for DBS and are in the referral base for the program. A successful DBS program: (1) identifies suitable patients on a regular basis; (2) undertakes an appropriate evaluation protocol; (3) educates patients and their care partners about DBS; (4) performs the DBS surgery; (5) cares for the patient before and after surgery by programming the stimulators and adjusting medications; and (6) does all of these in an efficient and economically feasible manner.

Type
Chapter
Information
Deep Brain Stimulation Management , pp. 4 - 16
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

References

Schuepbach, WMM, Rau, J, Knudsen, K, Volkmann, J, Krack, P, Timmermann, L, Hälbig, TD, Hesekamp, H, Navarro, SM, Meier, N, Falk, D, Mehdorn, M, Paschen, S, Maarouf, M, Barbe, MT, Fink, GR, Kupsch, A, Gruber, D, Schneider, G-H, Seigneuret, E, Kistner, A, Chaynes, P, Ory-Magne, F, Brefel Courbon, C, Vesper, J, Schnitzler, A, Wojtecki, L, Houeto, J-L, Bataille, B, Maltête, D, Damier, P, Raoul, S, Sixel-Doering, F, Hellwig, D, Gharabaghi, A, Krüger, R, Pinsker, MO, Amtage, F, Régis, J-M, Witjas, T, Thobois, S, Mertens, P, Kloss, M, Hartmann, A, Oertel, WH, Post, B, Speelman, H, Agid, Y, Schade-Brittinger, C, Deuschl, G. Neurostimulation for Parkinson’s Disease with Early Motor Complications. New England J of Med; 2013; 368(7): 610–622.Google Scholar
Beszlej, JA, Wieczorek, T, Kobylko, A, Piotrowski, P, Siwicki, D, Weiser, A, Fila-Witecka, K, Rymaszewska, J, Tabakow, P. Deep Brain Stimulation: New Possibilities for the Treatment of Mental Disorders. Psychiatr Pol; 2019; 53(4): 789–806.Google Scholar
Youngerman, BE, Chan, AK, Mikell, CB, McKhan, GM, Sheth, SA. A Decade of Emerging Indications: Deep Brain Stimulation in the United States. J Neurosurg; 2016; 125(2): 461–471.Google Scholar
Prizer, LP, Browner, N. The Integrative Care of Parkinson’s Disease: A Systematic Review. J Parkinson Dis; 2012; 2: 79–86.Google Scholar
Higuchi, MA, Martinez-Ramirez, D, Morita, H, Topiol, D, Bowers, D, Ward, H, Warren, L, DeFranco, M, Hicks, JA, Hegland, KW, Troche, MS, Kulkarni, S, Hastings, E, Foote, KD, Okun, MS. Interdisciplinary Parkinson’s Disease Deep Brain Stimulation Screening and the Relationship to Unintended Hospitalizations and Quality of Life. PLoS One; 2016; 11(5): e0153785.Google Scholar
Brandao, P, Grippe, TC, Modesto, LC, Ferreira, AGF, da Silva, FM, Pereira, FF, Lobo, ME, Allam, N, da Silva Freitas, T, Munhoz, RP. Decisions about Deep Brain Stimulation Therapy in Parkinson’s Disease. Arquivos de neuro-psiquiatria 2018; 76(6): 411–420.CrossRefGoogle ScholarPubMed
Hughes, AJ, Daniel, SE, Kilford, L, Lees, AJ. Accuracy of Clinical Diagnosis of Idiopathic Parkinson’s Disease: A Clinico-pathological Study of 100 Cases. J Neurol Neurosurg Psychiatry; 1992; 55 : 181–184.Google Scholar
Archibald, N, Miller, N, Rochester, L. Neurorehabilitation in Parkinson Disease. In Barnes, MP, Goo, DC, eds. Handbook of Clinical Neurology, Vol. 110. Elsevier. 2013, 435–442.Google Scholar
Fox, SH, Katzenschlager, R, Lim, SY, Barton, B, de Bie, RMA, Seppi, K, Coelho, M, Sampaio, C. International Parkinson and Movement Disorder Society Evidence-Based Medicine Review: Update on Treatments for the Motor Symptoms of Parkinson’s Disease. Movement Disorders; 2018; 33(8): 1248–1266.Google Scholar
Air, EL, Ostrem, JL, Sanger, TD, Starr, PA. Deep Brain Stimulation in Children: Experience and Technical Pearls. J Neurosurg Pediatrics; 2011; 8: 566–574.Google Scholar
FitzGerald, JJ, Rosendal, F, de Pennington, N, Joint, C, Forrow, B, Fletcher, C, Green, AL, Aziz, TZ. Long-Term Outcome of Deep Brain Stimulation in Generalized Dystonia: A Series of 60 Cases. J Neurol, Neurosurg, Psychiatry; 2014-12; 85(12): 1371–1376.Google Scholar
Jahanshahi, M, Czemeck, V, Zurowski, M. Neuropsychological, Neuropsychiatric, and Quality of Life Issues in DBS for Dystonia.Movement Disorders; 2010; 26(51): S68–S83.Google Scholar
Peall, KJ, Kuiper, A, de Koning, TJ, Tijssen, MAJ. Non-motor Symptoms in Genetically Defined Dystonia: Homogenous Groups Require Systematic Assessment. Parkinsonism Related Disorders; 2015; 21(9): 1031–1040.CrossRefGoogle ScholarPubMed
Eggink, H, Szlufik, S, Coenen, MA, van Egmond, ME, Moro, E, Tijssen, MAJ. Non-motor Effects of Deep Brain Stimulation in Dystonia: A Systematic Review. Parkinsonism and Related Disorders; 2018; 55: 26–44.Google Scholar
Foncke, EM, Schuurman, PR, Speelman, JD. Suicide after Deep Brain Stimulation of the Internal Globus Pallidus for Dystonia. Neurology; 2006; 66: 142–143.Google Scholar
Louis, ED Gerbin, M, Viner, AS. Depressive Traits in Essential Tremor: Impact on Disability, Quality of Life, and Medication Adherence. Eur J Neurol; 2012; 19(10): 1349–1354.Google Scholar
Monin, JK, Gutierrez, J, Kellner, S, Morgan, S, Collins, K, Rohl, B, Migliore, F, Cosentino, S, Huey, E, Louis, ED. Psychological Suffering in Essential Tremor: A Study of Patients and Those Who Are Close to Them. Tremor and Other Hyperkinetic Movements; 2017; 7: 1–10.Google Scholar

Further Reading

Allert, N, Cheeran, B, Deuschl, G, Barbe, MT, Csoti, I, Markus, E, Glaser, M, Kang, JS, Kelm, S, Krack, P, Kroth, J, Jobst, U, Leisse, M, Oliviero, A, Nolte, PN, Quick-Weller, J, Strothjohann, M, Tamás, G, Werner, M, Muthuraman, M, Volkmann, J, Alfonso, Fasano, Groppa, S. Postoperative Rehabilitation after Deep Brain Stimulation Surgery for Movement Disorders. Clin Neurophysiol; 2018; 129: 592–601.CrossRefGoogle ScholarPubMed
Almeida, L, Deeb, W, Spears, C, Opri, E, Molina, R, Martinez-Rameriz, D, Gunduz, A, Hess, CW, Okun, MS. Current Practice and the Future of Deep Brain Stimulation Therapy in Parkinson’s Disease. Semin Neurol; 2017; 37: 205–214.Google Scholar
Chou, KL. Indications for Subthalamic Nucleus Deep Brain Stimulation surgery. In Baltuch, GH, Stern, MB, eds. Deep Brain Stimulation for Parkinson’s Disease. Informa Healthcare USA. 2007, 41–54.Google Scholar
Houeto, JL, Damier, P, Bejjani, PB, Staedler, C, Bonnet, AM, Arnulf, I, Pidoux, B, Dormont, D, Cornu, P, Agid, Y. Subthalamic Stimulation in Parkinson Disease: A Multidisciplinary Approach. Arch Neurol; 2000; 57: 461–465.Google Scholar
Kühn, A, Volkmann, J. Innovations in Deep Brain Stimulation Methodology. Mov Disord; 2016: 11–19.Google Scholar
Moro, E, Schupbach, M, Wachter, T, Allert, N, Eleopra, R, Honey, CR, Rueda, M, Schiess, MC, Shimo, Y, Valkovic, P, Shone, A, Stoevelaar, H. Referring Parkinson’s Disease Patients for Deep Brain Stimulation: A Rand/UCLA Appropriateness Study. J Neurol; 2016; 263(1): 112–119.Google Scholar
Niccolai, L, Aita, SL, Walker, HC, Martin, RC, Clay, OJ, Crowe, M, Triebel, KL. An Examination of the Neurocognitive Profile and Base Rate of Performance Impairment in Primary Dystonia. J Clin Neurosci; 2020; Apr; 74: 1–5.Google Scholar
Picillo, M, Lozano, AM, Kou, N, Munhoz RP Programming Deep Brain Stimulation for Parkinson’s Disease: Toronto Western Hospital Algorithms; 2016; 9: 425–437.Google Scholar
Prudente, CN, Zetterberg, L, Bring, A, Bradnam, L, Kimberley, TJ. Systemic Review of Rehabilitation in Focal Dystonias: Classification and Recommendations. Movement Disord Clin Pract; 2018; 5(3): 237–245.Google Scholar
Rajput, AH, Birdi, S. Epidemiology of Parkinson’s Disease. Parkinsonism Relat Disord; 1997; 3(4): 175–186.Google Scholar
Rajput, AH, Offord, KP, Kurland, LT. Epidemiologic Survey of Essential Tremor in Rochester. MN Neurology; 1982; 32: A128.Google Scholar
Van der Marck, MA, Bloem, BR, Borm, GF, Overeem, S, Munneke, M, Guttman, M. Effectiveness of Multidisciplinary Care for Parkinson’s Disease: A Randomised, Controlled Study. Mov Disord; 2013; 28(5) 605–611.Google Scholar
Van der Marck, MA, Munneke, M, Mulleners, W, Hoogerwaard, EM, Borm, GF, Overeem, S, Bloem, BR; IMPACT Study Group. Integrated Multidisciplinary Care in Parkinson’s Diseae: A Non-randomized, Controlled Study (IMPACT). Lancet Neurol; 2013; 12(10): 947–956.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×