Programming Deep Brain Stimulation for Parkinson's Disease: The Toronto Western Hospital Algorithms.
Identifieur interne : 000233 ( PubMed/Corpus ); précédent : 000232; suivant : 000234Programming Deep Brain Stimulation for Parkinson's Disease: The Toronto Western Hospital Algorithms.
Auteurs : Marina Picillo ; Andres M. Lozano ; Nancy Kou ; Renato Puppi Munhoz ; Alfonso FasanoSource :
- Brain stimulation [ 1876-4754 ]
Abstract
Deep brain stimulation (DBS) is an established and effective treatment for Parkinson's disease (PD). After surgery, a number of extensive programming sessions are performed to define the most optimal stimulation parameters. Programming sessions mainly rely only on neurologist's experience. As a result, patients often undergo inconsistent and inefficient stimulation changes, as well as unnecessary visits.
DOI: 10.1016/j.brs.2016.02.004
PubMed: 26968806
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pubmed:26968806Le document en format XML
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<author><name sortKey="Picillo, Marina" sort="Picillo, Marina" uniqKey="Picillo M" first="Marina" last="Picillo">Marina Picillo</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada; Centre for Neurodegenerative diseases (CEMAND), Department of Medicine and Surgery, Neuroscience Section, University of Salerno, Salerno, Italy.</nlm:affiliation>
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<author><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M" last="Lozano">Andres M. Lozano</name>
<affiliation><nlm:affiliation>Division of Neurosurgery, University of Toronto, Toronto Western Hospital/University Health Network, Toronto, Ontario, Canada.</nlm:affiliation>
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<author><name sortKey="Kou, Nancy" sort="Kou, Nancy" uniqKey="Kou N" first="Nancy" last="Kou">Nancy Kou</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Puppi Munhoz, Renato" sort="Puppi Munhoz, Renato" uniqKey="Puppi Munhoz R" first="Renato" last="Puppi Munhoz">Renato Puppi Munhoz</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada. Electronic address: alfonso.fasano@gmail.com.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Programming Deep Brain Stimulation for Parkinson's Disease: The Toronto Western Hospital Algorithms.</title>
<author><name sortKey="Picillo, Marina" sort="Picillo, Marina" uniqKey="Picillo M" first="Marina" last="Picillo">Marina Picillo</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada; Centre for Neurodegenerative diseases (CEMAND), Department of Medicine and Surgery, Neuroscience Section, University of Salerno, Salerno, Italy.</nlm:affiliation>
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<author><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M" last="Lozano">Andres M. Lozano</name>
<affiliation><nlm:affiliation>Division of Neurosurgery, University of Toronto, Toronto Western Hospital/University Health Network, Toronto, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kou, Nancy" sort="Kou, Nancy" uniqKey="Kou N" first="Nancy" last="Kou">Nancy Kou</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Puppi Munhoz, Renato" sort="Puppi Munhoz, Renato" uniqKey="Puppi Munhoz R" first="Renato" last="Puppi Munhoz">Renato Puppi Munhoz</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name>
<affiliation><nlm:affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada. Electronic address: alfonso.fasano@gmail.com.</nlm:affiliation>
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<series><title level="j">Brain stimulation</title>
<idno type="eISSN">1876-4754</idno>
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<front><div type="abstract" xml:lang="en">Deep brain stimulation (DBS) is an established and effective treatment for Parkinson's disease (PD). After surgery, a number of extensive programming sessions are performed to define the most optimal stimulation parameters. Programming sessions mainly rely only on neurologist's experience. As a result, patients often undergo inconsistent and inefficient stimulation changes, as well as unnecessary visits.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">26968806</PMID>
<DateCreated><Year>2016</Year>
<Month>05</Month>
<Day>21</Day>
</DateCreated>
<DateRevised><Year>2016</Year>
<Month>05</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1876-4754</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>9</Volume>
<Issue>3</Issue>
<PubDate><MedlineDate>2016 May-Jun</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Brain stimulation</Title>
<ISOAbbreviation>Brain Stimul</ISOAbbreviation>
</Journal>
<ArticleTitle>Programming Deep Brain Stimulation for Parkinson's Disease: The Toronto Western Hospital Algorithms.</ArticleTitle>
<Pagination><MedlinePgn>425-37</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.brs.2016.02.004</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S1935-861X(16)30018-3</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Deep brain stimulation (DBS) is an established and effective treatment for Parkinson's disease (PD). After surgery, a number of extensive programming sessions are performed to define the most optimal stimulation parameters. Programming sessions mainly rely only on neurologist's experience. As a result, patients often undergo inconsistent and inefficient stimulation changes, as well as unnecessary visits.</AbstractText>
<AbstractText Label="OBJECTIVE/HYPOTHESIS" NlmCategory="OBJECTIVE">We reviewed the literature on initial and follow-up DBS programming procedures and integrated our current practice at Toronto Western Hospital (TWH) to develop standardized DBS programming protocols. We propose four algorithms including the initial programming and specific algorithms tailored to symptoms experienced by patients following DBS: speech disturbances, stimulation-induced dyskinesia and gait impairment.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a literature search of PubMed from inception to July 2014 with the keywords "deep brain stimulation", "festination", "freezing", "initial programming", "Parkinson's disease", "postural instability", "speech disturbances", and "stimulation induced dyskinesia". Seventy papers were considered for this review.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Based on the literature review and our experience at TWH, we refined four algorithms for: (1) the initial programming stage, and management of symptoms following DBS, particularly addressing (2) speech disturbances, (3) stimulation-induced dyskinesia, and (4) gait impairment.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We propose four algorithms tailored to an individualized approach to managing symptoms associated with DBS and disease progression in patients with PD. We encourage established as well as new DBS centers to test the clinical usefulness of these algorithms in supplementing the current standards of care.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Picillo</LastName>
<ForeName>Marina</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada; Centre for Neurodegenerative diseases (CEMAND), Department of Medicine and Surgery, Neuroscience Section, University of Salerno, Salerno, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lozano</LastName>
<ForeName>Andres M</ForeName>
<Initials>AM</Initials>
<AffiliationInfo><Affiliation>Division of Neurosurgery, University of Toronto, Toronto Western Hospital/University Health Network, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kou</LastName>
<ForeName>Nancy</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Puppi Munhoz</LastName>
<ForeName>Renato</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fasano</LastName>
<ForeName>Alfonso</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital and Division of Neurology, University of Toronto, Toronto, Ontario, Canada. Electronic address: alfonso.fasano@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>02</Month>
<Day>12</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Brain Stimul</MedlineTA>
<NlmUniqueID>101465726</NlmUniqueID>
<ISSNLinking>1876-4754</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Freezing</Keyword>
<Keyword MajorTopicYN="N">Parkinson's disease</Keyword>
<Keyword MajorTopicYN="N">Programming</Keyword>
<Keyword MajorTopicYN="N">Speech</Keyword>
<Keyword MajorTopicYN="N">Stimulation-induced dyskinesia</Keyword>
<Keyword MajorTopicYN="N">Surgery</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year>
<Month>10</Month>
<Day>22</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2016</Year>
<Month>01</Month>
<Day>02</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2016</Year>
<Month>02</Month>
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<Month>3</Month>
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