Postoperative management of subthalamic nucleus stimulation for Parkinson's disease
Identifieur interne : 003352 ( Main/Exploration ); précédent : 003351; suivant : 003353Postoperative management of subthalamic nucleus stimulation for Parkinson's disease
Auteurs : Paul Krack [France] ; Valérie Fraix [France] ; Alexandre Mendes [France] ; Alim-Louis Benabid [France] ; Pierre Pollak [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-03.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Antiparkinson Agents (adverse effects), Antiparkinson Agents (therapeutic use), Brain (vertebrata), Clinical Competence (standards), Combined Modality Therapy, Electric Stimulation Therapy (adverse effects), Electric Stimulation Therapy (methods), Electrodes, Implanted, Human, Humans, Instrumental stimulation, Levodopa (adverse effects), Levodopa (therapeutic use), Parkinson Disease (drug therapy), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Patient Care (standards), Postoperative, Subthalamic Nucleus (surgery), Subthalamic nucleus, Treatment, Treatment Outcome, deep brain stimulation, subthalamic nucleus.
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- adverse effects : Electric Stimulation Therapy.
- drug therapy : Parkinson Disease.
- methods : Electric Stimulation Therapy.
- standards : Clinical Competence, Patient Care.
- surgery : Parkinson Disease, Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Combined Modality Therapy, Electrodes, Implanted, Humans, Treatment Outcome.
Abstract
The postoperative neurologic management of patients with deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson’ s disease is a complex dynamic process that involves a progressive increase in stimulation intensity and a parallel decrease in antiparkinsonian medication while assessing the interactions of both treatments. Neurologists responsible for postoperative management of patients receiving STN DBS must have expert knowledge of the electroanatomy of the subthalamic area and be familiar with the medical treatment of motor and nonmotor symptoms, including the management of long‐term complications of levodopa treatment. Neurosurgeons who perform DBS need to understand the principles that guide the postoperative adaptation of treatment. This article defines guidelines for setting stimulation parameters, adapting drugs and managing adverse effects. © 2002 Movement Disorder Society
Url:
DOI: 10.1002/mds.10163
Affiliations:
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<term>Clinical Competence (standards)</term>
<term>Combined Modality Therapy</term>
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<term>Electric Stimulation Therapy (methods)</term>
<term>Electrodes, Implanted</term>
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<term>Instrumental stimulation</term>
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<front><div type="abstract" xml:lang="en">The postoperative neurologic management of patients with deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson’ s disease is a complex dynamic process that involves a progressive increase in stimulation intensity and a parallel decrease in antiparkinsonian medication while assessing the interactions of both treatments. Neurologists responsible for postoperative management of patients receiving STN DBS must have expert knowledge of the electroanatomy of the subthalamic area and be familiar with the medical treatment of motor and nonmotor symptoms, including the management of long‐term complications of levodopa treatment. Neurosurgeons who perform DBS need to understand the principles that guide the postoperative adaptation of treatment. This article defines guidelines for setting stimulation parameters, adapting drugs and managing adverse effects. © 2002 Movement Disorder Society</div>
</front>
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