Deep Brain Stimulation: A Case-based Approach

Deep Brain Stimulation: A Case-based Approach

Edited by Shilpa Chitnis, Pravin Khemani, and Michael S. Okun

Abstract

The fundamental principles of deep brain stimulation treatment are derived from decades of empirical and experiential observations. Through a case-based approach, this book is an effort to distill the expertise of clinical teams who are at the frontlines of managing patients with deep brain stimulation. The vast majority of patients with tremors, Parkinson disease, dystonia and other hyperkinetic disorders treated with DBS obtain significant relief of their neurological symptoms with conventional programming techniques that are outlined at the beginning of each section in this book. However, perioperative complications, stimulation induced side-effects and unexpected clinical symptoms such as freezing of gait after globus pallidus implantation for dystonia (Case 20), persistent dyskinesia after subthalamic stimulation (Case 17), and erosion of device hardware (Case 24) warrant unconventional and creative troubleshooting techniques to improve surgical outcomes while being constantly cognizant of their impact on the patient. Each case in the book is illustrative of the iterative process of managing deep brain stimulation patients who have entrusted their health to specialists who are not only determined to improve their quality of life regardless of the complexity of the clinical scenario but also share their invaluable observations with readers who may someday face a similar challenge when treating their patients.

Bibliographic Information

Publisher:: Oxford University Press

Print Publication Date:: Jun 2020

Print ISBN-13:: 9780190647209

Published online:: Jun 2020

DOI:: 10.1093/med/9780190647209.001.0001

Authors

Shilpa Chitnis, editor Associate Professor, The University of Texas Southwestern Medical Center at Dallas

Pravin Khemani, editor Assistant Professor, Swedish Neuroscience Institute

Michael S. Okun, editor Professor, University of Florida

Back to results

Print
Save
Cite
Email this content

Share Link

Copy this link, or click below to email it to a friend
Email this content
or copy the link directly:

https://oxfordmedicine.com/abstract/10.1093/med/9780190647209.001.0001/med-9780190647209
Link copied successfully

The link was not copied. Your current browser may not support copying via this button.
Share This

Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.

Front Matter
Section 1 Introduction
- Common Programming Strategies for Deep Brain StimulationMeagen R. Salinas
Section 2 Tremor Disorders
- Case 1 Patient Selection Criteria for Deep Brain Stimulation for Essential TremorLaura S. Surillo Dahdah, Umar Yazdani, Richard B. Dewey, Jr., Padraig O’Suilleabhain, and Shilpa Chitnis
- Case 2 Deep Brain Stimulation for Essential Tremor: Basic Programming PearlsBrent Bluett
- Case 3 Using Deep Brain Stimulation to Improve Orthostatic TremorAnhar Hassan
- Case 4 Bilateral Ventral Intermediate Thalamic Deep Brain Stimulation for Medication-Refractory Orthostatic TremorMitra Afshari, Philip A. Starr, and Jill L. Ostrem
- Case 5 Rebound Tremor Following a Suboptimally Placed Ventral Intermediate Nucleus Deep Brain StimulationParul Jindal and Joohi Jimenez-Shahed
- Case 6 Symptomatic Cystic Lesion Following Deep Brain Stimulation SurgeryVibhash D. Sharma and Shilpa Chitnis
Section 3 Parkinson Disease
- Case 7 Patient Selection Criteria for Deep Brain Stimulation for Parkinson DiseaseLaura S. Surillo Dahdah, Padraig O’Suilleabhain, Hrishikesh Dadhich, Mazen Elkurd, Shilpa Chitnis, and Richard B. Dewey, Jr.
- Case 8 Deep Brain Stimulation in Parkinson Disease: Basic Programming Pearls Raja Mehanna
- Case 9 Target Selection for Parkinson Disease With Medication-Refractory Unilateral Resting TremorFuyuko Sasaki, Genko Oyama, Yasushi Shimo, Atsushi Umemura, and Nobutaka Hattori
- Case 10 Genetic Mutations and Deep Brain StimulationJared Hinkle, Ankur Butala, Valeriy Parfenov, Kelly A. Mills, and Zoltan Mari
- Case 11 Issues to Consider When Mild Cognitive Impairment Is Revealed in Preoperative ScreeningSushma Kola and Anhar Hassan
- Case 12 Use of Subthalamic Nucleus and Globus Pallidus Interna Deep Brain Stimulation Targets in the Same Patient With Parkinson’s DiseaseShabbir Hussain I. Merchant and Nora Vanegas-Arroyave
- Case 13 Medication-Refractory Parkinsonian Tremor Requiring Dual Lead Implantation for Tremor ControlAnhar Hassan
- Case 14 Use of Constant Current Mode to Allow Both Monopolar and Bipolar Interleaving at a Single ContactMeredith Spindler and Lana Chahine
- Case 15 Subthalamic Nucleus Deep Brain Stimulation May Improve Pain in the Setting of Parkinson DiseaseAnjali Gera and Gian Pal
- Case 16 Deep Brain Stimulation–Responsive Camptocormia in Parkinson DiseaseElena Call and Helen Bronte-Stewart
- Case 17 Deactivation of One Subthalamic Nucleus Deep Brain Stimulation Device to Address Brittle Ipsilateral Dyskinesia in a Patient With Tremor-Dominant Parkinson DiseaseJulia Kroth, Susanne Schneider, and Sergiu Groppa
- Case 18 Management of Stimulation-Induced Dyskinesia in Parkinson Disease With Interleaving Programming SettingsVibhash D. Sharma, Kelly E. Lyons, and Rajesh Pahwa
- Case 19 Management of Brittle Dyskinesia and Dopamine Dysregulation Syndrome in Subthalamic Deep Brain StimulationJunaid Siddiqui, Raja Mehanna, and Jawad A. Bajwa
- Case 20 Freezing of Gait After Bilateral Globus Pallidus Interna Deep Brain Stimulation in Generalized DystoniaMariana Moscovich
- Case 21 Globus Pallidus Interna Stimulation–Induced Gait Disturbance and Management by ReprogrammingDhanya Vijayakumar and Joohi Jimenez-Shahed
- Case 22 Rescue Ventral Intermediate Thalamus Deep Brain Stimulation to Address Refractory Tremor Following Subthalamic Nucleus Deep Brain Stimulation With Brittle DyskinesiaMitra Afshari, Jill L. Ostrem, Marta San Luciano, and Paul S. Larson
- Case 23 Postural Instability and Gait Disorder After Subthalamic Nucleus Deep Brain StimulationMónica M. Kurtis and Javier R. Pérez-Sánchez
- Case 24 Nonsurgical Management of an Exposed Deep Brain Stimulation LeadEthan G. Brown, Monica Volz, Susan Heath, Nicholas B. Galifianakis, and Jill L. Ostrem
- Case 25 Steroid-Responsive Edema Interfering With Deep Brain Stimulation ProgrammingPravin Khemani and Shilpa Chitnis
- Case 26 The Positive Lesion Effects of Intracranial Hemorrhage on Deep Brain Stimulation Surgery OutcomeJacqueline Meystedt, Mallory Hacker, and David Charles
- Case 27 Fibrous Scarring and Deep Brain Stimulation Lead ImplantationVinata Vedam-Mai, Anthony T. Yachnis, Michael Ullman, Saman P. Javedan, and Michael S. Okun
- Case 28 Cerebral Venous Infarction After Deep Brain Stimulation SurgeryAndi Nugraha Sendjaja, Takashi Morishita, and Tooru Inoue
- Case 29 Open Circuits and Loss of Deep Brain Stimulation Benefit in the Setting of Parkinson DiseaseArjun Tarakad and Joohi Jimenez-Shahed
- Case 30 Acute Neuropsychiatric Symptoms and Impulse Control Disorders After Subthalamic Nucleus Deep Brain StimulationAdolfo Ramirez-Zamora
- Case 31 Improved Outcome on Interleaved Deep Brain Stimulation SettingsSvjetlana Miocinovic, Pravin Khemani, Rebecca Whiddon, and Shilpa Chitnis
- Case 32 Deep Brain Stimulation Targeting the Ventral Intermediate Nucleus of the Thalamus for Parkinsonian Tremor and Later Adding the Globus Pallidus Interna for Parkinson Disease FeaturesQiang Zhang and Teri R. Thomsen
- Case 33 Expected Improvement in Sleep Quality and Unexpected Improvement in Severe Nightmares After Deep Brain Stimulation in Parkinson DiseaseLaurice Yang
Section 4 Dystonia
- Case 34 Patient Selection Criteria for Deep Brain Stimulation for DystoniaLaura S. Surillo Dahdah, Rasheda El-Nazer, Richard B. Dewey, Jr., Padraig O’Suilleabhain, and Shilpa Chitnis
- Case 35 Deep Brain Stimulation for Dystonia: Basic Programming PearlsMitesh Lotia
- Case 36 Choosing a Target for Deep Brain Stimulation in Dystonia-Associated TremorMustafa S. Siddiqui and Stephen B. Tatter
- Case 37 Stimulation-Induced Dyskinesia, Interleaving Settings, and Management of Subthalamic Nucleus Deep Brain Stimulation in DYT1 DystoniaKyle T. Mitchell, Kristen A. Dodenhoff, Philip A. Starr, and Jill L. Ostrem
- Case 38 Deep Brain Stimulation Targeting the Globus Pallidus Interna for Dystonic Tremor in the Setting of Generalized DystoniaQiang Zhang and Teri R. Thomsen
Section 5 Miscellaneous
- Case 39 Deep Brain Stimulation in Adult Huntington Disease for Treatment of Axial DystoniaJessica A. Karl, Kathleen Shannon, Konstantin Slavin, and Leo Verhagen Metman
- Case 40 Deep Brain Stimulation for Medication-Refractory Aggressive and Injurious BehaviorOscar Bernal-Pacheco, Adriana Martinez Perez, and Mary Fonseca-Ramos
- Case 41 Bilateral Globus Pallidus Deep Brain Stimulation for Dystonia and Dystonic Tremor in Spinocerebellar Ataxia 17Aparna Wagle Shukla and Pamela R. Zeilman
- Case 42 Deep Brain Stimulation for Disabling “Outflow” Tremors: Troubleshooting Strategies for Tremor HabituationDanielle S. Shpiner, Sagari Bette, and Corneliu C. Luca
- Case 43 Tardive Dystonia and Dyskinesia Responsive to Deep Brain StimulationShannon Y. Chiu and Irene A. Malaty
End Matter
- Index

Browse All

Browse All

Browse All

Deep Brain Stimulation: A Case-based Approach

Edited by Shilpa Chitnis, Pravin Khemani, and Michael S. Okun

Abstract

Bibliographic Information

Authors

Share Link

Contents

Browse All

Browse All

Browse All

Recently viewed (0)

Recently viewed (0)

Deep Brain Stimulation: A Case-based Approach

Edited by Shilpa Chitnis, Pravin Khemani, and Michael S. Okun

Abstract

Bibliographic Information

Authors

Share Link

Contents