- Preface
- Contributors
- 1 Smoothing out the Ups and Downs
- 2 “He Wants It All the Time, Doctor”
- 3 Becoming a Little Forgetful
- 4 Beyond Tremor, Slowness, and Stiffness
- 5 Is Now the Time … ?
- 6 When Less Is More
- 7 “Are My Children at Risk, Doctor?”
- 8 “I Am Not Sure If I Should Do DaT”
- 9 Parkinson’s Disease with an Unusual Tremor
- 10 Falling All the Time
- 11 “My Arm Is Not Working”
- 12 “I See Them Sitting on My Bed, Doctor”
- 13 A New Loss of Order
- 14 Falls
- 15 Siblings with Instability
- 16 Parkinson’s Disease or Essential Tremor?
- 17 Seizures and Shakes
- 18 A Tremor with an Abnormal Posture
- 19 Advanced Treatment for Dystonia
- 20 Twists and Turns
- 21 Delayed and Often Persistent
- 22 The Stand-Alone Tremor
- 23 “She Is So Fidgety”
- 24 “I Have Never Seen Anything Like It Before”
- 25 Slow with an Altered Sensorium
- 26 “It Has to Be Functional!”
- 27 Could It Possibly Be … ?
- 28 A Rapidly Progressive Movement Disorder
- 29 Wakeful Unresponsiveness
- 30 An Iatrogenic Catatonia
- 31 Always Worth a Second Look
- Index
(p. 29) Is Now the Time … ?
- Chapter:
- (p. 29) Is Now the Time … ?
- Author(s):
Robertus M. A. de Bie
- DOI:
- 10.1093/med/9780190607555.003.0005
Deep-brain stimulation is now well established as the therapy of choice for Parkinson’s disease with motor complications, although the decision to undergo surgery has always relied on a patient experiencing a sufficient amount of disability to outweigh the associated risks of surgery and also on a physician who believes surgery is appropriate. In recent years, a number of studies have provided evidence for having this discussion earlier in the course of the disease to maximize the potential of surgery. This chapter discusses the most important considerations when determining whether deep-brain stimulation is appropriate for a patient with Parkinson’s disease.
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- Preface
- Contributors
- 1 Smoothing out the Ups and Downs
- 2 “He Wants It All the Time, Doctor”
- 3 Becoming a Little Forgetful
- 4 Beyond Tremor, Slowness, and Stiffness
- 5 Is Now the Time … ?
- 6 When Less Is More
- 7 “Are My Children at Risk, Doctor?”
- 8 “I Am Not Sure If I Should Do DaT”
- 9 Parkinson’s Disease with an Unusual Tremor
- 10 Falling All the Time
- 11 “My Arm Is Not Working”
- 12 “I See Them Sitting on My Bed, Doctor”
- 13 A New Loss of Order
- 14 Falls
- 15 Siblings with Instability
- 16 Parkinson’s Disease or Essential Tremor?
- 17 Seizures and Shakes
- 18 A Tremor with an Abnormal Posture
- 19 Advanced Treatment for Dystonia
- 20 Twists and Turns
- 21 Delayed and Often Persistent
- 22 The Stand-Alone Tremor
- 23 “She Is So Fidgety”
- 24 “I Have Never Seen Anything Like It Before”
- 25 Slow with an Altered Sensorium
- 26 “It Has to Be Functional!”
- 27 Could It Possibly Be … ?
- 28 A Rapidly Progressive Movement Disorder
- 29 Wakeful Unresponsiveness
- 30 An Iatrogenic Catatonia
- 31 Always Worth a Second Look
- Index
