Deep Brain Stimulation: A Case-Based Approach

Description:

DEEP BRAIN STIMULATION provides expert advice to the reader on selection guidelines and programming techniques for straight-forward as well as for challenging case management in movement and neuropsychiatric disorders. The collection offers a broad DBS experience that is delivered directly to you by leaders in neuromodulation. There are both common and uncommon case presentations and each case is accompanied by a literature review and pearls to improve your practice. The book improves fundamental DBS techniques as well as expands the skills necessary for troubleshooting more difficult presentations. The case-based problem-solving approach makes this a fun and practical read.

Table of Contents:

Section 1: Introduction

Common Programming Strategies for Deep Brain Stimulation

Section 2: Tremor Disorders

Case 1 Patient Selection Criteria for Deep Brain Stimulation for Essential Tremor

Case 2 Deep Brain Stimulation for Essential Tremor: Basic Programming Pearls

Case 3 Using Deep Brain Stimulation to Improve Orthostatic Tremor

Case 4 Bilateral Ventral Intermediate Thalamic Deep Brain Stimulation for Medication-Refractory Orthostatic Tremor

Case 5 Rebound Tremor Following a Suboptimally Placed Ventral Intermediate Nucleus Deep Brain Stimulation

Case 6 Symptomatic Cystic Lesion Following Deep Brain Stimulation Surgery

Section 3: Parkinson Disease

Case 7 Patient Selection Criteria for Deep Brain Stimulation for Parkinson Disease

Case 8 Deep Brain Stimulation in Parkinson Disease: Basic Programming Pearls

Case 9 Target Selection for Parkinson Disease With Medication-Refractory Unilateral Resting Tremor

Case 10 Genetic Mutations and Deep Brain Stimulation

Case 11 Issues to Consider When Mild Cognitive Impairment Is Revealed in Preoperative Screening

Case 12 Use of Subthalamic Nucleus and Globus Pallidus Interna Deep Brain Stimulation Targets in the Same Patient With Parkinson’s Disease

Case 13 Medication-Refractory Parkinsonian Tremor Requiring Dual Lead Implantation for Tremor Control

Case 14 Use of Constant Current Mode to Allow Both Monopolar and Bipolar Interleaving at a Single Contact

Case 15 Subthalamic Nucleus Deep Brain Stimulation May Improve Pain in the Setting of Parkinson Disease

Case 16 Deep Brain Stimulation– Responsive Camptocormia in Parkinson Disease

Case 17 Deactivation of One Subthalamic Nucleus Deep Brain Stimulation Device to Address Brittle Ipsilateral Dyskinesia in a Patient With Tremor-Dominant Parkinson Disease

Case 18 Management of Stimulation-Induced Dyskinesia in Parkinson Disease With Interleaving Programming Settings

Case 19 Management of Brittle Dyskinesia and Dopamine Dysregulation Syndrome in Subthalamic Deep Brain Stimulation

Case 20 Freezing of Gait After Bilateral Globus Pallidus Interna Deep Brain Stimulation in Generalized Dystonia

Case 21 Globus Pallidus Interna Stimulation–Induced Gait Disturbance and Management by Reprogramming

Case 22 Rescue Ventral Intermediate Thalamus Deep Brain Stimulation to Address Refractory Tremor Following Subthalamic Nucleus Deep Brain Stimulation With Brittle Dyskinesia

Case 23 Postural Instability and Gait Disorder After Subthalamic Nucleus Deep Brain Stimulation

Case 24 Nonsurgical Management of an Exposed Deep Brain Stimulation Lead

Case 25 Steroid-Responsive Edema Interfering With Deep Brain Stimulation Programming

Case 26 The Positive Lesion Effects of Intracranial Hemorrhage on Deep Brain Stimulation Surgery Outcome

Case 27 Fibrous Scarring and Deep Brain Stimulation Lead Implantation

Case 28 Cerebral Venous Infarction After Deep Brain Stimulation Surgery

Case 29 Open Circuits and Loss of Deep Brain Stimulation Benefit in the Setting of Parkinson Disease

Case 30 Acute Neuropsychiatric Symptoms and Impulse Control Disorders After Subthalamic Nucleus Deep Brain Stimulation

Case 31 Improved Outcome on Interleaved Deep Brain Stimulation Settings

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 Features

Case 33 Expected Improvement in Sleep Quality and Unexpected Improvement in Severe Nightmares After Deep Brain Stimulation in Parkinson Disease

Section 4: Dystonia

Case 34 Patient Selection Criteria for Deep Brain Stimulation for Dystonia

Case 35 Deep Brain Stimulation for Dystonia: Basic Programming Pearls

Case 36 Choosing a Target for Deep Brain Stimulation in Dystonia-Associated Tremor

Case 37 Stimulation-Induced Dyskinesia, Interleaving Settings, and Management of Subthalamic Nucleus Deep Brain Stimulation in DYT1 Dystonia

Case 38 Deep Brain Stimulation Targeting the Globus Pallidus Interna for Dystonic Tremor in the Setting of Generalized Dystonia

Section 5: Miscellaneous

Case 39 Deep Brain Stimulation in Adult Huntington Disease for Treatment of Axial Dystonia

Case 40 Deep Brain Stimulation for Medication-Refractory Aggressive and Injurious Behavior

Case 41 Bilateral Globus Pallidus Deep Brain Stimulation for Dystonia and Dystonic Tremor in Spinocerebellar Ataxia 17

Case 42 Deep Brain Stimulation for Disabling “Outflow” Tremors: Troubleshooting Strategies for Tremor Habituation

Case 43 Tardive Dystonia and Dyskinesia Responsive to Deep Brain Stimulation

Index