More than 60,000 patients worldwide have been treated by deep brain stimulation (DBS) for a drug refractory movement disorder. General neurologists will increasingly be confronted with the management of these patients, who suffer from chronic neurological conditions, such as Parkinson's disease, requiring lifelong care. This course instructed general neurologists on how to identify the cause of clinical problems in DBS-treated patients which result from either the underlying disease, inappropriate adjustment of medication and stimulation, or stimulation itself. It also discussed the selection criteria for surgery necessary to consult appropriate candidates and to refer these patients to surgical centers.
At the conclusion of this activity, participants were able to accomplish the following:
- Describe the current indications for deep brain stimulation in tremor disorders, dystonia and Parkinson's disease
- Describe the different brain targets for deep brain stimulation and their relation to specific disease symptoms
- Discuss the efficacy and associated risks for deep brain stimulation in movement disorders
- Describe the selection process of candidates for movement disorder surgery and to name the standard inclusion and exclusion criteria for tremor, dystonia or Parkinson's disease
- Describe the different electrical parameters, that can be adjusted for deep brain stimulation and to outline their biological effect.
- Describe the adjustment of medication und stimulation during the postoperative period in Parkinson's disease
- Describe common therapy associated problems in the adjustment period and troubleshooting strategies
- Discuss device-related problems in deep brain stimulation
- Describe the role of the neurologist in the long-term management of patients with deep brain stimulation
This course was recommended for general neurologists and movement disorder specialists in training interested in the selection or postoperative management of patients with movement disorders (e.g. tremor, dystonia, Parkinson's disease) treated by deep brain stimulation surgery.
This course was supported by unrestricted educational grants from the following:
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For more information contact: MDS Education