Advanced Deep Brain Stimulation for Movement Disorders
Maria Fiorella Contarino, MD, Haga Teaching Hospital
Elena Moro, MD, PhD, Grenoble Alpes University
Deep Brain Stimulation (DBS) is a proved effective treatment for Parkinson’s disease and dystonia. So far, about 150,000 patients worldwide have been treated with DBS for disabling movement disorder. It is part of the movement disorders neurologist education and knowledge to know at least the basis of this therapy. Indeed, also general neurologists will be increasingly confronted with the management of these surgical patients, who suffer from chronic neurological conditions, thus requiring lifelong care. This advanced course is intended for neurologists, neurosurgeons, and nurse practitioners who are already involved in the care of DBS patients. The course will focus on standards of care in the preoperative, intraoperative and postoperative patient management, a comparison of programming options in different DBS devices, advanced programming options including visualized programming tools, and troubleshooting for failed DBS surgery and various therapy-related adverse effects.
This course is intended for movement disorder neurologists, functional neurosurgeons, nurse practitioners, and trainees who are already involved in the selection, intra- or postoperative management of patients with movement disorders (Parkinson’s disease, tremor, dystonia, etc.) treated by deep brain stimulation surgery and want to strengthen their knowledge in this field.
Upon completion of this program, participants will be able to:
- Provide an in depth overview of the selection process of candidates for deep brain stimulation in various subtypes of Parkinson’s disease, dystonia and tremor
- Outline the efficacy and associated risks for DBS in various subtypes of Parkinson’s disease, dystonia and tremor
- Describe the strategies for adjustment of medication and DBS settings, including advanced stimulation options, and discuss troubleshooting options in case of “failed DBS surgery” due to insufficient effect or side effects
- Describe the indirect and direct stereotactic targeting of all DBS targets
- Describe the medical and surgical management of DBS complications in the short and long term
Haga Teaching Hospital (HagaZiekenhuis)
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