Managing epilepsy patients treated with deep brain stimulation
Figure 10.1 Skull x-ray showing DBS leads in an epilepsy patient treated with deep brain stimulation of the anterior nucleus of the thalamus. Figure 10.2 Sagittal MRI image of the…
Managing dystonia patients treated with deep brain stimulation
(1 patient at 60)2 or 3 (6 or 7)Ostrem et al. (2014)2371.5–4.560–9060–140Central or dorsal (unipolar or bipolar) Electrode configuration With very few exceptions,37 most clinicians have used unipolar (monopolar) electrode…
Principles of neurostimulation
Figure 5.1 Schematic representation of the lines of electrical force that radiate from the negative electrode (cathode) for various configurations. In the case of unipolar configuration (a), where there is…
Managing essential tremor patients treated with deep brain stimulation
Figure 7.1 Programming algorithm for ventral intermediate deep brain stimulation (Vim DBS) in essential tremor (ET) patients. The usual parameters for Vim stimulation are amplitude of 1–4 V, pulse width…
Patient selection
PrimidoneGabapentinTopiramateAtenololSotalolAlprazolamClonazepamNadololNimodipinePregabalinZonisamideClozapine Target selection The ventral intermediate nucleus (Vim) of the thalamus is the most well-studied and only FDA-approved DBS surgical target for ET. Stimulation is highly effective at abolishing contralateral…
Introduction
Figure 1.1 Implanted components of the deep brain stimulation (DBS) system include the DBS leads, extensions, and neurostimulator. Figure courtesy of Medtronic; used with permission. The DBS lead, containing an…
Assessing patient outcome and troubleshooting deep brain stimulation
Figure 12.1 Algorithm for assessment and troubleshooting post-DBS. On the second day, the patient will have been “off” medication overnight (if the patient has PD) and stimulation will be “on.”…
Implementing deep brain stimulation in practice: models of patient care
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 13 Implementing deep brain stimulation in practice: models of patient care Stephen Grill The goal of a deep brain stimulation (DBS) program is to treat…
Neuropathology of Cysticercosis
and Héctor H. García3, 4 (1) School of Medicine, Universidad Espíritu Santo, Santo, Ecuador (2) Department of Neurological Sciences, Hospital-Clinica Kennedy, Guayaquil, Ecuador (3) Cysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima,…
Diagnosis of Taeniasis and Cysticercosis
and Héctor H. García3, 4 (1) School of Medicine, Universidad Espíritu Santo, Santo, Ecuador (2) Department of Neurological Sciences, Hospital-Clinica Kennedy, Guayaquil, Ecuador (3) Cysticercosis Unit, Instituto Nacional de Ciencias Neurológicas, Lima,…
