Neupsy Key

(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…

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…

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…

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…

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…

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.”…

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…