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Introduction to the programming of deep brain stimulators
Author(s) -
Volkmann Jens,
Herzog Jan,
Kopper Florian,
Deuschl Güntner
Publication year - 2002
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.10162
Subject(s) - deep brain stimulation , neurostimulation , dystonia , essential tremor , movement disorders , physical medicine and rehabilitation , parkinson's disease , neurophysiology , medicine , computer science , psychology , neuroscience , physical therapy , disease , stimulation , pathology
The clinical success of deep brain stimulation (DBS) for treating Parkinson's disease, tremor, or dystonia critically depends on the quality of postoperative neurologic management. Movement disorder specialists becoming involved with this therapy need to acquire new skills to optimally adapt stimulation parameters and medication after implantation of a DBS system. In clinical practice, the infinite number of possible parameter settings in DBS can be reduced to few relevant combinations. In this article, the authors describe a general scheme of selecting stimulation parameters in DBS and provide clinical and neurophysiological arguments for such a standardized algorithm. They also describe noninvasive technical trouble shooting by using programming features of the commercially available neurostimulation devices. © 2002 Movement Disorder Society