Rationale and Clinical Pearls for Primary Care Doctors Referring Patients for Deep Brain Stimulation
Author(s) -
Daniel Martínez-Ramírez,
Michael S. Okun
Publication year - 2013
Publication title -
gerontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.397
H-Index - 94
eISSN - 1423-0003
pISSN - 0304-324X
DOI - 10.1159/000354880
Subject(s) - deep brain stimulation , medicine , referral , movement disorders , dystonia , essential tremor , primary care , disease , physical medicine and rehabilitation , intensive care medicine , parkinson's disease , psychiatry , family medicine
Deep brain stimulation (DBS) is a surgical treatment involving the implantation of a brain lead connected to a chest-based neurostimulator similar to a cardiac pacemaker. The device can be programmed to deliver electrical impulses to neuromodulate abnormal brain circuitry in disorders such as Parkinson's disease (PD), essential tremor (ET), and dystonia. As the number of patients receiving DBS surgery increases, it will be important for primary care doctors to identify reasonable DBS candidates for referral to an experienced center.
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