Decisions about deep brain stimulation therapy in Parkinson’s disease
ABSTRACT Parkinson’s disease can be treated surgically in patients who present with motor complications such as fluctuations and dyskinesias, or medically-refractory disabling tremor. In this review, a group of specialists formulated suggestions for a preoperative evaluation protocol after reviewing...
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| Language: | English |
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Thieme Revinter Publicações
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000600411&lng=en&tlng=en |
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| author | Pedro Brandão Talyta Cortez Grippe Luiz Cláudio Modesto André Gustavo Fonseca Ferreira Flávia Martins da Silva Flávio Faria Pereira Marcelo Evangelista Lobo Nasser Allam Tiago da Silva Freitas Renato P. Munhoz |
| author_facet | Pedro Brandão Talyta Cortez Grippe Luiz Cláudio Modesto André Gustavo Fonseca Ferreira Flávia Martins da Silva Flávio Faria Pereira Marcelo Evangelista Lobo Nasser Allam Tiago da Silva Freitas Renato P. Munhoz |
| author_sort | Pedro Brandão |
| collection | DOAJ |
| description | ABSTRACT Parkinson’s disease can be treated surgically in patients who present with motor complications such as fluctuations and dyskinesias, or medically-refractory disabling tremor. In this review, a group of specialists formulated suggestions for a preoperative evaluation protocol after reviewing the literature published up to October 2017. In this protocol, eligibility and ineligibility criteria for surgical treatment were suggested, as well as procedures that should be carried out before the multidisciplinary therapeutic decisions. The review emphasizes the need to establish “DBS teams”, with professionals dedicated specifically to this area. Finally, surgical target selection (subthalamic nucleus or globus pallidus internus) is discussed briefly, weighing the pros and cons of each target. |
| format | Article |
| id | doaj-art-78f485aba0d4424d9cae1c6fb9072d24 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-78f485aba0d4424d9cae1c6fb9072d242025-08-20T01:57:47ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422776641142010.1590/0004-282x20180048S0004-282X2018000600411Decisions about deep brain stimulation therapy in Parkinson’s diseasePedro BrandãoTalyta Cortez GrippeLuiz Cláudio ModestoAndré Gustavo Fonseca FerreiraFlávia Martins da SilvaFlávio Faria PereiraMarcelo Evangelista LoboNasser AllamTiago da Silva FreitasRenato P. MunhozABSTRACT Parkinson’s disease can be treated surgically in patients who present with motor complications such as fluctuations and dyskinesias, or medically-refractory disabling tremor. In this review, a group of specialists formulated suggestions for a preoperative evaluation protocol after reviewing the literature published up to October 2017. In this protocol, eligibility and ineligibility criteria for surgical treatment were suggested, as well as procedures that should be carried out before the multidisciplinary therapeutic decisions. The review emphasizes the need to establish “DBS teams”, with professionals dedicated specifically to this area. Finally, surgical target selection (subthalamic nucleus or globus pallidus internus) is discussed briefly, weighing the pros and cons of each target.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000600411&lng=en&tlng=enParkinson diseasedeep brain stimulationreference standardsbasal ganglianeurosurgical procedures |
| spellingShingle | Pedro Brandão Talyta Cortez Grippe Luiz Cláudio Modesto André Gustavo Fonseca Ferreira Flávia Martins da Silva Flávio Faria Pereira Marcelo Evangelista Lobo Nasser Allam Tiago da Silva Freitas Renato P. Munhoz Decisions about deep brain stimulation therapy in Parkinson’s disease Arquivos de Neuro-Psiquiatria Parkinson disease deep brain stimulation reference standards basal ganglia neurosurgical procedures |
| title | Decisions about deep brain stimulation therapy in Parkinson’s disease |
| title_full | Decisions about deep brain stimulation therapy in Parkinson’s disease |
| title_fullStr | Decisions about deep brain stimulation therapy in Parkinson’s disease |
| title_full_unstemmed | Decisions about deep brain stimulation therapy in Parkinson’s disease |
| title_short | Decisions about deep brain stimulation therapy in Parkinson’s disease |
| title_sort | decisions about deep brain stimulation therapy in parkinson s disease |
| topic | Parkinson disease deep brain stimulation reference standards basal ganglia neurosurgical procedures |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000600411&lng=en&tlng=en |
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