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Chapter 11 - Clinical Applications of Brain Sensing with Bidirectional Deep Brain Stimulation in Movement Disorders

Published online by Cambridge University Press:  09 June 2022

William J. Marks
Affiliation:
Stanford University, California
Jill L. Ostrem
Affiliation:
University of California, San Francisco
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Summary

High-frequency continuous deep brain stimulation (DBS) is an effective therapy for many motor symptoms of movement disorders but has limitations related to time-consuming device programming and maintenance. Expert clinicians typically program devices in a trial-and-error fashion with established techniques such as the monopolar review. Multiple visits are often required to determine long-term DBS settings and dopaminergic medication dosing based on direct clinical observation.

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Publisher: Cambridge University Press
Print publication year: 2022

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