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Chapter 7 - When to Consider Deep Brain Stimulation for Patients with Parkinson’s Disease, Essential Tremor, or Dystonia

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

The following chapter details factors to consider when evaluating patients with Parkinson’s disease, essential tremor, or dystonia for treatment with deep brain stimulation (DBS) therapy. An understanding of what factors tend to predict a good outcome from DBS is critical in counseling patients, helping the clinician determine which patients are likely to realize meaningful benefit, and gauging when along the course of each patient’s disease process to intervene. These factors are discussed independently for Parkinson’s disease (PD), essential tremor (ET), and dystonia. The risks related to surgical implantation of the system and stimulation itself need to be weighted against the expected benefit.

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Publisher: Cambridge University Press
Print publication year: 2022

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