Basic algorithms for the programming of deep brain stimulation in Parkinson's disease
Basic algorithms for the programming of deep brain stimulation in Parkinson's disease
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DOI：
10.1002/mds.20961
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发表时间：
2006-01-01
影响因子：
8.6
通讯作者：
Pahwa, R
中科院分区：
文献类型：
--
作者：
Volkmann, J;Moro, E;Pahwa, R
脑深部电刺激术（DBS）治疗帕金森病（PD）的临床成功关键取决于术后神经管理的质量。参与这种治疗的运动障碍专家需要获得新的技能，以适应植入DBS系统后的最佳刺激参数和药物治疗。乍一看，无限数量的理论上可能的参数组合似乎使编程成为一种复杂而耗时的艺术。本文概述了一种逐步和标准化的方法，将DBS中可能的参数设置减少到几个相关的组合。在流程图中解释并总结了PD中丘脑、丘脑底和苍白球刺激的基本编程算法。(C)2006年，《社会运动》创刊。
The clinical success of deep brain stimulation (DBS) for treating Parkinson's disease (PD) critically depends on the quality of postoperative neurological management. Movement disorder specialists becoming involved with this therapy need to acquire new skills to adapt optimally stimulation parameters and medication after implantation of a DBS system. At first glance, the infinite number of theoretically possible parameter combinations seems to make programming a complex and time-consuming art. This article outlines a stepwise and standardized approach, reducing the possible parameter settings in DBS to a few relevant combinations. The basic programming algorithms for thalamic, subthalamic, and pallidal stimulation in PD are explained and summarized in flowcharts. (C) 2006 Movement Disorder Society.