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Deep brain stimulation for movement disorders
  1. Wesley Thevathasan1,
  2. Ralph Gregory2
  1. 1Specialist Registrar, Department of Clinical Neurology, John Radcliffe Hospital, Oxford, UK and Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, London, UK
  2. 2Consultant Neurologist, Neurology Department, Poole Hospital NHS Foundation Trust, Poole, UK
  1. R Gregory, Neurology Department, Poole Hospital NHS Foundation Trust, Longfleet Road, Poole, UK; Ralph.gregory{at}poole.nhs.uk

Abstract

Deep brain stimulation is now considered a routine treatment option for selected patients with advanced Parkinson’s disease, primary segmental and generalised dystonia, and essential tremor. The neurosurgeon is responsi ble for the accurate and safe placement of the electrodes and the neurologist for the careful selection of patients and titration of medication against the effects of stimulation. A multidisciplinary team approach involving specialist nurses, neuropsychologists and neurophysiologists is required for a successful outcome. In this article we will summarise the key points in patient selection, provide an overview of the surgical technique, and discuss the beneficial and adverse outcomes that can occur.

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Footnotes

  • Competing interest None.

  • Provenance Commissioned; externally peer reviewed.

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