Deep brain stimulation programming: principles and practice
Gespeichert in:
1. Verfasser: | |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
Oxford [u.a.]
Oxford Univ. Press
2010
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Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | Includes bibliographical references and index |
Beschreibung: | XVII, 179 S. Ill., graph. Darst. |
ISBN: | 9780199738526 |
Internformat
MARC
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245 | 1 | 0 | |a Deep brain stimulation programming |b principles and practice |c Erwin B. Montgomery |
264 | 1 | |a Oxford [u.a.] |b Oxford Univ. Press |c 2010 | |
300 | |a XVII, 179 S. |b Ill., graph. Darst. | ||
336 | |b txt |2 rdacontent | ||
337 | |b n |2 rdamedia | ||
338 | |b nc |2 rdacarrier | ||
500 | |a Includes bibliographical references and index | ||
650 | 4 | |a Brain stimulation | |
650 | 4 | |a Brain stimulation |x Therapeutic use | |
650 | 4 | |a Deep Brain Stimulation | |
650 | 4 | |a Brain Diseases |x therapy | |
650 | 4 | |a Neurologic Manifestations | |
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Datensatz im Suchindex
_version_ | 1804143285144387584 |
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adam_text | Titel: Deep brain stimulation programming
Autor: Montgomery, Erwin B.
Jahr: 2010
Contents
Abbreviations xix
i. Introduction 3
Commentary 1.1. The Case for Deep Brain Stimulation 4
Commentary 1.2. The Future of Deep Brain Stimulation 5
Principles of Effective and Efficient Programming 7
Proximate Effects and Distal Interventions: What the Brain Sees versus
What You See 8
The Basis of DBS Effects 8
2. Principles of DBS Electronics 11
Note Regarding Impedances 13
3. Principles of Electrophysiology 17
Therapeutic Mechanisms versus Delivery of Therapy 17
Commentary 3.1. Sorting out DBS and Pharmacotherapy 18
Commentary 3.2. Antidromic Activation as a Mechanism of DBS
Action 27
Controlling the Flow of Electrical Charges 29
Current Intensity in Monopolar and Bipolar Electrode Configurations 33
Commentary 3.5. The Ideal DBS System 40
4. DBS Safety 47
Potential Psychosocial Consequences of DBS 50
5. The Issue of DBS Frequency 51
Commentary 5.1. Emergence of Therapeutic Low-Frequency DBS 52
6. Approaches to Programming 57
Optimizing Battery Life 57
The Special Case of the U-Shaped Response 63
Commentary 6.1. The Paradox ofWorsening Function with Increasing Strength
of DBS: The U-Shaped Response 65
Optimizing Therapeutic Effect and Minimizing Side Effects 67
Algorithm for Selecting Electrode Configurations 69
xvi CONTENTS
7. Approach to Subthalamic Nucleus 75
Regional Anatomy of the Subthalamic Nucleus 75
Side Effects Created by the Position of the DBS Lead Relative to the
Subthalamic Nucleus 75
Approach to Subthalamic Nucleus DBS for Parkinson s Disease 80
8. Approach to the Globus Pallidus Internal Segment 83
Regional Anatomy of the Globus Pallidus Internal Segment 83
Side Effects Resulting from the Position of the DBS Lead Relative to the
Globus Pallidus Internal Segment 83
Approaches to Globus Pallidus Internal Segment DBS for Parkinson s
Disease 85
Treating Dystonia with DBS of the Globus Pallidus Internal Segment 86
Treating Hyperkinetic Disorders 87
9. Approach to Thalamic DBS 89
Regional Anatomy of the Ventral Intermediate Thalamus 89
Side Effects Resulting from the Position of the DBS Lead Relative to the
Ventral Intermediate Thalamus 89
Effects of DBS on Speech and Swallowing 92
An Approach to Thalamic DBS for Tremor 93
10. Helpful Programming Hints 95
Conduct a Monopolar Survey 95
Always Increase the Current/Voltage to Clarify Any Side Effects 96
Check Therapeutic Impedances on IPGs 96
Confirm That the Parameters under Patient Control Are within Safe
Limits 96
Systematically Document All Clinical Responses to All DBS Stimulation
Parameters and Electrode Configurations 96
Always Reset Counters and Troubleshoot Inconsistent Responses 97
Advise Patients to Take Their DBS Controlling Devices with Them to
Emergency Rooms or Doctor Visits 97
Be Patient and Persistent 98
When in Doubt, Turn the IPG Off and Wait 98
Troubleshooting 98
11. The Basic Unit of Information in the Brain 103
Commentary n.i. The Curious Case in Which Inhibition Is Not
Inhibition 108
12. What DBS Tells Us about Physiology and Pathophysiology in
CONTENTS xvii
13. Variability in the Latency of Responses to DBS 117
14. Oscillator Basics 121
15. Paradoxes in DBS 133
The Paradox of Multiplicity of Targets 134
The Paradox of Variability in DBS Frequency Effects 134
The Paradox of Variability in Latency Periods of DBS Effects 134
The Paradox of the U-Shaped Response 135
The Paradox of Dissociating the Neurometabolic from the
Electrophysiological Effects of DBS 135
The Paradox of the Dumb Constant-Frequency DBS That Yet
Restores Information 136
Appendix 1. Index to DBS Side Effects, by Side Effect and Site of
Stimulation 139
By Side Effect 139
By DBS Site 139
Appendix 2. Aids to Programming: Paper Documentation 141
Parkinson s Disease 142
Cerebellar Outflow Tremor or Essential Tremor 145
Dystonia 145
Dyskinesia 147
Tourette s Syndrome 153
Appendix 3. Aid to Programming: Algorithm and Checklist for Electrode
Configurations 155
References 167
Glossary 171
Index 173
|
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illustrated | Illustrated |
indexdate | 2024-07-09T22:45:14Z |
institution | BVB |
isbn | 9780199738526 |
language | English |
lccn | 2009036475 |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-020582967 |
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owner | DE-355 DE-BY-UBR |
owner_facet | DE-355 DE-BY-UBR |
physical | XVII, 179 S. Ill., graph. Darst. |
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spelling | Montgomery, Erwin B. Jr. Verfasser (DE-588)1185777393 aut Deep brain stimulation programming principles and practice Erwin B. Montgomery Oxford [u.a.] Oxford Univ. Press 2010 XVII, 179 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Brain stimulation Brain stimulation Therapeutic use Deep Brain Stimulation Brain Diseases therapy Neurologic Manifestations Hirnstimulation (DE-588)4805645-5 gnd rswk-swf Hirnstimulation (DE-588)4805645-5 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020582967&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Montgomery, Erwin B. Jr Deep brain stimulation programming principles and practice Brain stimulation Brain stimulation Therapeutic use Deep Brain Stimulation Brain Diseases therapy Neurologic Manifestations Hirnstimulation (DE-588)4805645-5 gnd |
subject_GND | (DE-588)4805645-5 |
title | Deep brain stimulation programming principles and practice |
title_auth | Deep brain stimulation programming principles and practice |
title_exact_search | Deep brain stimulation programming principles and practice |
title_full | Deep brain stimulation programming principles and practice Erwin B. Montgomery |
title_fullStr | Deep brain stimulation programming principles and practice Erwin B. Montgomery |
title_full_unstemmed | Deep brain stimulation programming principles and practice Erwin B. Montgomery |
title_short | Deep brain stimulation programming |
title_sort | deep brain stimulation programming principles and practice |
title_sub | principles and practice |
topic | Brain stimulation Brain stimulation Therapeutic use Deep Brain Stimulation Brain Diseases therapy Neurologic Manifestations Hirnstimulation (DE-588)4805645-5 gnd |
topic_facet | Brain stimulation Brain stimulation Therapeutic use Deep Brain Stimulation Brain Diseases therapy Neurologic Manifestations Hirnstimulation |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020582967&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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