en
Scientific article
English

Postoperative management of subthalamic nucleus stimulation for Parkinson's disease

Published inMovement disorders, vol. 17 Suppl 3, p. S188-197
Publication date2002
Abstract

The postoperative neurologic management of patients with deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson' s disease is a complex dynamic process that involves a progressive increase in stimulation intensity and a parallel decrease in antiparkinsonian medication while assessing the interactions of both treatments. Neurologists responsible for postoperative management of patients receiving STN DBS must have expert knowledge of the electroanatomy of the subthalamic area and be familiar with the medical treatment of motor and nonmotor symptoms, including the management of long-term complications of levodopa treatment. Neurosurgeons who perform DBS need to understand the principles that guide the postoperative adaptation of treatment. This article defines guidelines for setting stimulation parameters, adapting drugs and managing adverse effects.

Keywords
  • Antiparkinson Agents/adverse effects/therapeutic use
  • Clinical Competence/standards
  • Combined Modality Therapy
  • Electric Stimulation Therapy/adverse effects/methods
  • Electrodes, Implanted
  • Humans
  • Levodopa/adverse effects/therapeutic use
  • Parkinson Disease/drug therapy/surgery/therapy
  • Patient Care/standards
  • Subthalamic Nucleus/surgery
  • Treatment Outcome
Affiliation Not a UNIGE publication
Citation (ISO format)
KRACK, Paul et al. Postoperative management of subthalamic nucleus stimulation for Parkinson’s disease. In: Movement disorders, 2002, vol. 17 Suppl 3, p. S188–197.
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal0885-3185
335views
0downloads

Technical informations

Creation04/10/2017 11:19:00 AM
First validation04/10/2017 11:19:00 AM
Update time03/15/2023 1:43:50 AM
Status update03/15/2023 1:43:50 AM
Last indexation01/17/2024 12:02:23 AM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack