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Title

Postoperative management of subthalamic nucleus stimulation for Parkinson's disease

Authors
Fraix, Valérie
Mendes, Alexandre
Benabid, Alim-Louis
Published in Movement Disorders. 2002, vol. 17 Suppl 3, p. S188-97
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 useClinical Competence/standardsCombined Modality TherapyElectric Stimulation Therapy/adverse effects/methodsElectrodes, ImplantedHumansLevodopa/adverse effects/therapeutic useParkinson Disease/drug therapy/surgery/therapyPatient Care/standardsSubthalamic Nucleus/surgeryTreatment Outcome
Identifiers
PMID: 11948776
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KRACK, Paul et al. Postoperative management of subthalamic nucleus stimulation for Parkinson's disease. In: Movement Disorders, 2002, vol. 17 Suppl 3, p. S188-97. https://archive-ouverte.unige.ch/unige:94553

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Deposited on : 2017-05-30

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