TY  - JOUR
PY  - 2006//
TI  - Deep brain stimulation: preoperative issues
JO  - Movement disorders
A1  - Lang, Anthony E.
A1  - Houeto, Jean-Luc
A1  - Krack, Paul
A1  - Kubu, Cynthia
A1  - Lyons, Kelly E.
A1  - Moro, Elena
A1  - Ondo, William
A1  - Pahwa, Rajesh
A1  - Poewe, Werner
A1  - Tröster, Alexander I.
A1  - Uitti, Ryan
A1  - Voon, Valerie
SP  - S171
EP  - 196
VL  - 21 Suppl 14
IS  - 
N2  - Numerous factors need to be taken into account in deciding whether a patient with Parkinson's disease (PD) is a candidate for deep brain stimulation. Patient-related personal factors including age and the presence of other comorbid disorders need to be considered. Neuropsychological and neuropsychiatric concerns relate both to the presurgical status of the patient and to the potential for surgery to result in new problems postoperatively. A number of factors related to the underlying PD need to be considered, including the specific parkinsonian motor indications (e.g., tremor, bradykinesia, gait dysfunction), previous medical therapies, including benefit from current therapy and adverse effects, and past surgical treatments. Definable causes of Parkinsonism, particularly atypical Parkinsonisms, should be considered. Finally, methods of evaluating outcomes should be defined and formalized. This is a report from the Consensus on Deep Brain Stimulation for Parkinson's Disease, a project commissioned by the Congress of Neurological Surgeons and the Movement Disorder Society (MDS). The report has been endorsed by the Scientific Issues Committee of the MDS and the American Society of Stereotactic and Functional Neurosurgery. It outlines answers to a series of questions developed to address all aspects of deep brain stimulation preoperative decision-making.<p /> <p>Language: en</p>
LA  - en
SN  - 0885-3185
UR  - http://dx.doi.org/10.1002/mds.20955
ID  - ref1
ER  -