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Deep Brain Stimulation
Management
Deep Brain Stimulation
Management
Edited by
William J. Marks, Jr.
UniversityofCalifornia,SanFrancisco
CAMBRIDGE UNIVERSITY PRESS
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Cambridge University Press
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© Cambridge University Press 2010
This publication is in copyright. Subject to statutory exception and to the
provision of relevant collective licensing agreements, no reproduction of any part
may take place without the written permission of Cambridge University Press.
First published in print format 2010
ISBN-13 978-0-511-90815-6 eBook (EBL)
ISBN-13 978-0-521-51415-6 Hardback
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Every effort has been made in preparing this publication to provide accurate and
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Nevertheless, the authors, editors and publishers can make no warranties that the
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are strongly advised to pay careful attention to information provided by the
manufacturer of any drugs or equipment that they plan to use.
For myparents,Marleneand Bill
v
Contents
List of contributors viii
Preface xi
1 Introduction: The expanding role 9 Assessing patient outcome and
of deep brain stimulation 1 troubleshootingdeep brain stimulation 91
FrandySusatia, Kelly D. Foote, Herbert Ward,
William J.Marks,Jr.
and MichaelS. Okun
2 Patientselection: When toconsider
10 Implementing deep brain stimulation
deep brain stimulation for patientswith
into practice: models of patient care 131
Parkinson’s disease, essential tremor,
or dystonia 4 StephenGrill
Jill L. Ostrem
3 Surgical placement of deep brain stimulation
leads for the treatment of movement AppendixA: Motor diary 141
disorders: intraoperative aspects: AppendixB: UnifiedParkinson’s Disease Rating
physiological mapping, test stimulation, Scale 142
and patient evaluation 20
AppendixC:AbnormalInvoluntary Movement
Helen Bronte-Stewart Scale 147
4 Principlesof neurostimulation 32 AppendixD: PDQ-39 questionnaire 149
Erwin B. Montgomery, Jr. AppendixE: Montreal Cognitive Assessment
Test – English 151
5 Fundamentals of deep brain stimulation AppendixF: GeriatricDepression Scale 152
programming 43
AppendixG:Burke–Fahn–MarsdenDystonia
S.Elizabeth Zauber, Peggie A. Smith,andLeo Rating Scale 153
VerhagenMetman
AppendixH:Toronto Western Spasmodic
6 Managing essentialtremor Torticollis Rating Scale 155
patientstreated with deep brain AppendixI: GPi DBS programming data
stimulation 56 sheet 158
Rajesh Pahwa and Kelly E. Lyons AppendixJ: STNDBS programming data
sheet 159
7 Managing Parkinson’sdisease
AppendixK: Vim DBS programming data
patientstreated with deep
sheet 160
brain stimulation 62
AppendixL: DBS programming tracking
RajeevKumarandLindsey Johnson
form 161
8 Managing dystonia patientstreated with AppendixM:Tremor Rating Scale 162
deep brain stimulation 83 Index 164
Ioannis U.Isaias andMicheleTagliati
vii
Contributors
Helen Bronte-Stewart, MD, MSE
Parkinson’sDiseaseResearch,Education,andClinical
Associate Professor,
Center, San Francisco Veterans Affairs Medical
Department of Neurology and
Center, San Francisco, CA, USA
Neurological Sciences, and Director,
Stanford Movement Disorders Center, Erwin B. Montgomery, Jr., MD
Stanford, CA, USA Professor, Department of Neurology,
Division of Movement Disorders, and
Kelly D.Foote, MD
Dr. Sigmund Rosen Scholar in Neurology,
Associate Professor,
University of Alabama at Birmingham, AL, USA
Department of Neurosurgery, and Director,
University of Florida Movement Disorders Center,
Michael S. Okun, MD
McKnight Brain Institute, Gainesville, FL, USA
AssociateProfessorofNeurology,andDirector,
Stephen Grill, MD, PhD UniversityofFloridaMovementDisordersCenter,
Parkinson’s and Movement Disorders Center of McKnightBrainInstitute,Gainesville,FL,USA
Maryland, Elkridge, MD, USA
JillL.Ostrem, MD
Ioannis U.Isaias,MD Associate Professor,
Department of Neurology, Department of Neurology, University of California,
Mount Sinai School of Medicine, San Francisco, and Parkinson’ Disease Research,
New York, NY, USA Education, and Clinical Center,
San Francisco Veterans Affairs Medical Center,
Lindsey Johnson, BSc
San Francisco, CA, USA
Movement Disorders Center,
Colorado Neurological Institute, Rajesh Pahwa, MD
Englewood, CO, USA
Laverne and Joyce Rider
Rajeev Kumar,MD, FRCPC Professor of Neurology, and Director,
Parkinson’s Disease and Movement Disorder Center,
Medical Director,
University of Kansas Medical Center,
Movement Disorders Center,
Kansas City, KS, USA
Colorado Neurological Institute,
Englewood, CO, USA
Peggie A. Smith, PA-C
Kelly E. Lyons,PhD Physician Assistant,
Research Associate Professor of Neurology, and Department of Neurological Sciences,
Director of Research and Education, Rush University Medical Center,
Parkinson’s Disease and Movement Disorder Center, Chicago, IL, USA
University of Kansas Medical Center,
Frandy Susatia, MD
Kansas City, KS, USA
DepartmentofNeurology,
William J. Marks,Jr.,MD UniversityofFloridaMovementDisordersCenter,
viii Associate Professor of Neurology, McKnightBrainInstitute,
UniversityofCalifornia,SanFrancisco,andDirector, Gainesville,FL,USA
