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By William J. Marks Jr

A pragmatic advisor to using this particularly new remedy for the motor indicators of assorted stream disorders.

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San Diego, CA; 2000. 8. Defer GL, Widner H, Marie RM, Remy P, Levivier M. Core assessment program for surgical interventional therapies in Parkinson’s disease (CAPSIT-PD). Mov Disord 1999;14:572–84. 9. Aarsland D, Andersen K, Larsen JP, Lolk A, KraghSorensen P. Prevalence and characteristics of dementia in Parkinson disease: an 8-year prospective study. Arch Neurol 2003;60:387–92. 10. Saint-Cyr JA, Trepanier LL, Kumar R, Lozano AM, Lang AE. Neuropsychological consequences of chronic bilateral stimulation of the subthalamic nucleus in Parkinson’s disease.

The neurosurgeon hands the end of the DBS lead from the sterile field to the neurologist or other assistant, who connects it to an external stimulator. The goal of intraoperative DBS test stimulation is to assess the efficacy of placement and the “therapeutic window” of stimulation. 27 Chapter 3: Surgical placement of DBS leads Ideally a neurologist trained in movement disorders should perform this assessment. ). Stimulation may be through any one or several electrodes on the lead in a monopolar (unipolar) mode or through any pair of electrodes in a bipolar mode.

22. Gross R, Lombardi W, Lang A, et al. Relationship of lesion location to clinical outcome following microelectrode-guided pallidotomy for Parkinson’s disease. Brain 1999;122:405–16. 23. Eskandar E, Cosgrove G, Shinobu L, Penney J. The importance of accurate lesion placement in posteroventral pallidotomy: report of two cases. J Neurosurg 1998;89:630–4. 24. Bronte-Stewart H, Hill B, Molander M, et al. Lesion location predicts clinical outcome of pallidotomy. Mov Disord 1998;13:300. 25. Romanelli P, Heit G, Hill B, et al.

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