Portal de Periódicos da CAPES

Basic algorithms for the programming of deep brain stimulation in Parkinson's disease

2006; Wiley; Volume: 21; Issue: S14 Linguagem: Inglês

10.1002/mds.20961

1531-8257

Jens Volkmann, Elena Moro, Rajesh Pahwa,

Genetic Neurodegenerative Diseases

The clinical success of deep brain stimulation (DBS) for treating Parkinson's disease (PD) critically depends on the quality of postoperative neurological management. Movement disorder specialists becoming involved with this therapy need to acquire new skills to adapt optimally stimulation parameters and medication after implantation of a DBS system. At first glance, the infinite number of theoretically possible parameter combinations seems to make programming a complex and time-consuming art. This article outlines a stepwise and standardized approach, reducing the possible parameter settings in DBS to a few relevant combinations. The basic programming algorithms for thalamic, subthalamic, and pallidal stimulation in PD are explained and summarized in flowcharts.