Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-27T21:24:40.926Z Has data issue: false hasContentIssue false

Chapter 9 - Assessing patient outcome and troubleshooting deep brain stimulation

Published online by Cambridge University Press:  10 November 2010

By
Frandy Susatia ,
Kelly D. Foote ,
Herbert Ward  and
Michael S. Okun
Edited by
William J. Marks, Jr
William J. Marks, Jr
Affiliation:
University of California, San Francisco
Get access

Summary

This chapter reviews methods of assessing outcomes following deep brain stimulation (DBS) and the approach to troubleshooting problems with DBS that may be responsible for poorer than expected outcomes. Assessment of outcome after DBS includes measurement of: impairment; disability; health-related quality of life (HRQL); and quality of life (QOL). A neuropsychological and neuropsychiatric examination should be performed in DBS candidates to identify problems and predisposing factors. An important concept in the evaluation and assessment of DBS patients is to utilize a multidisciplinary, or team, approach. Assessment and management of surgery-related issues and complications can be challenging in the acute time following DBS implantation surgery. Assessment of patients for DBS candidacy is best performed using a multidisciplinary team approach. Problems encountered with DBS surgery can be divided into four main categories: surgery-related; device-related; stimulation-related; and other issues, including disease progression, and poor DBS candidate/lack of the multidisciplinary team evaluation.

Keywords

deep brain stimulationelectrical chargeelectrode configurationstissue damagestimulation parametersneurotransmittersneuromodulators
Type
Chapter
Information
Deep Brain Stimulation Management , pp. 91 - 130
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×