Deep Brain Stimulation: A New Life for People with Parkinson's, Dystonia, and Essential Tremor

Deep Brain Stimulation: A New Life for People with Parkinson's, Dystonia, and Essential Tremor

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by Kelvin L. Chou, Susan Grube, Parag Patil
     
 

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In the United States, an estimated 42 million people suffer from some form of movement disorder. Common movement disorders include Parkinson's disease (PD), essential tremor (ET), and dystonia. Although medications may be helpful for these conditions, in many patients, symptoms cannot be controlled with medications alone. In such situations, their physicians may

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Overview

In the United States, an estimated 42 million people suffer from some form of movement disorder. Common movement disorders include Parkinson's disease (PD), essential tremor (ET), and dystonia. Although medications may be helpful for these conditions, in many patients, symptoms cannot be controlled with medications alone. In such situations, their physicians may recommend a surgical procedure known as Deep Brain Stimulation (DBS). DBS is a revolutionary technology using an implanted device to deliver electrical stimulation to the brain to help symptoms, alleviate suffering, and improve quality of life. The Food and Drug Administration (FDA) approved DBS as a treatment for essential tremor in 1997, for Parkinson's disease in 2002, and dystonia in 2003.

Deep brain stimulation has dramatically changed the lives of many patients with uncontrollable tremors. Patients often can resume normal activities, such as feeding and dressing themselves, and can have active and fulfilling lives. The need for anti-tremor medications is often reduced or eliminated.

Though it's no longer considered experimental, DBS is, for now, still used as a second- or third-line treatment, reserved for patients with more advanced cases of the disease and those for whom medication alone is inadequate or can't be adjusted precisely enough to keep their tremors and writhing under control.

However the idea of this surgery being a "last resort" is an evolving concept. Ten years ago doctors were operating on only the most severe, disabled, wheelchair-dependent patients, now they are operating on patients with moderate-to-severe cases of PD, ET and Dystonia. The thought is that this trend will continue. Instead of saying "wait another five to ten years until you become more disabled" doctors are realizing that the earlier they use DBS, the more they can improve the quality of life of their patients.

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Editorial Reviews

Doody's Review Service
Reviewer: Joseph I Sirven, MD (Mayo Clinic Arizona)
Description: This is essentially a basic primer on deep brain stimulation (DBS) for specific neurological disorders such as Parkinson's disease, dystonia, and essential tremor. The first book of its kind, it is a brief synopsis on the technique and its clinical use.
Purpose: Intended for the lay public, the essence of the book is to present an accurate and balanced picture of DBS and provide potential patients with this device the best possible summary of its risks and benefits. Given the increasing number of medical devices for neurological conditions, the objectives are worthy.
Audience: Because it is intended for potential patients, the book is written in easy-to-understand prose, yet conveys a sense of authority. In this sense, the book is quite helpful for those considering the procedure.
Features: The book covers DBS from the procedure and devices to indications and complications. There are numerous helpful illustrations, as well as a section of frequently asked questions. The book is a patient-based summary and is not intended for professionals looking for more in-depth information on the topic.
Assessment: This is an excellent and concise compilation of what any patient considering DBS would want to know about the procedure. For a patient information library, this is an excellent resource.
From the Publisher
“Everything you need to know about deep brain stimulation. From the first consideration to long-term care, this is an invaluable resource that patients, their families, and their physicians will want at their fingertips.”
—Matthew B. Stern, MD, Parker Family Professor of Neurology, Director, Parkinson’s Disease and Movement Disorders Center, University of Pennsylvania

“Finally! A comprehensive, no-nonsense, authoritatively written book on deep brain stimulation, specifically for the patient and caregiver. It masterfully navigates the full journey of anyone considering DBS from start to finish, painting a clear, step-by-step, realistic picture of this life-changing breakthrough therapy.”
—Hubert H. Fernandez, MD, Online Medical Editor, Movement Disorders Society and Head of Movement Disorders, Center for Neurological Restoration, Cleveland Clinic

“A must-read for patients considering DBS surgery.”
—Rajesh Pahwa, MD, Laverne and Joyce Rider Professor of Neurology, Director, Parkinson Disease and Movement Disorder Center, University of Kansas Medical Center

Reviewer: Joseph I Sirven, MD(Mayo Clinic Arizona)
Description: This is essentially a basic primer on deep brain stimulation (DBS) for specific neurological disorders such as Parkinson's disease, dystonia, and essential tremor. The first book of its kind, it is a brief synopsis on the technique and its clinical use.
Purpose: Intended for the lay public, the essence of the book is to present an accurate and balanced picture of DBS and provide potential patients with this device the best possible summary of its risks and benefits. Given the increasing number of medical devices for neurological conditions, the objectives are worthy.
Audience: Because it is intended for potential patients, the book is written in easy-to-understand prose, yet conveys a sense of authority. In this sense, the book is quite helpful for those considering the procedure.
Features: The book covers DBS from the procedure and devices to indications and complications. There are numerous helpful illustrations, as well as a section of frequently asked questions. The book is a patient-based summary and is not intended for professionals looking for more in-depth information on the topic.
Assessment: This is an excellent and concise compilation of what any patient considering DBS would want to know about the procedure. For a patient information library, this is an excellent resource.

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Product Details

ISBN-13:
9781936303113
Publisher:
Demos Medical Publishing, LLC
Publication date:
12/21/2011
Pages:
166
Sales rank:
1,464,624
Product dimensions:
5.90(w) x 9.00(h) x 0.30(d)

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