Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review
Deep Brain Stimulation (DBS) has revolutionized the lives of patients of Parkinson disease, offering therapeutic options to those not benefiting entirely from medications alone. With its proven track record of outperforming the best medical management, the goal is to unlock the full potential of thi...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2017/3410820 |
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| _version_ | 1832551299875340288 |
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| author | Shazia Mirza Umar Yazdani Richard Dewey III Neepa Patel Richard B. Dewey Svjetlana Miocinovic Shilpa Chitnis |
| author_facet | Shazia Mirza Umar Yazdani Richard Dewey III Neepa Patel Richard B. Dewey Svjetlana Miocinovic Shilpa Chitnis |
| author_sort | Shazia Mirza |
| collection | DOAJ |
| description | Deep Brain Stimulation (DBS) has revolutionized the lives of patients of Parkinson disease, offering therapeutic options to those not benefiting entirely from medications alone. With its proven track record of outperforming the best medical management, the goal is to unlock the full potential of this therapy. Currently, the Globus Pallidus Interna (GPi) and Subthalamic Nucleus (STN) are both viable targets for DBS, and the choice of site should focus on the constellation of symptoms, both motor and nonmotor, which are key determinants to quality of life. Our article sheds light on the specific advantages and drawbacks of the two sites, highlighting the need for matching the inherent properties of a target with specific desired effects in patients. UT Southwestern Medical Center has a robust and constantly evolving DBS program and the narrative from our center provides invaluable insight into the practical realities of DBS. The ultimate decision in selecting a DBS target is complex, ideally made by a multidisciplinary team, tailored towards each patient’s profile and their expectations, by drawing upon scientific evidence coupled with experience. Ongoing research is expanding our knowledge base, which should be dynamically incorporated into an institute’s DBS paradigm to ensure that patients receive the optimal therapy. |
| format | Article |
| id | doaj-art-0a35045ad8ae40c38569f5fce11c56ff |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-0a35045ad8ae40c38569f5fce11c56ff2025-02-03T06:01:43ZengWileyParkinson's Disease2090-80832042-00802017-01-01201710.1155/2017/34108203410820Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and ReviewShazia Mirza0Umar Yazdani1Richard Dewey III2Neepa Patel3Richard B. Dewey4Svjetlana Miocinovic5Shilpa Chitnis6Department of Neurology and Neurotherapeutics, UT Southwestern, Dallas, TX, USADepartment of Neurology and Neurotherapeutics, Section of Movement Disorders, UT Southwestern, Dallas, TX, USAUT Southwestern Medical School, Dallas, TX, USAHenry Ford Hospital, Detroit, MI, USADepartment of Neurology and Neurotherapeutics, Section of Movement Disorders, UT Southwestern, Dallas, TX, USAEmory University, Atlanta, GA, USADepartment of Neurology and Neurotherapeutics, Section of Movement Disorders, UT Southwestern, Dallas, TX, USADeep Brain Stimulation (DBS) has revolutionized the lives of patients of Parkinson disease, offering therapeutic options to those not benefiting entirely from medications alone. With its proven track record of outperforming the best medical management, the goal is to unlock the full potential of this therapy. Currently, the Globus Pallidus Interna (GPi) and Subthalamic Nucleus (STN) are both viable targets for DBS, and the choice of site should focus on the constellation of symptoms, both motor and nonmotor, which are key determinants to quality of life. Our article sheds light on the specific advantages and drawbacks of the two sites, highlighting the need for matching the inherent properties of a target with specific desired effects in patients. UT Southwestern Medical Center has a robust and constantly evolving DBS program and the narrative from our center provides invaluable insight into the practical realities of DBS. The ultimate decision in selecting a DBS target is complex, ideally made by a multidisciplinary team, tailored towards each patient’s profile and their expectations, by drawing upon scientific evidence coupled with experience. Ongoing research is expanding our knowledge base, which should be dynamically incorporated into an institute’s DBS paradigm to ensure that patients receive the optimal therapy.http://dx.doi.org/10.1155/2017/3410820 |
| spellingShingle | Shazia Mirza Umar Yazdani Richard Dewey III Neepa Patel Richard B. Dewey Svjetlana Miocinovic Shilpa Chitnis Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review Parkinson's Disease |
| title | Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review |
| title_full | Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review |
| title_fullStr | Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review |
| title_full_unstemmed | Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review |
| title_short | Comparison of Globus Pallidus Interna and Subthalamic Nucleus in Deep Brain Stimulation for Parkinson Disease: An Institutional Experience and Review |
| title_sort | comparison of globus pallidus interna and subthalamic nucleus in deep brain stimulation for parkinson disease an institutional experience and review |
| url | http://dx.doi.org/10.1155/2017/3410820 |
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