The actual use of directional steering and shorter pulse width in selected patients undergoing deep brain stimulation
- Zitman, F.M.P.
- Janssen, A.
- Gaag, N.A. van der
- Hoffmann, C.F.E.
- Zutt, R.
- Contarino, M.F.
DOIAbstract
Introduction: Directional deep brain stimulation (DBS) and pulse with <60 mu s increase side-effects threshold, enlarging the therapeutic window. However, new systems allowing these advanced features are more expensive and often available only for a limited number of patients in some centers. It is unknown how many and which DBS patients actually need the advanced features because of an insufficient improvement with standard parameters. Methods: We included in the analysis all patients with Parkinson's disease, dystonia and tremor who were selected to receive implantation of advanced DBS systems based on specific preoperative or intraoperative clinical features. Results: After a median follow-up of 15 months, 54.9% of the 51 patients implan...
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