Deep brain stimulation (DBS) involves the use of an implantable system to provide stimulation to specific areas of the brain to control or lessen neurologic symptoms. Currently DBS is used for Parkinson’s Disease and Essential Tremor. Additional applications are being investigated in some centers for other conditions such as dystonia.
Some patients with Parkinson’s disease may be candidates for stimulation of the STN (sub thalamic nucleus) to help with reduction in symptoms. Patients with essential tremor may be candidates for stimulation of the VIM area of the brain.
Patients who are candidates have a confirmed diagnosis of Dopa (Sinemet) Responsive Parkinson’s Disease, have had Parkinson’s symptoms for at least 5 years, are not receiving adequate symptom management by medications alone or medication side effects are not well tolerated, and do not have any cognitive decline or dementia related to their disease.
Patients will undergo an evaluation process tailored to their needs or concerns which may include consult with a neurologist, if not already done; consult with their primary physician to make sure they can safely undergo the procedure; neuropsychology evaluation; MRI of the brain; and consult with the neurosurgeon regarding the procedure.
A strong advocate of personalized care and dignity for all patients, on of Dr. Doran's special areas of interest includes Deep Brain Stimulation (DBS).
Download: Deep Brain Stimuation - Overview Handout