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Programing of Deep Brain Stimulation and Features of Devices Tatsuya SASAKI 1 , Isao DATE 1 1Department of Neurological Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Keyword: モノポーラ・レビュー , 治療閾値 , 副作用閾値 , ディレクショナル刺激 , adaptive DBS , monopolar review , therapeutic threshold , side effect threshold , directional stimulation , adaptive deep brain stimulation , DBS pp.829-837
Published Date 2021/7/10
DOI https://doi.org/10.11477/mf.1436204461
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 Deep brain stimulation(DBS)is an effective therapy for conditions involving drug-resistant involuntary movements, such as Parkinson's disease, tremor, and dystonia. Programming of DBS, as well as strict surgical indications, appropriate target selection, and accurate electrode placement, is one of the most important factors in the success of DBS. To obtain effective stimulation for a long period, it is important to expand the therapeutic window and reduce side effects. Recent advances in DBS devices have dramatically expanded the variety of stimulus settings. While the indication criteria of DBS and surgical techniques have been established, the details of the programming algorithm are not yet unified. In this paper, we describe the features of each device, basic programming methods, management of DBS-related side effects, and advanced stimulus methods.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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