Decisions about deep brain stimulation therapy in Parkinson's disease

作者：Brandao Pedro; Grippe Talyta Cortez; Modesto Luiz Claudio; Fonseca Ferreira Andre Gustavo; da Silva Flavia Martins; Pereira Flavio Faria; Lobo Marcelo Evangelista; Allam Nasser; Freitas Tiago da Silva; Munhoz Renato P

来源：Arquivos de Neuro-Psiquiatria, 2018, 76(6): 411-420.

DOI：10.1590/0004-282X20180048

• Parkinson disease
• deep brain stimulation
• reference standards
• basal ganglia
• neurosurgical procedures

Parkinson's disease can be treated surgically in patients who present with motor complications such as fluctuations and dyskinesias, or medically-refractory disabling tremor. In this review, a group of specialists formulated suggestions for a preoperative evaluation protocol after reviewing the literature published up to October 2017. In this protocol, eligibility and ineligibility criteria for surgical treatment were suggested, as well as procedures that should be carried out before the multidisciplinary therapeutic decisions. The review emphasizes the need to establish "DBS teams", with professionals dedicated specifically to this area. Finally, surgical target selection (subthalamic nucleus or globus pallidus internus) is discussed briefly, weighing the pros and cons of each target.

• 出版日期2018-6