[Deep brain stimulation for movement disorders: indications, results and complications]

Rev Med Suisse. 2015 Apr 29;11(472):962, 964-7.
[Article in French]

Abstract

Movement disorders such as Parkinson's disease (PD), essential tremor (ET) and dystonia can benefit from deep brain stimulation (DBS). DBS is considered when symptoms are disabling despite optimal medical therapy. Contraindications include dementia, uncontrolled psychiatric disease and/or comorbid conditions with potential for evolution. Targets are the subthalamic nucleus for PD, the ventral intermediate nucleus for ET and the globus pallidus internus for dystonia. The beneficial effet of DBS has been well documented for symptom control. Optimal target localization of the electrodes reduces the occurrence of side-effects. Stimulation-induced adverse effects can usually be abolished by turning the stimulation off, changing the active contact or other stimulation parameters.

MeSH terms

  • Contraindications
  • Deep Brain Stimulation / adverse effects
  • Deep Brain Stimulation / methods*
  • Dystonia / physiopathology
  • Dystonia / therapy
  • Essential Tremor / physiopathology
  • Essential Tremor / therapy
  • Humans
  • Movement Disorders / physiopathology
  • Movement Disorders / therapy*
  • Parkinson Disease / physiopathology
  • Parkinson Disease / therapy*