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ABOUT DEEP BRAIN STIMULATION SURGERY |
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DBS
consumer shopping tips and
Q&As by Roberta Greenberg
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Q:
Should a neurosurgeon perforrming DBS have any special training?
A: Yes. He or she should have done postgraduate fellowship or training
in stereotactic functional neurosurgery. Also, you should always check that
any surgeon in any specialty is board certified.
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| What
DBS is
DBS
graphic
Consumer
tips
Protecting
yourself
Programming | | | |
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Q:
How important is microelectrode recording?
A: Microelectrode recording is critically important in achieving the
optimal placement of the DBS. There should be a Ph.D. Neurophysiologist working
together with the surgeon to target and map the placement. If this service
is not provided... keep shopping.
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Q:
Who should make the decision if I am a candidate for DBS, my neurologist or
the neurosurgeon?
A: Generally, the initial suggestion of DBS will come from your neurologist.
The next step will be to have a consultation with a neurosurgeon, followed
by an evaluation consisting of on and off timed tasks,
videotaping and neuropsychological evaluation. This data should be presented
at a team meeting consisting of the neurosurgeon, neurologist, neurophysiologist
and movement disorder nurse. Together, this team will review all the options
available to you, and determine the best course of treatment.
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Q:
After the surgery, who should I see for follow up?
A: Again, this needs to be a team approach. Your medication tapering
should be guided by the neurologist, and programming adjustments of the DBS
by a designated team member, this may be a nurse or neurophysiologist, or
in some teams, a neurologist. All of the information about your care should
be presented at the team meetings so that all of you care providers are on
the same page.
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