Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, United Kingdom,
Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology and the National Hospital for Neurology and Neurosurgery, London, United Kingdom.
Stereotact Funct Neurosurg. 2020;98(1):62-64. doi: 10.1159/000505701. Epub 2020 Feb 11.
In this article, we use a case to illustrate and discuss some practically important learning points about programming subthalamic nucleus deep brain stimulation for Parkinson's disease patients and highlight clinically relevant issues resulting from anatomical and device-related anomalies. These include the phenomenon of a dominant subthalamic nucleus, clinical variability with delayed response to stimulation, equivalence of electrical charge when using short-pulse settings, and issues regarding conversion of settings between constant-current and constant-voltage devices that are increasingly common with the use of device components from multiple manufacturers.
在本文中，我们将通过一个病例来说明和讨论一些关于编程丘脑底核深部脑刺激治疗帕金森病患者的重要实用学习点，并强调由于解剖和设备异常而产生的临床相关问题。这些问题包括主导性丘脑底核现象、刺激反应延迟的临床变异性、使用短脉冲设置时电荷等效性、以及在越来越多使用来自多个制造商的设备组件时，在恒流和恒压设备之间转换设置的问题。
