Gorodetsky Carolina, Fasano Alfonso
Division of Neurology The Hospital for Sick Children Toronto Ontario Canada.
Edmond J. Safra Program in Parkinson's Disease, Morton and Gloria Shulman Movement Disorders Clinic Toronto Western Hospital, UHN Toronto Ontario Canada.
Mov Disord Clin Pract. 2021 Apr 6;8(4):639-644. doi: 10.1002/mdc3.13203. eCollection 2021 May.
Deep brain stimulation (DBS) has become an integral component of Parkinson disease treatment. Programming a DBS device is a time-consuming process and requires a highly trained specialist to obtain optimal results. During the last few years, we have witnessed a rapid technological advance of DBS systems, making the programming process even more complex and emphasizing the need for a structured approach. In this manuscript and the attached videos, we will demonstrate a step-by-step programming approach for DBS targeting the subthalamus and the globus pallidus pars Interna. In doing so we will show the main features and differences of the three main systems available on the market, including the newest ones able to record braingenerated local field potentials for clinical applications.
脑深部电刺激（DBS）已成为帕金森病治疗的一个重要组成部分。对DBS设备进行编程是一个耗时的过程，需要训练有素的专家才能获得最佳效果。在过去几年中，我们见证了DBS系统的迅速技术进步，这使得编程过程更加复杂，并凸显了采用结构化方法的必要性。在本手稿及随附视频中，我们将演示针对丘脑底核和苍白球内侧部进行DBS的逐步编程方法。在此过程中，我们将展示市场上三种主要系统的主要特点和差异，包括能够记录脑源性局部场电位以供临床应用的最新系统。
