Deep brain stimulation for Parkinson's disease: Australian referral guidelines

Silberstein, Paul, Bittar, Richard G., Boyle, Richard, Cook, Raymond, Coyne, Terry, O'Sullivan, Dudley, Pell, Malcolm, Peppard, Richard, Rodrigues, Julian, Silburn, Peter, Stell, Rick and Watson, Peter (2009) Deep brain stimulation for Parkinson's disease: Australian referral guidelines. Journal of Clinical Neuroscience, 16 8: 1001-1008. doi:10.1016/j.jocn.2008.11.026


Author Silberstein, Paul
Bittar, Richard G.
Boyle, Richard
Cook, Raymond
Coyne, Terry
O'Sullivan, Dudley
Pell, Malcolm
Peppard, Richard
Rodrigues, Julian
Silburn, Peter
Stell, Rick
Watson, Peter
Title Deep brain stimulation for Parkinson's disease: Australian referral guidelines
Journal name Journal of Clinical Neuroscience   Check publisher's open access policy
ISSN 0967-5868
Publication date 2009-01-01
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.jocn.2008.11.026
Volume 16
Issue 8
Start page 1001
End page 1008
Total pages 8
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Subject 2728 Clinical Neurology
2808 Neurology
2737 Physiology (medical)
Abstract The advent of deep brain stimulation (DBS) has been an important advance in the treatment of Parkinson's disease (PD). DBS may be employed in the management of medication-refractory tremor or treatment-related motor complications, and may benefit between 4.5% and 20% of patients at some stage of their disease course. In Australia, patients with PD are reviewed by specialised DBS teams who assess the likely benefits and risks associated with DBS for each individual. The aim of these guidelines is to assist neurologists and general physicians identify patients who may benefit from referral to a DBS team. Common indications for referral are motor fluctuations and/or dyskinesias that are not adequately controlled with optimised medical therapy, medication-refractory tremor, and intolerance to medical therapy. Early referral for consideration of DBS is recommended as soon as optimised medical therapy fails to offer satisfactory motor control.
Keyword Australian guidelines
Deep brain stimulation
Parkinson's disease
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: UQ Centre for Clinical Research Publications
 
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