Long-Term Clinical Experience with Directional Deep Brain Stimulation Programming: A Retrospective Review.

ABSTRACT:

Introduction

Directional deep brain stimulation (d-DBS) axially displaces the volume of tissue activated (VTA) towards the intended target and away from neighboring structures potentially improving benefit and reducing side effects (SE) of stimulation. A clinical trial evaluating d-DBS demonstrated a wider therapeutic window (TW) with directional electrodes. While this seems advantageous, it remains unclear when and why directional stimulation is chosen clinically. To evaluate the implementation of d-DBS in our practice we examined the prevalence of and motivation for directional programming.

Methods

A retrospective review was completed in consecutive patients with Parkinson's disease (PD)/essential tremor (ET) implanted with the Abbott Infinity system from December 2016 to

SUBMITTER: Karl JA 

PROVIDER: S-EPMC9338213 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature