DEEP BRAIN STIMULATION. A CASE-BASED APPROACH

SECTION 1.
Introduction to Creative Programming Techniques
Meagen Salinas
SECTION 2. TREMOR DISORDERS
Case 1 Candidate Selection for Essential Tremor
Laura Surillo Dahdah
Case 2 DBS Programming for Essential Tremor
Brent Bluett
Case 3 Utilizing DBS to Improve Orthostatic Tremor
Anhar Hassan
Case 4 Bilateral VIM-Thalamic DBS for Medication-refractory Orthostatic Tremor
Mitra Afshari & Jill Ostrem
Case 5 Rebound Tremor Following a Sub-optimally Placed VIM DBS
Parul Jindal & Joohi Jimenez-Shahed
Case 6 Symptomatic Cystic Lesion Following DBS Surgery
Vibhash Sharma & Shilpa Chitnis
SECTION 3. PARKINSON'S DISEASE
Case 7 Candidate Selection for DBS for Parkinson's Disease
Laura Surillo Dahdah
Case 8 DBS Programming for Parkinson's Disease
Raja Mehanna
Case 9 Target Selection for Parkinson's Disease with Medication Refractory Unilateral Resting Tremor
Fuyuko Sasaki & Genko Oyama
Case 10 Genetic Mutations and DBS
Jared Hinkle & Zoltan Mari
Case 11 Issues to Consider When Mild Cognitive Impairment is Revealed in Pre-operative Screening
Sushma Kola & Anhar Hassan
Case 12 Use of the STN and GPi Deep Brain Stimulation Targets in the Same Parkinson's Patient: Patient Specific Targeting
Shabbir Hussain I. Merchant & Nora Vanegas-Arroyave
Case 13 Medication-Refractory Parkinsonian Tremor Requiring Dual Lead Implantation for Tremor Control
Anhar Hassan
Case 14 Use of Constant Current Mode to Allow Both Monopolar and Bipolar Interleaving at a Single Contact
Meredith Spindler & Lana Chahine
Case 15 STN-DBS May Improve Pain in the Setting of Parkinson's Disease
Anjali Gera/Gian Pal
Case 16 DBS Responsive Camptocormia in Parkinson's Disease
Elena Call & Helen Bronte-Stewart
Case 17 Deactivation of One STN-DBS Device to Address Brittle Ipsilateral Dyskinesia in a Patient with Tremor-Dominant Parkinson's Disease
Julia Kroth & Sergiu Groppa
Case 18 Management of Stimulation-Induced Dyskinesia in Parkinson Disease with Interleaving Programming Settings
Vibhash Sharma & Rajesh Pahwa
Case 19 Management of Brittle Dyskinesia and DDS in Subthalamic Deep Brain Stimulation
Junaid Siddiqui & Jawad Bajwa
Case 20 Freezing of Gait after Bilateral GPi-DBS in Generalized Dystonia
Mariana Moskovich
Case 21 GPi Stimulation-Induced Gait Disturbance and Management by Re-programming
Dhanya Vijayakumar & Joohi Jimenez-Shahed
Case 22 Rescue Vim DBS to Address Refractory Tremor following STN DBS with Brittle Stimulation-Induced Dyskinesia
Mitra Afshari & Jill Ostrem
Case 23 Postural Instability and Gait Disorder after STN-DBS: Evaluating Disease Progression, Stimulation Settings, and Medication
Javier R. Pérez-Sánchez & Monica M. Kurtis
Case 24 Non-Surgical Management of an Exposed DBS Lead
Ethan G. Brown & Jill Ostrem
Case 25 Steroid-Responsive Edema Interfering with DBS Programming
Pravin Khemani & Shilpa Chitnis
Case 26 The Positive Lesion Effects of Intracranial Hemorrhage on DBS Surgery Outcome
Jacqueline Meystedt & David Charles
Case 27 Fibrous Scarring and DBS Lead Implantation
Vinata Vedam Mai & Michael Okun
Case 28 Cerebral Venous Infarction after Deep Brain Stimulation Surgery
Andi Nugraha Sendjaja & Takashi Morishita
Case 29 Open Circuits and Loss of DBS Benefit in the Setting of Parkinson's Disease
Arjun Tarakad & Joohi Jimenez-Shahed
Case 30 Acute Neuropsychiatric Symptoms and Impulse Control Disorders after Subthalamic Nucleus Deep Brain Stimulation
Adolfo Ramirez-Zamora & Michael Okun
Case 31 Improved Outcome on Interleaved Deep Brain Stimulation Settings
Svjetlana Miocinovic & Shilpa Chitnis
Case 32 Deep Brain Stimulation Targeting the Ventral Intermediate Nucleus of the Thalamus for Parkinsonian Tremor and Later Adding the the Globus Pallidus Internus for Parkinson's Disease Features
Teri Thompsen
Case 33 Expected Improvement in Sleep Quality and Unexpected Improvement in Severe Nightmares after DBS in Parkinson's Disease
Laurice Yang
SECTION 4. DYSTONIA
Case 34 Candidate Selection for DBS for Dystonia
Laura Surillo Dah Dah
Case 35 DBS Programming for Dystonia
Mitesh Lotia
Case 36 Choosing a Target for DBS in Dystonia Associated Tremor: GPi, VIM, STN, Zi or a Combination of Targets
Mustafa Siddiqui & Stephen B. Tatter
Case 37 Stimulation Induced Dyskinesia, Interleaving Settings and Management of STN DBS in DYT-1 Dystonia
Kyle T Mitchell & Jill Ostrem
Case 38 Deep Brain Stimulation Targeting the Globus Pallidus Internus for Dystonic Tremor in the Setting of Generalized Dystonia
Teri Thompsen
SECTION 5. MISCELANEOUS
Case 39 Huntington's Disease: DBS in Adult Huntington's Disease for Treatment of Axial Dystonia
Jessica A. Carl and Leo Verhagen Metman
Case 40 Aggressiveness: DBS for Medically Refractory Aggressive and Injurious Behavior
Oscar Bernal-Pacheco
Case 41 Bilateral Globus Pallidus DBS for Dystonia and Dystonic Tremor in Spinocerebellar Ataxia 17
Aparna Shukla and Pam Zeilman
Case 42 Deep Brain Stimulation for Disabling "Outflow" Tremors: Troubleshooting Strategies for Tremor Habituation
Corneliu Luca
Case 43 Tardive Dystonia and Dyskinesia Responsive to Deep Brain Stimulation
Irene Malaty

DEEP BRAIN STIMULATION provides expert advice to the reader on selection guidelines and programming techniques for straight-forward as well as for challenging case management in movement and neuropsychiatric disorders. The collection offers a broad DBS experience that is delivered directly to you by leaders in neuromodulation. There are both common and uncommon case presentations and each case is accompanied by a literature review and pearls to improve your practice. The book improves fundamental DBS techniques as well as expands the skills necessary for troubleshooting more difficult presentations. The case-based problem-solving approach makes this a fun and practical read.

Features
• Reflects real-life examples, not just theoretical suggestions for treatment
• Presents a wide spectrum of common and complex problems in deep brain stimulation
• Includes discussions, clinical pearls, and troubleshooting tips after every case

Authors
• Shilpa Chitnis, MD, PhD, Associate Professor, The University of Texas Southwestern Medical Center at Dallas.
• Pravin Khemani, MD, Assistant Professor, Swedish Neuroscience Institute.
• Michael S. Okun, MD, Professor, University of Florida