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

Full 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.

Author information

Author/s: Silberstein, Paul (P); Bittar, Richard G (RG); Boyle, Richard (R); Cook, Raymond (R); Coyne, Terry (T); O'Sullivan, Dudley (D); Pell, Malcolm (M); Peppard, Richard (R); Rodrigues, Julian (J); Silburn, Peter (P); Stell, Rick (R); Watson, Peter (P); Australian DBS Referral Guidelines Working Group;

Affiliation: North Shore Private Hospital, Sydney, New South Wales, Australia. paul(-atsign-)silberstein.com.au

Journal and publication information

Publication Type: Journal Article; Practice Guideline; Research Support, Non-U.S. Gov't; Review

Journal: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia (J Clin Neurosci), published in Scotland. (Language: eng)

Reference: 2009-Aug; vol 16 (issue 8) : pp 1001-8

Dates: Created 2009/07/14; Completed 2009/09/23;

PMID: 19596113, status: MEDLINE (last retrieved date: 9/23/2009)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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