New deep brain stimulation guideline by Dr. Rughani

Dr. Anand Rughani of Maine Medical Partners Neurosurgery is the first author of a new guideline for deep brain stimulation (DBS) in the treatment of Parkinson disease (PD). The paper was accepted for publication by the journal Neurosurgery in February, 2018 (1).    Neurosurgery is the official journal of the Congress of Neurological Surgeons, and publishes research on clinical and experimental neurosurgery.

The guideline by Rughani, et al. is for physicians helps establish whether the DBS target should be the subthalamic nucleus (STN), or globus pallidus internus (GPi), and is a useful tool which forms recommendations on the basis of seven key questions in order to tailor the choice for each patient.  The questions regard efficacy, reduction of medications, treatment of dyskinesias, improvement in quality of life, impact on cognitive function, impact on mood, and risk of adverse events.  The article can be read online (2).

Congratulations to Dr. Rughani, and thank you for this contribution to medicine.

REFERENCES

  1. Advani, et al. Congress of neurological surgeons systematic review and evidence-based guideline on subthalamic nucleus and globus pallidus internus deep brain stimulation for the treatment of patients with Parkinson’s disease: executive summary.  Neurosurgery.   2018 Mar 12. doi: 10.1093/neuros/nyy037. [Epub ahead of print]
  2. https://academic.oup.com/neurosurgery/advance-article/doi/10.1093/neuros/nyy037/4925265

Published by

Bill Stamey, M.D.

A neurologist trained in movement disorders, Dr. Stamey has no relevant financial or nonfinancial relationships to disclose. His artistic rendering is by Emily Stamey. Maine PD News receives no outside funding. www.mainepdnews.org