Barbe, Michael T., Pochmann, Jil, Lewis, Catharine J., Allert, Niels, Wirths, Jochen, Visser-Vandewalle, Veerle and Timmermann, Lars (2014). Utilization of predefined stimulation groups by essential tremor patients treated with VIM-DBS. Parkinsonism Relat. Disord., 20 (12). S. 1415 - 1419. OXFORD: ELSEVIER SCI LTD. ISSN 1873-5126

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Abstract

Objective: To identify the utilization and general acceptance of switching between predefined stimulation groups in essential tremor (ET) patients treated with deep brain stimulation (DBS) of the ventral intermediate nucleus (VIM) of the thalamus. Methods: Thirty-eight patients treated with VIM-DBS completed a telephone survey. This was designed to identify the general utilization of patient controllers and the specific usage of stimulation groups. Results: Thirty-eight patients were interviewed via phone. More than half (21 of 38 patients, 55%) of all contacted ET patients were aware of the possibility of switching between pre-defined stimulation programs themselves. Again, more than half of these patients (13 of the 21 patients) switch between the different programs on a regular basis (8 monthly, 2 weekly, and 3 daily), mainly due to occurring side effects. Age did not differ between the group of patients switching between stimulation groups, and those who did not (65.38 years (+/- 11.36) vs. 69.15 years (+/- 9.92), p = 0.297). Conclusion: Some patients frequently use different stimulation settings, mainly to be able to control side effects when necessary. All patients independent of their age - and especially patients with stimulation induced side effects, should therefore be informed about the possibility to switch between predefined stimulation groups. We propose a training for patients by specialized nurses, to give them confidence in handling the patient controllers. (C) 2014 Elsevier Ltd. All rights reserved.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Barbe, Michael T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pochmann, JilUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lewis, Catharine J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Allert, NielsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wirths, JochenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Visser-Vandewalle, VeerleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Timmermann, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-421198
DOI: 10.1016/j.parkreldis.2014.09.021
Journal or Publication Title: Parkinsonism Relat. Disord.
Volume: 20
Number: 12
Page Range: S. 1415 - 1419
Date: 2014
Publisher: ELSEVIER SCI LTD
Place of Publication: OXFORD
ISSN: 1873-5126
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
DEEP BRAIN-STIMULATION; NUCLEUS; CONTROLLERSMultiple languages
Clinical NeurologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/42119

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