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Zusatztext As we become a bionic generation there is a large knowledge gap in programming deep brain stimulation devices. Dr. Montgomery's book addresses the principles of electrophysiology and the details of the pertinent brain regional anatomy. Dr. Montgomery helps the reader to identify and to utilize critical information to guide effective and efficient DBS programming. This is a must read, especially for new generation of health care professionals involved in the care of DBS patients. Informationen zum Autor Dr. Montgomery is a Movement Disorders Neurologist with a special interest in Parkinson's disease. He has conducted research in motor neurophysiology, particularly the role of the basal ganglia-thalamic-cortical system and the pathophysiology of Parkinson's disease for over 40 years. For the last 20 years, he has focused on deep brain stimulation in its clinical use and its underlying physiological mechanisms. Klappentext The second edition of Deep Brain Stimulation Programming is fully revised and up-to-date with the latest technologies and focuses on post-operative programing, which no other text does. This book provides programmers with a foundation of the brain as an electrical device, focusing on the mechanisms by which neurons respond to electrical stimulation, how to control the stimulation and the regional anatomy, and the many variations that influence a patient's response toDBS. Dr. Montgomery explores new techniques of programming; including those based on stimulation frequency, closed-loop DBS, and the roles of oscillators in DBS; and new technological advances that make pre-existing theories of pathophysiology obsolete. Zusammenfassung Deep brain stimulation programming (DBS) continues to grow as an effective therapy for a wide range of neurological and psychiatric disorders, helping patients reach optimal control of their disorder. With the technique finding so much success, the next question is how to make the complexities of post-operative programming cost-effective, especially when traditional medications and treatments can no longer do the job. The second edition of Deep Brain Stimulation Programming is fully revised and up-to-date with the latest technologies and focuses on post-operative programing, which no other text does. This book provides programmers with a foundation of the brain as an electrical device, focusing on the mechanisms by which neurons respond to electrical stimulation, how to control the stimulation and the regional anatomy, and the many variations that influence a patient's response to DBS. Dr. Montgomery explores new techniques of programming; including those based on stimulation frequency, closed-loop DBS, and the roles of oscillators in DBS; and new technological advances that make pre-existing theories of pathophysiology obsolete. Key Features of the Second Edition Include· Highlights post-operative deep brain stimulation;· Includes the most recent discoveries in deep brain stimulation programming;· Highly illustrated with figures for absorption of key programming and techniques;· Provides an appendix of additional resources available through the Greenville Neuromodulation Center. Inhaltsverzeichnis Table of Contents Preface to the Second Edition Preface to the First Edition Abbreviations Chapter 1. Introduction The Fundamentals Still Pertain Principles of Effective and Efficient Programming The Basis of DBS Effects Chapter 2. Principles of DBS Electronics Electricity Electronics Note Regarding Impedances Chapter 3. Principles of Electrophysiology Therapeutic Mechanisms versus Delivery of Therapy The Neuron Neuronal Electronics Voltage Gated Ionic Conductance Channels and Action Potentials Downstream Secondary Issues Chapter 4. Controlling the Flow of Electrical Charges Orientation of the Lines of Electrical Force Orthodromic and Antidrom...
Autorentext
Dr. Montgomery is a Movement Disorders Neurologist with a special interest in Parkinson's disease. He has conducted research in motor neurophysiology, particularly the role of the basal ganglia-thalamic-cortical system and the pathophysiology of Parkinson's disease for over 40 years. For the last 20 years, he has focused on deep brain stimulation in its clinical use and its underlying physiological mechanisms.
Klappentext
The second edition of Deep Brain Stimulation Programming is fully revised and up-to-date with the latest technologies and focuses on post-operative programing, which no other text does. This book provides programmers with a foundation of the brain as an electrical device, focusing on the mechanisms by which neurons respond to electrical stimulation, how to control the stimulation and the regional anatomy, and the many variations that influence a patient's response toDBS. Dr. Montgomery explores new techniques of programming; including those based on stimulation frequency, closed-loop DBS, and the roles of oscillators in DBS; and new technological advances that make pre-existing theories of pathophysiology obsolete.
Zusammenfassung
Deep brain stimulation programming (DBS) continues to grow as an effective therapy for a wide range of neurological and psychiatric disorders, helping patients reach optimal control of their disorder. With the technique finding so much success, the next question is how to make the complexities of post-operative programming cost-effective, especially when traditional medications and treatments can no longer do the job. The second edition of Deep Brain Stimulation Programming is fully revised and up-to-date with the latest technologies and focuses on post-operative programing, which no other text does. This book provides programmers with a foundation of the brain as an electrical device, focusing on the mechanisms by which neurons respond to electrical stimulation, how to control the stimulation and the regional anatomy, and the many variations that influence a patient's response to DBS. Dr. Montgomery explores new techniques of programming; including those based on stimulation frequency, closed-loop DBS, and the roles of oscillators in DBS; and new technological advances that make pre-existing theories of pathophysiology obsolete. Key Features of the Second Edition Include · Highlights post-operative deep brain stimulation; · Includes the most recent discoveries in deep brain stimulation programming; · Highly illustrated with figures for absorption of key programming and techniques; · Provides an appendix of additional resources available through the Greenville Neuromodulation Center.
Inhalt
Table of Contents
Preface to the Second Edition
Preface to the First Edition
Abbreviations
Chapter 1. Introduction
The Fundamentals Still Pertain
Principles of Effective and Efficient Programming
The Basis of DBS Effects
Chapter 2. Principles of DBS Electronics
Electricity
Electronics
Note Regarding Impedances
Chapter 3. Principles of Electrophysiology
Therapeutic Mechanisms versus Delivery of Therapy
The Neuron
Neuronal Electronics
Voltage Gated Ionic Conductance Channels and Action Potentials
Downstream Secondary Issues
Chapter 4. Controlling the Flow of Electrical Charges
Orientation of the Lines of Electrical Force
Orthodromic and Antidromic Conduction of Action Potentials
Axon Diameter
Electrode Configurations
Current Intensity in Monopolar and Bipolar Electrode Configurations
Segmented DBS Leads
Chapter 5. DBS Safety
The Range of Safety Concerns
Injury Secondary to Electricity
Medical Complications
Adverse Effects Related to Activation of Neural Networks
The Potential Psychosocial Consequences of DBS
Chapter 6. Nervous System Responses to DBS
Knowledge of Nervous System Resp…