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Tourette syndrome deep brain stimulation: A review and updated recommendations
Movement disorders, 2015-04, Vol.30 (4), p.448-471
Schrock, Lauren E.
Mink, Jonathan W.
Woods, Douglas W.
Porta, Mauro
Servello, Dominico
Visser-Vandewalle, Veerle
Silburn, Peter A.
Foltynie, Thomas
Walker, Harrison C.
Shahed-Jimenez, Joohi
Savica, Rodolfo
Klassen, Bryan T.
Machado, Andre G.
Foote, Kelly D.
Zhang, Jian-Guo
Hu, Wei
Ackermans, Linda
Temel, Yasin
Mari, Zoltan
Changizi, Barbara K.
Lozano, Andres
Auyeung, M.
Kaido, Takanobu
Agid, Yves
Welter, Marie L.
Khandhar, Suketu M.
Mogilner, Alon Y.
Pourfar, Michael H.
Walter, Benjamin L.
Juncos, Jorge L.
Gross, Robert E.
Kuhn, Jens
Leckman, James F.
Neimat, Joseph A
Okun, Michael S.
2015
Details
Autor(en) / Beteiligte
Schrock, Lauren E.
Mink, Jonathan W.
Woods, Douglas W.
Porta, Mauro
Servello, Dominico
Visser-Vandewalle, Veerle
Silburn, Peter A.
Foltynie, Thomas
Walker, Harrison C.
Shahed-Jimenez, Joohi
Savica, Rodolfo
Klassen, Bryan T.
Machado, Andre G.
Foote, Kelly D.
Zhang, Jian-Guo
Hu, Wei
Ackermans, Linda
Temel, Yasin
Mari, Zoltan
Changizi, Barbara K.
Lozano, Andres
Auyeung, M.
Kaido, Takanobu
Agid, Yves
Welter, Marie L.
Khandhar, Suketu M.
Mogilner, Alon Y.
Pourfar, Michael H.
Walter, Benjamin L.
Juncos, Jorge L.
Gross, Robert E.
Kuhn, Jens
Leckman, James F.
Neimat, Joseph A
Okun, Michael S.
Titel
Tourette syndrome deep brain stimulation: A review and updated recommendations
Ist Teil von
Movement disorders, 2015-04, Vol.30 (4), p.448-471
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2015
Link zum Volltext
Quelle
Wiley Blackwell Single Titles
Beschreibungen/Notizen
Deep brain stimulation (DBS) may improve disabling tics in severely affected medication and behaviorally resistant Tourette syndrome (TS). Here we review all reported cases of TS DBS and provide updated recommendations for selection, assessment, and management of potential TS DBS cases based on the literature and implantation experience. Candidates should have a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM V) diagnosis of TS with severe motor and vocal tics, which despite exhaustive medical and behavioral treatment trials result in significant impairment. Deep brain stimulation should be offered to patients only by experienced DBS centers after evaluation by a multidisciplinary team. Rigorous preoperative and postoperative outcome measures of tics and associated comorbidities should be used. Tics and comorbid neuropsychiatric conditions should be optimally treated per current expert standards, and tics should be the major cause of disability. Psychogenic tics, embellishment, and malingering should be recognized and addressed. We have removed the previously suggested 25‐year‐old age limit, with the specification that a multidisciplinary team approach for screening is employed. A local ethics committee or institutional review board should be consulted for consideration of cases involving persons younger than 18 years of age, as well as in cases with urgent indications. Tourette syndrome patients represent a unique and complex population, and studies reveal a higher risk for post‐DBS complications. Successes and failures have been reported for multiple brain targets; however, the optimal surgical approach remains unknown. Tourette syndrome DBS, though still evolving, is a promising approach for a subset of medication refractory and severely affected patients. © 2014 International Parkinson and Movement Disorder Society
Sprache
Englisch
Identifikatoren
ISSN: 0885-3185
eISSN: 1531-8257
DOI: 10.1002/mds.26094
Titel-ID: cdi_proquest_miscellaneous_1676358774
Format
–
Schlagworte
DBS
,
deep brain stimulation
,
Deep Brain Stimulation - methods
,
Deep Brain Stimulation - trends
,
guidelines
,
Guidelines as Topic
,
Humans
,
Tourette syndrome
,
Tourette Syndrome - diagnosis
,
Tourette Syndrome - therapy
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