Parkinsonism & related disorders
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Parkinsonism Relat. Disord. · Feb 2010
The safety of transcranial magnetic stimulation with deep brain stimulation instruments.
Transcranial magnetic stimulation (TMS) has been employed in patients with an implanted deep brain stimulation (DBS) device. We investigated the safety of TMS using simulation models with an implanted DBS device. ⋯ Strong TMS on the looped DBS leads should not be administered to avoid electrical tissue injury. Subcutaneous lead position should be paid enough attention for forthcoming situations during surgery.
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Parkinsonism Relat. Disord. · Feb 2010
Risks of intracranial hemorrhage in patients with Parkinson's disease receiving deep brain stimulation and ablation.
This study analyzed risk factors for hemorrhage in a large series of deep brain stimulation (DBS) and ablation procedures in patients with advanced Parkinson's disease (PD). ⋯ This study demonstrated that hypertension is a risk factor for ICH in PD patients. DBS is generally a safe surgical modality as compared with ablation. Increasing microelectrode trajectories seemed to increase the risk of ICH, but no statistically significant difference was found (P = 0.07).