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Neuromodulation in Parkinson’s disease
Deep brain stimulation (DBS), also called cerebral neuromodulation, is a well-established treatment in Parkinson’s disease. Especially inpatients with severe tremor or with complications after medical therapy, such as fluctuations and/or dyskinesias, DBS can bring a tremendous improvement in quality of life. Improvements in imaging and the surgical technique have made the implantation procedure easier and safer. Moreover, the patient no longer needs to be awake during surgery. DBS can be performed safely under general anaesthesia. Finally, the technical features of the implantable material have dramatically improved in recent years. Devices are smaller and rechargeable, and they have constant current sources, which allow the electrical field to be better shaped to match the patient’s specific anatomy.
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