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  • Produktbild: Deep Brain Stimulation Programming
  • Produktbild: Deep Brain Stimulation Programming

Deep Brain Stimulation Programming Mechanisms, Principles and Practice

172,99 €

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Beschreibung

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

01.11.2016

Verlag

Oxford University Press

Seitenzahl

246

Maße (L/B/H)

26/18,3/1,8 cm

Gewicht

665 g

Auflage

2., überarbeitete Auflage

Sprache

Englisch

ISBN

978-0-19-025960-0

Beschreibung

Produktdetails

Einband

Gebundene Ausgabe

Erscheinungsdatum

01.11.2016

Verlag

Oxford University Press

Seitenzahl

246

Maße (L/B/H)

26/18,3/1,8 cm

Gewicht

665 g

Auflage

2., überarbeitete Auflage

Sprache

Englisch

ISBN

978-0-19-025960-0

Herstelleradresse

Libri GmbH
Europaallee 1
36244 Bad Hersfeld
DE

Email: gpsr@libri.de

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Die Leseprobe wird geladen.
  • Produktbild: Deep Brain Stimulation Programming
  • Produktbild: Deep Brain Stimulation Programming
    • 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 Responses versus Knowledge of Therapeutic Mechanisms
    • Effects Mediated by Voltage-Gated Ionic Conductance Channels in the Neuronal Membrane
    • Post-Hyperpolarization Rebound Excitation, Depolarization Blockade, and Neurotransmitter Exhaustion
    • Dissociation of Effects on Action Potential Initiating Segment, Dendrites, and Cell Bodies
    • Network Effects of DBS
    • Critically Important Caveats Concerning Interpretation of Nervous System Responses to DBS
    • Reentry Propagations and Resonance
    • Synchronization Among Neurons
    • Interactions Between DBS Pulse in Intrinsic Neuronal Mechanisms
    • Effects on Behaviorally Related Intrinsic Neuronal Dynamic
    • Temporal Evolution of Nervous System Responses
    • Chapter 7. DBS Effects on Motor Control
    • Orchestration of Motor Unit Activities
    • Orchestration of Motor Unit Recruitment and De-Recruitment over Different Time Scales
    • Lessons to be Learned
    • Chapter 8. Pathophysiological Mechanisms
    • The Globus Pallidus Interna Rate Theory
    • Excessively High Beta Oscillations
    • Excessive Synchronization of Neuronal Activities
    • Excessive Bursting
    • The Systems Oscillators Theory
    • Chapter 9. Approaches to Programming
    • Battery Life
    • DBS Contact Nomenclature
    • Prior to DBS Programming
    • When to Program DBS
    • Conceptual Approaches
    • The Growing Importance of Monopolar Surveys
    • Detection of a Response is Critical
    • Programming for Optimal Benefit in the Absence of Adverse Effects
    • Programming to Prevent Adverse Effects
    • Exiting the DBS Programming Session
    • Chapter 10. Clinical Assessments
    • Clinical Assessments by Disease
    • Clinical Assessment of Corticospinal and Corticobulbar Stimulation
    • Clinical Assessment of Speech, Language and Swallowing
    • Hints to Clinical Evaluations
    • Chapter 11. Approach to Subthalamic Nucleus
    • Regional Anatomy of the Subthalamic Nucleus
    • Adverse Effects Created by the Position of the DBS Lead Relative to the STN
    • Approach to STN DBS for Parkinson's Disease
    • Chapter 12. Approach to Globus Pallidus Internal
    • Regional Anatomy of the Globus Pallidus Internal (GPi) Segment
    • Adverse Effects Resulting from the Position of the DBS Lead Relative to the GPi
    • Approaches to GPi DBS for Parkinson's Disease
    • Treating Dystonia with DBS of the Globus Pallidus Interna
    • Treating Hyperkinetic Disorders
    • Chapter 13. Approach to Thalamic DBS
    • Regional Anatomy of the Ventral Intermediate Thalamus
    • Adverse Effects Resulting from the Position of the DBS Lead Relative to the Ventral
    • Effects of DBS on Speech and Swallowing
    • An Approach to Thalamic DBS for Tremor
    • Chapter 14. Algorithm for Selecting Electrode Configurations and
    • Stimulation Parameters
    • Chapter 15. Helpful Programming Hints
    • Use of Constant-Voltage DBS (to be discouraged)
    • Conduct a Monopolar Survey
    • Always Increase the Voltage to Clarify Any Side Effects
    • Check Therapeutic Impedances on Commercial IPGs
    • Confirm that the Parameters under Patient Control are within Safe Limits
    • Systematically Document all Clinical Responses to all DBS Stimulation Parameters and Electrode Configurations
    • Always Reset Counters and Trouble-Shoot Inconsistent Responses
    • Advise Patents, Family Members and Caregivers to Take Their DBS Controlling Devices with Them to Emergency Rooms or Doctor's Visits
    • Be Patient and Persistent!
    • When in Doubt, Turn the Pulse Generator Off and Wait
    • Trouble Shooting
    • Chapter 16. Oscillator Basics
    • Chapter 17. Discrete Neural Oscillators
    • Importance of Neural Oscillators in Nervous System Function
    • Continuous harmonic oscillators
    • Discrete Oscillators
    • Single Reentrant Discrete Oscillator
    • Interactions Among Discrete Oscillators
    • Discrete Neural Oscillators
    • Oscillators with multiple realistic neurons
    • The Systems (Discrete) Oscillators Theory
    • Appendix of Supplemental Material
    • Glossary
    • References