{"product_id":"deep-brain-stimulation-programming-9780190259600","title":"Deep Brain Stimulation Programming","description":"\u003cb\u003eBook Synopsis\u003c\/b\u003e\u003cbr\u003eDeep 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 frequen\u003cbr\u003e\u003cbr\u003e\u003cb\u003eTrade Review\u003c\/b\u003e\u003cbr\u003eThis work is a comprehensive treatise of many of the theoretical and practical aspects of the application of Deep Brain Stimulation (DBS). It spans the fundamental principles of electrical stimulation, electrophysiology and neuroanatomical considerations and outlines an approach to programming DBS at the most commonly utilized targets for Parkinson's disease. The book will be of value to practitioners who treat patients with DBS providing important key background knowledge and a practical path towards tackling the challenges of choosing optimal stimulation parameters for these patients.\" * Andres M. Lozano, MD, PhD, FRCSC, FRSC, FCAHS, Dan Family Professor and Chairman in Neurosurgery, University of Toronto, Toronto, Ontario, Canada   *\u003cbr\u003eAs 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. * Michael S. Okun, MD, Adelaide Lackner Professor and Chairman of Neurology, University of Florida, Gainesville, FL   *\u003cbr\u003e\u003cbr\u003e\u003cb\u003eTable of Contents\u003c\/b\u003e\u003cbr\u003eTable 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","brand":"Oxford University Press Inc","offers":[{"title":"Default Title","offer_id":48864199901527,"sku":"9780190259600","price":126.1,"currency_code":"GBP","in_stock":true}],"url":"https:\/\/bookcurl.com\/products\/deep-brain-stimulation-programming-9780190259600","provider":"Book Curl","version":"1.0","type":"link"}