학술논문
How many parkinsonian patients are suitable candidates for deep brain stimulation of subthalamic nucleus? Results of a questionnaire.
Document Type
Academic Journal
Author
Morgante L; Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Universita' di Messina, Italy. Letterio.Morgante@unime.it; Morgante F; Moro E; Epifanio A; Girlanda P; Ragonese P; Antonini A; Barone P; Bonuccelli U; Contarino MF; Capus L; Ceravolo MG; Marconi R; Ceravolo R; D'Amelio M; Savettieri G
Source
Publisher: Elsevier Science Country of Publication: England NLM ID: 9513583 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1353-8020 (Print) Linking ISSN: 13538020 NLM ISO Abbreviation: Parkinsonism Relat Disord Subsets: MEDLINE
Subject
Language
English
ISSN
1353-8020
Abstract
We used a CAPSIT-based questionnaire to estimate the percentage of parkinsonian patients suitable for subthalamic nucleus (STN) deep brain stimulation (DBS) in a movement disorders clinic. We found that out of 641 consecutive PD patients only 1.6% fulfilled strict STN-DBS criteria. When we applied more flexible criteria, the percentage of eligibility increased to 4.5%. Most patients (60%) were ineligible because they did not satisfy multiple questionnaire items. Items related to disease severity were responsible for the largest number of exclusions. This knowledge will help make decisions on resource allocation in centres wishing to start DBS surgery.