MDS Abstracts

Abstracts from the International Congress of Parkinson’s and Movement Disorders.

MENU 
  • Home
  • Meetings Archive
    • 2024 International Congress
    • 2023 International Congress
    • 2022 International Congress
    • MDS Virtual Congress 2021
    • MDS Virtual Congress 2020
    • 2019 International Congress
    • 2018 International Congress
    • 2017 International Congress
    • 2016 International Congress
  • Keyword Index
  • Resources
  • Advanced Search

Directional DBS; clinical experience at Unit of Functional Neurosurgery. Ramón y Cajal University Hospital,Madrid, Spain

M. del Alamo, I. Martinez-Camacho, L. Cabañes, I. Regidor, M. Villadoniga, J. Garcia-de-la-Cruz, I. Avilés-Olmos (Madrid, Spain)

Meeting: 2018 International Congress

Abstract Number: 584

Keywords: Deep brain stimulation (DBS)

Session Information

Date: Saturday, October 6, 2018

Session Title: Surgical Therapy: Parkinson's Disease

Session Time: 1:45pm-3:15pm

Location: Hall 3FG

Objective: to determine the practicabillity of using an image guide programming setting in our clinical practice.

Background: The applicability of DBS leads and systems that allow a more precise and accurate deliver of current to therapeutic targets is still unkown.Directional DBS promises several advantages: reduced adverse effects and elimination of manual programming. However, none of these has been achieved yet. And nowadays the challenge is to effectively and rapidly program these devices.

Methods: 5 patients (4 Parkinson and 1 essential tremor) were bilaterally implanted with directional leads (Vercise cartesia ™ Directional Lead); PC (1 IPG) and Vercise Gevia™ (4 IPG), Boston Scientific, Marlborough, USA) in the subthalamic nucleus (STN) (4PD patients) and Vim (ET patient) between May/2017 and February/2018 in the Unit of Functional Neurosurgery, Ramon y Cajal University Hospital, Madrid, Spain. They underwent an extended programming session of their DBS system in the practically defined medication off state (PD patients)(> 12 hours of medication withdrawal) 3 to 5 days (mean,3.2) postsurgery. The programming session was scheduled when the stun effect of electrode placement was decreasing. The programming session followed the procedure of a standard monopolar review, in which for each electrode configuration current thresholds are determined for complete rigidity and bradykinesia control and the first adverse event limiting further current increase. Different stimulation directions at each level were tested by restricting cathodal current to each of the three segments, on both segmented contacts. Brainlab Elements will be used considering the synergy with GUIDE XT, as Guide XT CE clearance is expected in the next few weeks. This will allow us to compare our manual programming with a patient-image guide programming.

Results: Will be pressented at the congress.

Conclusions: More studies are needed to analyze the applicability of directional DBS. Focusing on the fact that longer programming session might be needed initially, does not give justice to the opportunities that we may be able to offer to our patients with directional steering of the therapeutic current. Nowadays the challenge is to effectively and rapidly program these devices.

To cite this abstract in AMA style:

M. del Alamo, I. Martinez-Camacho, L. Cabañes, I. Regidor, M. Villadoniga, J. Garcia-de-la-Cruz, I. Avilés-Olmos. Directional DBS; clinical experience at Unit of Functional Neurosurgery. Ramón y Cajal University Hospital,Madrid, Spain [abstract]. Mov Disord. 2018; 33 (suppl 2). https://www.mdsabstracts.org/abstract/directional-dbs-clinical-experience-at-unit-of-functional-neurosurgery-ramon-y-cajal-university-hospitalmadrid-spain/. Accessed May 13, 2025.
  • Tweet
  • Email
  • Print

« Back to 2018 International Congress

MDS Abstracts - https://www.mdsabstracts.org/abstract/directional-dbs-clinical-experience-at-unit-of-functional-neurosurgery-ramon-y-cajal-university-hospitalmadrid-spain/

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Covid vaccine induced parkinsonism and cognitive dysfunction
  • What is the appropriate sleep position for Parkinson's disease patients with orthostatic hypotension in the morning?
  • An Apparent Cluster of Parkinson's Disease (PD) in a Golf Community
  • The hardest symptoms that bother patients with Parkinson's disease
  • Life expectancy with and without Parkinson’s disease in the general population
  • Patients with Essential Tremor Live Longer than their Relatives
  • #23624 (not found)
  • The hardest symptoms that bother patients with Parkinson's disease
  • Three cases of early tremor in the course of Guillain-Barré Syndrome
  • The impact of gastric acid suppressants and antacids on levodopa plasma concentration in patients with Parkinson’s disease
  • To be or not to bupropion: a drug-induced parkinsonism?
  • The Role of MRI and DaTscan in Vascular Parkinsonism: A Case Report
  • Help & Support
  • About Us
  • Cookies & Privacy
  • Wiley Job Network
  • Terms & Conditions
  • Advertisers & Agents
Copyright © 2025 International Parkinson and Movement Disorder Society. All Rights Reserved.
Wiley