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| Bakay Movement Disorder Surgery Table of Contents1. History of Surgery for Movement Disprders Pre-stereotactic Surgery Early stereotactic Surgery Post L-dopa era Resurgence of stereotactic surgery and future directions 2. Rationale for Surgery Anatomy of the thalamus and basal ganglion Electrophysiology of the thalamus and basal ganglion Pathophysiological changes Lesion vs. DBS 3. Setting up Practice Capital Expenses Building a Program Generating Referrals Billing and Coding 4. Patient Selection Signs and Symptoms L-dopa response Neuroimaging Neuropsychological Testing CAPIT and other special testes 5. Preparation for Surgery Selection of a Stereotactic Frame Applying the Frame CT/'MR Imaging Selecting Targets How to iron out distortion problems in the MRI 6. Stereotactic Surgery with Microelectrode Recordings Microelectrode Recording Intraoperative Testing Lesioning Implantation of the Lead Securing the Lead Extraoperative Testing Implanting the IPG 7. Stereotactic Surgery with Microelectrode Recording Impedance Testing Electrophysiologic Testing Intraoperative Target Adjustments Advantages and Disadvantages 8. Programming the IPG BDS Mechanism of Action Interrogating the IPG Initial Settings Adjustments Trouble shooting 9. Avoiding Complications and Correcting Errors Controlling Blood Pressure and Hemostasis Dejection of Wire ractures Repair of Fractures and Migrations Battery Changes Treating Infections Development of Tolerance 10. Results and Complications Improvement and Complications with VIM DBS Improvement and Complications with Gpi DBS Improvement and Complications with STN DBS 11. Essential Terror Patient Selection Electrophysiology Lesioning vs DBS Results, recurrences and complications 12. Dystonia Primary and Secondary Anesthesia Concerns Electrophysiology Special IPG Programming 13. Gamma Knife Indications and Controversies Target Selection Dose and Distribution Results and Complications 14. Neural Transplantation Animal Studies Clinical Studies Adrenal Medullary Fetal Mesencephalic Alternative Tissues Stem Cells 15. Gene Therapies Vectors Replacement Strategies Repair Strategies Preventive Strategies |
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