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Patients' Perioperative Experience of Awake Deep-Brain Stimulation for Parkinson Disease.
- Source :
-
World neurosurgery [World Neurosurg] 2017 Sep; Vol. 105, pp. 526-528. Date of Electronic Publication: 2017 Jun 10. - Publication Year :
- 2017
-
Abstract
- Background: Awake craniotomy for tumor resection and epilepsy surgery is a well-tolerated procedure. Qualitative data on patients' experience of awake deep-brain stimulation (DBS) are, however, lacking. We collected qualitative data on patients' experience of awake DBS with a view to identifying areas for improvement.<br />Methods: Forty-one patients undergoing DBS for Parkinson disease between 2009 and 2015 were surveyed with a structured questionnaire designed to receive patient feedback regarding perioperative management of the awake stage of the procedure.<br />Results: More than 90% of patients felt well-informed. Most remembered the procedure, and almost all were happy that they did. One half of the patients experienced pain, often significant, during the procedure. This mainly occurred during burr-hole drilling and stereotactic frame placement.<br />Conclusions: Although awake DBS is well-tolerated, pain and off-period symptoms are an issue for a significant number of patients. Efforts should be made to minimize these unpleasant aspects of awake DBS.<br /> (Copyright © 2017 Elsevier Inc. All rights reserved.)
- Subjects :
- Anesthesia, Local methods
Anesthesia, Local psychology
Conscious Sedation psychology
Craniotomy methods
Craniotomy psychology
Deep Brain Stimulation psychology
Humans
Parkinson Disease psychology
Perioperative Care psychology
Surveys and Questionnaires
Conscious Sedation methods
Deep Brain Stimulation methods
Parkinson Disease surgery
Patient Preference psychology
Perioperative Care methods
Wakefulness
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 105
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 28606582
- Full Text :
- https://doi.org/10.1016/j.wneu.2017.05.132