Patient selection and assessment recommendations for deep brain stimulation in Tourette syndrome.
In response to recent publicity regarding the potential use of deep brain stimulation (DBS) for reducing tic severity in Tourette's syndrome (TS), the Tourette Syndrome Association convened a group of TS and DBS experts to develop recommendations to guide the early use and potential clinical trials of DBS for TS and other tic disorders. The goals of these recommendations are to ensure that all surgical candidates are (1) fully informed about the risks, benefits, and alternative treatments available; (2) receive a comprehensive evaluation before surgery to ensure that DBS is clearly the appropriate clinical treatment choice; and (3) that early clinical experience will be documented publicly to facilitate rational decision-making for both clinical care and future clinical trials.
Mink
Jonathan W
JW
Department of Neurology, University of Rochester, Rochester, New York, USA. jonathan_mink@urmc.rochester.edu
Walkup
John
J
Frey
Kirk A
KA
Como
Peter
P
Cath
Danielle
D
Delong
Mahlon R
MR
Erenberg
Gerald
G
Jankovic
Joseph
J
Juncos
Jorge
J
Leckman
James F
JF
Swerdlow
Neal
N
Visser-Vandewalle
Veerle
V
Vitek
Jerrold L
JL
D046690:Deep Brain Stimulation / Q000379:methods*; D005069:Evaluation Studies as Topic; D006287:Health Planning Guidelines; D006801:Humans; D018579:Patient Selection; D005879:Tourette Syndrome / Q000503:physiopathology / Q000628:therapy*