South African guideline on deep brain stimulation for Parkinson’s disease

dc.contributor.authorAnderson, D.G.
dc.contributor.authorVan Coller, Riaan
dc.contributor.authorCarr, J.
dc.date.accessioned2018-03-12T10:17:57Z
dc.date.available2018-03-12T10:17:57Z
dc.date.issued2017-11
dc.description.abstractBACKGROUND : Parkinson’s disease (PD) is a common neurodegenerative disease, associated with severe impairment of quality of life. Although the motor aspects of the illness are typically successfully treated with medications acting on the dopaminergic system, a number of patients encounter progressive difficulties associated with their medical treatment. RECOMMENDATIONS : Carefully selected patients will benefit from deep brain stimulation (DBS) treatment for their PD. Selection requires dopamine challenge testing and neuropsychological testing for the presence of cognitive impairment. Careful follow-up and programming of the DBS system are mandatory, and a major reason for DBS failure is inadequate programming and management of medication. CONCLUSION : DBS is a useful component of standard therapy for PD and may reduce symptoms, improve quality of life, promote patient independence and reduce healthcare costs by reducing requirements for medicine.en_ZA
dc.description.departmentNeurologyen_ZA
dc.description.librarianam2018en_ZA
dc.description.sponsorshipMedtronic and Amayeza funded the publication of this guideline.en_ZA
dc.description.sponsorshipDGA has received sponsorship to attend movement disorder congresses from Boston Scientific and Medtronic as well honorariums from Medtronic. RvC has received payment for talks from Cipla South Africa, and sponsorship for travelling to attend congresses from Medtronic. He is also the recipient of a research grant sponsored by Medtronic. JC has received payment for talks from Cipla South Africa. He receives an annual stipend from Elsevier for his role as an associate editor.
dc.description.urihttp://www.samj.org.zaen_ZA
dc.identifier.citationAnderson, D.G., Van Coller, R. & Carr, J. 2017, 'South African guideline on deep brain stimulation for Parkinson’s disease', South African Medical Journal, vol. 107, no. 11, pp. 1027-1032.en_ZA
dc.identifier.issn0256-9574 (print)
dc.identifier.issn2078-5135 (online)
dc.identifier.issn10.7196/SAMJ.2017.v107i11.12831
dc.identifier.urihttp://hdl.handle.net/2263/64211
dc.language.isoenen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.rights© 2017, South African Medical Association. All rights reserved. This article is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0).en_ZA
dc.subjectParkinson’s disease (PD)en_ZA
dc.subjectPatientsen_ZA
dc.subjectMedical treatmenten_ZA
dc.subjectDeep brain stimulation (DBS)en_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.titleSouth African guideline on deep brain stimulation for Parkinson’s diseaseen_ZA
dc.typeArticleen_ZA

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