A mnemonic for Parkinson disease patients considering DBS: a tool to improve perceived outcome of surgery

The Neurologist
M S Okun, Kelly D Foote

Abstract

Patients considering deep brain stimulation (DBS) for Parkinson disease (PD) may be exposed to videotapes, media coverage, or literature which show dramatic improvements in PD symptoms after surgical intervention. Based on this information, patients may seek a medical center with expertise in DBS for an evaluation and assessment of their candidacy for surgery. If patients receive a device, they may be disappointed or despondent following surgery because of a failure to achieve a preconceived and unrealistic outcome. In order to address the important issue of patient misconception of potential outcome, we have introduced a simple mnemonic device. The device may be taught and then reviewed with patients and families both before and after surgery. Use of this mnemonic device may allow the patient and family the time necessary to alter the perception of perceived benefit. This education can help to ensure that outcome meets or exceeds expectation, and as a result they become a more satisfied and easy-to-manage DBS patient.

Citations

Sep 24, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ryan A GrantArthur Caplan
Oct 19, 2012·The New England Journal of Medicine·Michael S Okun
Apr 18, 2012·Brain : a Journal of Neurology·Eugénie LhomméePaul Krack
Sep 13, 2007·The Neurologist·Ramon L RodriguezMichael S Okun
Nov 8, 2013·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Aparna Wagle Shukla, Michael Scott Okun
Feb 1, 2010·Continuum : Lifelong Learning in Neurology·Mustafa Saad SiddiquiMichael S Okun
Mar 10, 2011·Expert Review of Neurotherapeutics·Michael S Okun, Kelly D Foote
Jul 18, 2009·Surgical Neurology·Emily BellEric Racine
Mar 8, 2008·Parkinsonism & Related Disorders·Michael S OkunHubert H Fernandez
Sep 7, 2007·Parkinsonism & Related Disorders·Susan M Calne, Ajit Kumar
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Feb 13, 2014·World Neurosurgery·Harutomo HasegawaKeyoumars Ashkan
Feb 23, 2018·Journal of Speech, Language, and Hearing Research : JSLHR·Thea KnowlesMandar Jog

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