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hi bob well, it was available when the report first was released.Try this link instead http://archneur.ama-assn.org/cgi/content/full/archneurol.2010.260?ijkey=yQpyssMQ1VVUM&keytype=ref&siteid=amajnlsor if that doesn't work, try going thru the DBS. SNT organization home pageat:http://www.dbs-stn.org/towards the middle of the page you should see the following link to the report: Click on the link below for a full report on the DBS Consensus: Deep Brain Stimulation for Parkinson Disease: An Expert Consensus and Review of Key Issues Jeff M. Bronstein; etal Arch Neurol. Published online October 11, 2010. doi:10.1001/archneurol.2010.260 (It worked this morning -- hope they continiue to make it available to the public) www.pdpipeline.org ---------- Original Message ---------- From: Bob Allison <[log in to unmask]> To: [log in to unmask] Subject: Re: DBS guidelines Date: Sun, 21 Nov 2010 18:59:32 -0500 Linda I tried to access this article but was not able. Can you help? Thanks, Bob ----- Original Message ----- From: "[log in to unmask]" <[log in to unmask]> To: <[log in to unmask]> Sent: Sunday, October 31, 2010 9:21 PM Subject: Re: DBS guidelines > The full text of te new DBS Expert Consensus is now available for all to > read at: > http://archneur.ama-assn.org/cgi/content/full/archneurol.2010.260?ijkey=yQpyssMQ1VVUM&keytype=ref&siteid=amajnls > > I believe it was the Parkinson's Alliance and the DBS-STN.org group tat > made this posssible. > > Also interesting on their site is a summary of a dialogue between patients > and clinicians about DBS > see: http://www.dbs-stn.org/UserFiles/File/RoundTableReport.pdf > > linda > > www.pdpipeline.org > > ---------- Original Message ---------- > From: mschild <[log in to unmask]> > To: [log in to unmask] > Subject: Re: DBS guidelines > Date: Sun, 31 Oct 2010 08:55:56 +0100 > > http://archneur.ama-assn.org/cgi/content/abstract/archneurol.2010.260v1 > > Objective To provide recommendations to patients, physicians, and other > health care providers on several issues involving deep brain stimulation > (DBS) > for Parkinson disease (PD). > > Data Sources and Study Selection An international consortium of experts > organized, reviewed the literature, and attended the workshop. Topics were > introduced at the workshop, followed by group discussion. > > Data Extraction and Synthesis A draft of a consensus statement was > presented > and further edited after plenary debate. The final statements were agreed > on by > all members. > > Conclusions (1) Patients with PD without significant active cognitive or > psychiatric problems who have medically intractable motor fluctuations, > intractable tremor, or intolerance of medication adverse effects are good > candidates for DBS. (2) Deep brain stimulation surgery is best performed > by an > experienced neurosurgeon with expertise in stereotactic neurosurgery who > is > working as part of a interprofessional team. (3) Surgical complication > rates > are extremely variable, with infection being the most commonly reported > complication of DBS. (4) Deep brain stimulation programming is best > accomplished by a highly trained clinician and can take 3 to 6 months to > obtain optimal results. (5) Deep brain stimulation improves levodopa- > responsive symptoms, dyskinesia, and tremor; benefits seem to be > long-lasting > in many motor domains. (6) Subthalamic nuclei DBS may be complicated by > increased depression, apathy, impulsivity, worsened verbal fluency, and > executive dysfunction in a subset of patients. (7) Both globus pallidus > pars > interna and subthalamic nuclei DBS have been shown to be effective in > addressing the motor symptoms of PD. (8) Ablative therapy is still an > effective > alternative and should be considered in a select group of appropriate > patients. > > ---------------------------------------------------------------------- > To sign-off Parkinsn send a message to: > mailto:[log in to unmask] > In the body of the message put: signoff parkinsn > > ---------------------------------------------------------------------- > To sign-off Parkinsn send a message to: > mailto:[log in to unmask] > In the body of the message put: signoff parkinsn ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn