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The consensus document comes in a period of rapid expansion of surgeries to implant deep brain stimulation devices for Parkinson's disease. The complex procedure of implanting and programming the deviceis spreading beyond specialty hospitals and academic medical centers the result of aggressive marketing by Medtronic, the medical device giant that holds the patent. Against that backdrop, the consensus document underscored the importance of selecting patients for surgery who are likely to benefit most, and of expertise on the part of neurologist, surgeon and device programmer.

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Patients who are "shopping" for treatments will find no shortage of hospitals and surgical centers eagerly offering the surgery, he said. But not all are well equipped and trained to implant and program the device, and not all have the integrity to steer patients toward another treatment or procedure if they are unlikely to have a good outcome, Bronstein added. And Nike Air Jordan 1 Grey And Black for some patients, he said,an older surgery, which selectively destroys part of the brain affected by Parkinson's, should still be considered.

patients whose tremors, rigidity and walking problems have become disabling, deep brain stimulation can bring remarkable relief. They also underscored that the surgery is not without risks: as many as 10% of surgical patients suffer intracranial hemorrhage and as many as 15% suffer post operative infection. It's not cheap, either: surgery for Parkinson's can cost as much as $100,000.

ts that those who get the pacemaker sunk into their brain's STN are more likelyto become depressed and impulsive, andtosufferdeclines in verbal fluency, visuomotor processing speed and executive function, than Air Jordan 13 Black And Blue

those who have the deviceimplanted in the brain's GPi. For Parkinson's Air Jordan Spizike Grey Pink