Clinical information
Understanding the diagnosis
Deep brain stimulation does not cure Parkinson's disease or replace neurological follow-up. It aims to modulate movement-related circuits and reduce motor fluctuations, dyskinesia or tremor in appropriate cases.
The indication requires multidisciplinary selection. Levodopa response, symptom profile, cognitive and emotional status, independence, expectations and relevant contraindications are considered together.
Symptoms and context
When to consider functional surgery
- Motor fluctuations with ON and OFF periods
- Medication-related dyskinesia
- Disabling tremor resistant to treatment
- Motor symptoms that remain responsive to levodopa
- Major limitations despite optimised medical treatment
Case review
Second opinion
A second opinion can clarify whether the clinical profile is suitable for deep brain stimulation, which symptoms can reasonably be expected to improve and what long-term programming and follow-up involve.
How to request a second opinion →