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Welcome pageWhat's NewCNI William McK. and Marcia N. Thompson Center for Restorative Neurosurgery
at CNI
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Our specialists are happy to discuss your individual case with you. Serious inquiries only, please. For an appointment,
call 303-788-4600.
For more info about
The Thompson Center for Restorative Surgery at CNI, |
The surgical treatment of movement disorders has evolved considerably over the last decade in terms of the scope of the indications for surgery, and in terms of technique. Deep Brain Stimulation (DBS) has an established role in the treatment of Parkinson’s disease, essential tremor and dystonia. As a surgical procedure, it offers inherent advantages over ablative therapies, as the therapeutic and side effects of stimulation can be modulated by adjustment of multiple stimulation parameters. Listed below are three of the most common procedures performed at CNI’s Thompson Center. However, DBS applications continue to increase, including in tic disorders and tremor disorders other than essential tremor.
Perhaps the most common DBS procedure, STN DBS is considered in cases of advanced, medication-responsive Parkinson’s disease. In the procedure, electrodes are placed into the STN, an area of the brain approximately the size of an almond, in regions of high neuronal activity and responsiveness. In addition, a generator is attached to the electrodes and placed in the chest.
Photos: See photographs of this procedure performed at CNI on the DBS Patient Education page.
Presentation:
Deep
Brain Stimulation for the Treatment of Parkinson's Disease: Patient Education 
Watch
Audio/Video Presentation. 
Six
segments for total
listening time approx. 1 hour
Patient Pre/Post-Surgery Videos:
1 - Postoperative Condition (off
meds/off stimulation) |
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2 - Postoperative Condition (off meds/ON stimulation) |
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| You will need RealOne Media Player to view the streaming audio/video files. Download free version of RealOne Player | |
GPi DBS is considered in cases of advanced, medication refractory dystonia. In addition, GPi DBS has been used in advanced Parkinson’s patients. In the procedure, electrodes are placed into the GPi in regions of high neuronal activity and responsiveness. In addition, a generator is attached to the electrodes and placed in the chest.
Although different areas of the brain are targeted, the surgical procedure for GPi DBS is similar to that for STN DBS.
Videos of GPi DBS (Parkinson’s Disease, Dystonia and other conditions)
| 1 - Generalized Dystonia - Preoperatively |
child-pre,
0:57 min/sec |
| 2 - Generalized Dystonia - 3 months Post-operatively | child-3mo-post,
1:00 min/sec |
| 3 - Bilateral GPi DBS - Stimulators
Off Generalized and Cervical Dystonia |
woman-pre,
0:48 min/sec |
| 4 -
Bilateral GPi DBS - Stimulators On Generalized and Cervical Dystonia |
woman-post,
0:29 min/sec |
| You will need RealOne Media Player to view the streaming audio/video files. Download free version of RealOne Player | |
Learn more about treatments for dystonia at the CNI Movement Disorders Center website.
Thalamus DBS is considered in cases of advanced, medication resistant essential tremor. In the procedure, electrodes are placed into the thalamus in regions of high neuronal activity and responsiveness. In addition, a generator is attached to the electrodes and placed in the chest.
Although different areas of the brain are targeted, the surgical procedure for Thalamus DBS is similar to that for STN DBS.
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Colorado Neurological
Institute's William McK. and Marcia N. Thompson Center for Restorative
Neurosurgery
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