Dr. Gilbert Hosts: Deep Brain Stimulation & Focused Ultrasound for PD with Dr. Ihtsham ul Haq
Deep brain stimulation (DBS) and focused ultrasound (FUS) are two medical procedures that can help treat certain symptoms of Parkinson’s disease. Each can be quite beneficial, but they are not appropriate for everyone. We talked with Dr. Ihtsham ul Haq who is an expert on DBS and FUS and Tom Liodice, a person with Parkinson's who has recently had DBS to understand more about these procedures and how they work.
You’ll learn:
- What DBS and FUS are, and how they work
- If you should consider these procedures for yourself - and if so, which one(s)
- Which symptoms of PD they do, and don’t, treat
- How to find out if these treatments are offered in your area
- And much more!
1:30 Dr. Haq introduction
17:44 Tom Liodice, person with PD who had deep brain stimulation (DBS) surgery
Q+A
21:25 Dr. Haq: Are DBS and focused ultrasound (FUS) mutually exclusive or can you get one and then the other or vice versa?
23:24 Tom: What activities do you need to avoid after DBS?
24:26 Dr. Haq: People with cognitive issues may not qualify for DBS. Could they get FUS?
26:12 Dr. Haq: If the only issue is tremor control, is that a reason to get FUS over DBS?
27:49 Tom: Did DBS change your medication requirement?
29:13 Dr. Haq: What are the long-term consequences of DBS and FUS?
31:31 Tom: How did your symptoms change after surgery?
32:59 Dr. Haq: If you are awake for DBS and have tremor - how is the surgery performed when you are shaking?
34:05 Dr. Haq: Can you discuss the importance of skull density in deciding whether you can have FUS or not?
35:11 Tom and Dr. Haq: How did you find a center that does DBS? Did you have a problem with insurance coverage?
37:56 Dr. Haq: Will DBS or FUS help freezing of gait?
39:42 Tom: Can you feel the DBS apparatus in your body?
40:53 Dr. Haq: What is the future of DBS? Are there advances coming?
43:31 Dr. Haq: If you have a heart pacemaker, can you get DBS?
43:48 Tom: Have you had any issues with traveling and security checks with your DBS device?
44:53 Tom: Can you get an MRI after DBS?
45:32 Dr. Haq and Tom: How do you choose between the three types of DBS devices available for PD?
48:52 Dr. Haq and Tom: How long does it take to actually get DBS?
52:50 Dr. Haq and Tom: How much time do you need to wait between either DBS or FUS on one side and the other?
55:24 Dr. Haq and Tom: Can DBS or FUS affect depression?
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