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MACROSTIMULATION
- Map the therapeutic window before you commit to the final lead
- CONTACTS
- STIMULATION AMPLITUDE →
- CLINICAL EFFECT ↑
- BENEFIT
- SIDE-EFFECT THRESHOLD
- THERAPEUTIC WINDOW
- BENEFIT
- Tremor ↓
- Rigidity ↓
- Bradykinesia ↓
- SIDE EFFECTS
- Dysarthria
- Capsular contraction
- Paresthesia / diplopia
- The goal is not maximum stimulation — it is maximum useful stimulation.
- Programming/side-effect threshold concepts: contemporary DBS programming literature.
- Dr Vikas Kathuria | MCh Neurosurgery
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15A AUTHENTIC INTRAOPERATIVE MACROSTIMULATION PHOTOGRAPH — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeIntraoperative physiology
DescriptionAuthentic intraoperative macrostimulation photograph
Clinical purposeTeach contact-dependent benefit and side-effect thresholds without patient data.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 15
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15B CONTACT CONFIGURATION DIAGRAM — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeSchematic / diagram
DescriptionContact configuration diagram
Clinical purposeTeach contact-dependent benefit and side-effect thresholds without patient data.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 15
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15C THERAPEUTIC-WINDOW GRAPH — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeSchematic / diagram
DescriptionTherapeutic-window graph
Clinical purposeTeach contact-dependent benefit and side-effect thresholds without patient data.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 15
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15D CLINICAL RESPONSE DURING STIMULATION — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeIntraoperative physiology
DescriptionClinical response during stimulation
Clinical purposeTeach contact-dependent benefit and side-effect thresholds without patient data.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 15
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15E SIDE-EFFECT THRESHOLD DIAGRAM — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeSchematic / diagram
DescriptionSide-effect threshold diagram
Clinical purposeTeach contact-dependent benefit and side-effect thresholds without patient data.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 15
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15F DIRECTIONAL LEAD / STIMULATION FIELD — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeDirectional lead diagram
DescriptionDirectional lead / stimulation field
Clinical purposeTeach contact-dependent benefit and side-effect thresholds without patient data.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 15