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STN PROGRAMMING
- Motor benefit, medication strategy, and side-effect control
- MOTOR — bradykinesia, rigidity
- TREMOR — rest tremor
- FLUCTUATION — OFF time
- DYSKINESIA — often improves with medication reduction
- STN: PRACTICAL PROGRAMMING LOGIC
- START — Choose the contact with the best clinical response
- AMPLITUDE — Increase gradually while monitoring adverse effects
- PULSE WIDTH — Consider shorter PW when side effects limit amplitude
- FREQUENCY — Adjust according to symptom phenotype and response
- MEDICATION — Reassess dopaminergic therapy after DBS optimization
- PEARL — STN programming is a balance between motor benefit and spread into nearby structures.
- Dr Vikas Kathuria | MCh Neurosurgery
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23A STN AND ADJACENT STRUCTURES — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeSTN anatomy
DescriptionAuthentic anatomical atlas figure or original educational schematic showing the STN and its neighbours.
Clinical purposeSupport programming teaching without fabricating patient data, device screenshots or clinical imaging.
Suggested sourceINSERT AUTHENTIC PUBLISHED / INSTITUTIONAL IMAGE HERE (licensing and consent confirmed)
Copyright statusSource, consent and reproduction rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 05 · Slide 23