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POOR RESPONSE: TROUBLESHOOT BEFORE REVISION
- A failed DBS patient is a diagnostic problem
- POOR RESPONSE
- DIAGNOSIS
- PHENOTYPE
- LEAD LOCATION
- HARDWARE
- PROGRAMMING
- THE DBS FAILURE CHECKLIST
- 1 Is the diagnosis still correct?
- 2 Is the current phenotype DBS-responsive?
- 3 Where is the lead relative to the target?
- 4 Is the hardware intact?
- 5 Have all reasonable programming strategies been tried?
- 6 Is medication optimized?
- 7 Is this simply disease progression?
- REVISION IS A DIAGNOSIS OF LAST RESORT—AFTER LOCALIZATION OF THE FAILURE.
- Dr Vikas Kathuria | MCh Neurosurgery
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28A CT–MRI LEAD LOCALIZATION — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typePostoperative lead reconstruction
DescriptionAuthentic patient CT–MRI fusion showing final contact position relative to the intended target, if available with consent.
Clinical purposeSupport fellowship-level interpretation without fabricating clinical material.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED / MANUFACTURER-APPROVED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 06 · Slide 28