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PATIENT SELECTION
- Is DBS appropriate?
- CORRECT DIAGNOSIS? YES
- DISABLING / MEDICALLY REFRACTORY SYMPTOMS? YES
- APPROPRIATE MEDICATION RESPONSE / PHENOTYPE? YES
- COGNITION + PSYCHIATRY ACCEPTABLE? YES
- MEDICAL / SURGICAL FITNESS? YES
- REALISTIC EXPECTATIONS + MDT CONSENSUS? YES
- DBS EVALUATION YES
- RED FLAGS
- COGNITION — Significant cognitive impairment
- PSYCHIATRY — Uncontrolled depression; Psychosis; Severe instability
- MEDICAL — Major uncontrolled comorbidity; Infection; Inability to tolerate surgery
- EXPECTATIONS — “DBS will cure Parkinson's”; Unrealistic functional goals; Poor adherence / support
- Age alone is not a contraindication. Decision = individualised benefit-to-risk ratio.
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MULTIDISCIPLINARY DBS CLINIC
Real clinical image required
Image typeCase image
DescriptionProfessional clinical photograph or conceptual illustration of a multidisciplinary DBS team evaluation.
Clinical purposeReinforce that candidacy is a team decision, not a single clinician's judgement.
Suggested sourceInstitutional photograph with consent, or a specialist-team image from a publication. Avoid generic hospital stock photography where a more relevant specialist-team image is available.
Copyright statusTo be confirmed before publication.
CaptionTo be written with the final image
AssociationModule 01 · Slide 04