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Slide 45

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Original lecture slide 45, Cognitive mood and behavioral outcomes, with a motor does not equal whole patient panel and the screen, target, program, follow sequence

COGNITIVE, MOOD & BEHAVIORAL OUTCOMES

  • The brain is not only a motor circuit
  • MOTOR ≠ WHOLE PATIENT
  • COGNITION
  • MOOD
  • IMPULSE
  • SPEECH
  • GAIT
  • PREOPERATIVE BASELINE → TARGET CHOICE → FOLLOW-UP
  • SCREEN — Cognition and psychiatric history are part of selection.
  • TARGET — STN vs GPi may be influenced by cognitive/psychiatric risk and treatment goals.
  • PROGRAM — Field spread can affect speech, gait, mood and behavior.
  • FOLLOW — Assess change over time; distinguish stimulation effects from disease progression.
  • Evidence nuance: Randomized comparisons generally show similar global cognitive/mood composite outcomes between STN and GPi, but selective frontal-subcortical effects may differ.
  • Dr Vikas Kathuria | MCh Neurosurgery

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45A STN / GPi / NEARBY STRUCTURE STIMULATION-FIELD SCHEMATIC — INSERT AUTHENTIC IMAGE

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Image typeSchematic / diagram
DescriptionOriginal educational schematic or published figure with permission.
Clinical purposeSupport fellowship-level interpretation without fabricating patient imaging, wound photographs or lead-localization results.
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AssociationModule 09 · Slide 45

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45B COGNITIVE / BEHAVIORAL ASSESSMENT WORKFLOW — INSERT AUTHENTIC IMAGE

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Image typeSchematic / diagram
DescriptionOriginal educational workflow diagram spanning baseline, programming and follow-up.
Clinical purposeSupport fellowship-level interpretation without fabricating patient imaging, wound photographs or lead-localization results.
Suggested sourceINSERT AUTHENTIC PUBLISHED / INSTITUTIONAL IMAGE HERE (licensing and consent confirmed)
Copyright statusSource, consent and reproduction rights must be confirmed before use.
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AssociationModule 09 · Slide 45

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45C STN VERSUS GPi DECISION FRAMEWORK — INSERT AUTHENTIC IMAGE

Real clinical image required

Image typeSchematic / diagram
DescriptionOriginal educational decision framework; do not present either target as universally superior.
Clinical purposeSupport fellowship-level interpretation without fabricating patient imaging, wound photographs or lead-localization results.
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 09 · Slide 45