Study backs deep brain stimulation for Parkinson's

Tue Jan 6, 2009 9:00pm GMT
 
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By Will Dunham

WASHINGTON, Jan 6 (Reuters) - Deep brain stimulation dramatically improves Parkinson's disease symptoms such as trembling and slowness of movement, offering hope to many with the incurable ailment, researchers said on Tuesday.

Six months of deep brain stimulation with a device made by Minneapolis-based Medtronic Inc (MDT.N) led to better quality of life and 4-1/2 additional hours per day of good motor functioning for Parkinson's patients, but did not come without risks, the researchers said.

The small electrical device is implanted surgically in the chest, with wires leading to electrodes in the brain. It sends electrical signals to brain areas that control movement.

One of the 121 Parkinson's patients in the study who got deep brain stimulation, or DBS, died from bleeding in the brain caused by a ruptured blood vessel after the surgery.

And compared to the 134 patients in the study who received only standard medical treatment, those getting DBS were 3.8 times more likely to have a "serious adverse event" such as a post-surgical infection. Most were quickly resolved, the researchers said.

But motor functioning improved for 71 percent of the DBS patients. Their quality of life -- like carrying out daily activities, mobility and emotional well-being -- also rose.

"The study provides the medical community with the highest class of evidence for the benefits of deep brain stimulation for properly selected patients," Dr. William Marks, a University of California, San Francisco neurologist who helped lead the study, said in a telephone interview.

DBS may help patients whose symptoms are not well controlled by drugs, Marks said.  Continued...

 

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