What do you think?
Rate this book
Deep Brain Stimulation: A Case-based Approach
DEEP BRAIN STIMULATION provides expert advice to the reader on selection guidelines and programming techniques for straight-forward as well as for challenging case management in movement and neuropsychiatric disorders. The collection offers a broad DBS experience that is delivered directly to you by leaders in neuromodulation. There are both common and uncommon case presentations and each case is accompanied by a literature review and pearls to improve your practice. The book improves fundamental DBS techniques as well as expands the skills necessary for troubleshooting more difficult presentations. The case-based problem-solving approach makes this a fun and practical read.
272 pages, Hardcover
Published July 15, 2020
3 people are currently reading
2 people want to read
Ratings & Reviews
Friends & Following
Create a free account to discover what your friends think of this book!
Community Reviews
Displaying 1 of 1 review
July 19, 2025
I found Dr Chitnis's book to be quite fruitful and comprehensive. Not only does the book supply the reader with coherent and expert programming cases but also some rare surgical complications such as poor wound healing and impedances. The book provides cases for the major etiologies DBS was designed for such as Parkinson's, Essential Tremor, and Dystonia. In addition to these diseases, there were some interesting cases involving Epilepsy, OCD, and Huntington's. Finally, the programming parameters were displayed throughout the book without overwhelming the reader with too much information.
The case-based approach was quite useful for my line of work. I am a Clinical Specialist for a major DBS manufacturer. Additionally, I assist with programming quite a bit in addition to surgical case coverage. This book improved my clinical acumen regarding PD and ET in addition to learning niche programming strategies. The cases regarding surgical complications were also helpful. The author provides medical imaging throughout the book; the images were immensely helpful in relating the therapeutic window to the anatomy.
The book contains two comprehensive chapters regarding the anatomy and side effects of VIM and STN. I appreciated how heavy in neuroanatomy this book encompassed. Many fascinating structures are mentioned such as the brachium conjuncivum, longitudinal fasciculus, pallidofugal fibers, and so forth. These structures are typically not mentioned when one is discussing DBS in the clinical setting. After reading most of the cases encompassed in this text, I would say Cranial Nerve III stood out the most. Side effects coming from this target can be more than the electrodes simply being too medial. In most cases, one would assume a lead that is too ventral to be stimulating substantia niagra or perhaps the internal capsule. Yet, the patient in Case 14 was exhibiting diplopia from a lead that was too deep. The post-op MRI was provided as proof of the former statement. The author mentioned that the "oculomotor region" of the STN could also be responsible for the diplopia, which would be ventral lateral.
My favorite three cases from the book focused on Interleaving. The author did a great job in explaining the basic mechanisms involved with interleaving, in addition, to showing how they could be implemented in cases where traditional DBS is not working. Furthermore, the author elucidates the potential differences between a double monopolar setting versus an interleaved setting.
Dr Chitni's book also contains cases regarding special targeting. There is one case where the patient had existing bilateral VIM; the patient then went back into surgery to obtain bilateral Gpi. Additionally, there was a scintillating case in which the target was the posterior hypothalamus for OCD and Epilepsy.
This is an excellent, clinically comprehensive book regarding DBS patient management with the highlight of the book being programming. There is also rich information regarding medications and patient selection for ET and PD.
The book is clinically comprehensive but light on the scientific nature of DBS. If you're looking for a more technical deep dive into DBS, I suggest Montgomery's book, Deep Brain Stimulation Programming Principles and Practices. This resource provides more in-depth concepts regarding electronics, electrode configurations, and updated concepts on oscillators and pathophysiology.
The case-based approach was quite useful for my line of work. I am a Clinical Specialist for a major DBS manufacturer. Additionally, I assist with programming quite a bit in addition to surgical case coverage. This book improved my clinical acumen regarding PD and ET in addition to learning niche programming strategies. The cases regarding surgical complications were also helpful. The author provides medical imaging throughout the book; the images were immensely helpful in relating the therapeutic window to the anatomy.
The book contains two comprehensive chapters regarding the anatomy and side effects of VIM and STN. I appreciated how heavy in neuroanatomy this book encompassed. Many fascinating structures are mentioned such as the brachium conjuncivum, longitudinal fasciculus, pallidofugal fibers, and so forth. These structures are typically not mentioned when one is discussing DBS in the clinical setting. After reading most of the cases encompassed in this text, I would say Cranial Nerve III stood out the most. Side effects coming from this target can be more than the electrodes simply being too medial. In most cases, one would assume a lead that is too ventral to be stimulating substantia niagra or perhaps the internal capsule. Yet, the patient in Case 14 was exhibiting diplopia from a lead that was too deep. The post-op MRI was provided as proof of the former statement. The author mentioned that the "oculomotor region" of the STN could also be responsible for the diplopia, which would be ventral lateral.
My favorite three cases from the book focused on Interleaving. The author did a great job in explaining the basic mechanisms involved with interleaving, in addition, to showing how they could be implemented in cases where traditional DBS is not working. Furthermore, the author elucidates the potential differences between a double monopolar setting versus an interleaved setting.
Dr Chitni's book also contains cases regarding special targeting. There is one case where the patient had existing bilateral VIM; the patient then went back into surgery to obtain bilateral Gpi. Additionally, there was a scintillating case in which the target was the posterior hypothalamus for OCD and Epilepsy.
This is an excellent, clinically comprehensive book regarding DBS patient management with the highlight of the book being programming. There is also rich information regarding medications and patient selection for ET and PD.
The book is clinically comprehensive but light on the scientific nature of DBS. If you're looking for a more technical deep dive into DBS, I suggest Montgomery's book, Deep Brain Stimulation Programming Principles and Practices. This resource provides more in-depth concepts regarding electronics, electrode configurations, and updated concepts on oscillators and pathophysiology.
Displaying 1 of 1 review