Poorly positioned DBS leads: how to program

Описание: How to Program a Suboptimally/ Poorly Positioned STN Lead | Advanced Deep Brain Stimulation Strategies

In this episode, we explore practical and effective strategies to optimize outcomes when the STN lead is not ideally placed. Even when the electrode sits at the edge of the nucleus (or even outside), there are powerful programming tools that can restore therapeutic benefit while minimizing side effects.

In this session, I demonstrate how to:
✔ Use Illumina 3D to visualize the lead, refine contact selection, and steer current toward the true hotspot
✔ Apply anodal stimulation strategically when cathodic configurations fail
✔ Optimize therapy using short pulse widths, reducing spread of current and improving tolerability
✔ Select the most effective polarity and configuration in challenging cases

Whether you are a neurologist, neurosurgeon, DBS programmer, or a trainee looking to master the nuances of advanced neuromodulation, this lesson can help you in your clinic.

Disclaimer
Educational content only. DBS settings must be individualized and performed by trained teams.

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