Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland
Abstract Objective: Paediatric movement disorder patients can benefit from deep brain stimulation (DBS) treatment and it should be offered in a timely manner. In this paper we describe our experience establishing a DBS service for paediatric patients. Methods: We set out to establish a paediatric DB...
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ftunivoulu:oai:oulu.fi:nbnfi-fe2023030630013 2023-07-30T04:05:49+02:00 Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland Lahtinen, M. (Maija) Helander, H. (Heli) Vieira, P. (Päivi) Uusimaa, J. (Johanna) Katisko, J. (Jani) 2022 application/pdf http://urn.fi/urn:nbn:fi-fe2023030630013 eng eng Elsevier info:eu-repo/semantics/openAccess © 2022. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ https://creativecommons.org/licenses/by-nc-nd/4.0/ cerebral palsy deep brain stimulation dystonia movement disorders neurosurgery tractography info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion 2022 ftunivoulu 2023-07-08T20:01:05Z Abstract Objective: Paediatric movement disorder patients can benefit from deep brain stimulation (DBS) treatment and it should be offered in a timely manner. In this paper we describe our experience establishing a DBS service for paediatric patients. Methods: We set out to establish a paediatric DBS (pDBS) procedure in Oulu University Hospital in northern Finland, where up to this point DBS treatment for movement disorders had been available for adult patients. Collaboration with experienced centres aided in the process. Results: A multidisciplinary team was assembled and a systematic protocol for patient evaluation and treatment was created, with attention to special features of the regional health care system. All of our first paediatric patients had very severe movement disorders, which is typical for a new DBS centre. The patients benefitted from pDBS treatment despite variable aetiologies of movement disorders, which included cerebral palsy and rare genetic disorders with variants in PDE10A, TPK1 and ARX. We also present our high-quality paediatric MR-imaging protocol with tractography. Conclusions: Establishment of a pDBS centre requires expertise in classification of paediatric movement disorders, longstanding experience in adult DBS and a committed multidisciplinary team. Besides high-quality imaging and a skilled neurosurgery team, careful patient selection, realistic treatment goals and experience in rehabilitation are imperative in pDBS treatment. Article in Journal/Newspaper Northern Finland Jultika - University of Oulu repository |
institution |
Open Polar |
collection |
Jultika - University of Oulu repository |
op_collection_id |
ftunivoulu |
language |
English |
topic |
cerebral palsy deep brain stimulation dystonia movement disorders neurosurgery tractography |
spellingShingle |
cerebral palsy deep brain stimulation dystonia movement disorders neurosurgery tractography Lahtinen, M. (Maija) Helander, H. (Heli) Vieira, P. (Päivi) Uusimaa, J. (Johanna) Katisko, J. (Jani) Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland |
topic_facet |
cerebral palsy deep brain stimulation dystonia movement disorders neurosurgery tractography |
description |
Abstract Objective: Paediatric movement disorder patients can benefit from deep brain stimulation (DBS) treatment and it should be offered in a timely manner. In this paper we describe our experience establishing a DBS service for paediatric patients. Methods: We set out to establish a paediatric DBS (pDBS) procedure in Oulu University Hospital in northern Finland, where up to this point DBS treatment for movement disorders had been available for adult patients. Collaboration with experienced centres aided in the process. Results: A multidisciplinary team was assembled and a systematic protocol for patient evaluation and treatment was created, with attention to special features of the regional health care system. All of our first paediatric patients had very severe movement disorders, which is typical for a new DBS centre. The patients benefitted from pDBS treatment despite variable aetiologies of movement disorders, which included cerebral palsy and rare genetic disorders with variants in PDE10A, TPK1 and ARX. We also present our high-quality paediatric MR-imaging protocol with tractography. Conclusions: Establishment of a pDBS centre requires expertise in classification of paediatric movement disorders, longstanding experience in adult DBS and a committed multidisciplinary team. Besides high-quality imaging and a skilled neurosurgery team, careful patient selection, realistic treatment goals and experience in rehabilitation are imperative in pDBS treatment. |
format |
Article in Journal/Newspaper |
author |
Lahtinen, M. (Maija) Helander, H. (Heli) Vieira, P. (Päivi) Uusimaa, J. (Johanna) Katisko, J. (Jani) |
author_facet |
Lahtinen, M. (Maija) Helander, H. (Heli) Vieira, P. (Päivi) Uusimaa, J. (Johanna) Katisko, J. (Jani) |
author_sort |
Lahtinen, M. (Maija) |
title |
Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland |
title_short |
Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland |
title_full |
Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland |
title_fullStr |
Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland |
title_full_unstemmed |
Starting a DBS service for children:it’s not the latitude but the attitude — establishment of the paediatric DBS centre in Northern Finland |
title_sort |
starting a dbs service for children:it’s not the latitude but the attitude — establishment of the paediatric dbs centre in northern finland |
publisher |
Elsevier |
publishDate |
2022 |
url |
http://urn.fi/urn:nbn:fi-fe2023030630013 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_rights |
info:eu-repo/semantics/openAccess © 2022. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ https://creativecommons.org/licenses/by-nc-nd/4.0/ |
_version_ |
1772817983107760128 |