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Some studies 1 3 14 24 with samples similar to ours and one study with a larger sample 18 subjects 3 indicate that there is a maintenance of the standard swallowing pattern after the completion of the DBS, regardless of the position of the electrodes and the stimulator settings amplitude, frequency, pulse width. Patients taking anti-clotting agents or those who are psychologically incapable of coping with surgery are also excluded, says Tipu Aziz , a professor of neurosurgery at the University of Oxford who did not participate in this study. Note that because this study represents a large series treated by 1 primary implanting neurosurgeon, interoperator error is avoided, and the true procedural risk can be better quantified. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale. This lack of initial improvement following reinitiation of previously beneficial stimulation led to significant distress and increased suicidal ideation in these patients. Early postoperative management of DBS in dystonia: Patients received single-blind sham stimulation for 4 weeks followed by active stimulation for 24 weeks.
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Evidence Review and Treatment: Thus, DBS may normalize an altered function of cortico-limbic and cortico-thalamic networks by removing an altered input from SCG onto other frontal areas. Evidence for efficacy of the H-Coil". Drugs that have been changed or introduced after 1 yr are in bold.
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