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Deep Brain Stimulation v Focused Ultrasound: Which Is the Right Option for You?

Have you ever wondered whether you might benefit most from deep brain stimulation (DBS) or focused ultrasound? Join us for a conversation about the unique benefits of each therapy. Dr. Ausaf A. Bari, MD, PhD, specializes in the neurosurgical repair and restoration of brain and nerve function. Following his neurosurgery residency training at UCLA, Dr. Bari was awarded the prestigious William P. Van Wagenen Fellowship to train at the world-renowned functional neurosurgery program at the University of Toronto. He has extensive clinical and research experience in the use of deep brain stimulation (DBS) in the treatment of both movement and psychiatric disorders. Dr. Bari’s clinical practice includes DBS surgery for Parkinson’s disease, tremor, dystonia, depression and OCD. A Parkinson's Community Los Angeles (PCLA) "Let's Talk Parkinson's" online live program from January 18, 2024. www.pcla.org. ----------------------------------------------------------------------------------------------------------------------- Timestamps: 00:00 Welcome 01:06 Speaker Intro 02:44 Functional aka Restorative Neurosurgery 03:27 Historical “Restorative” Neurosurgery 05:30 Why did these techniques fall out of favor? 06:48 Contemporary Restorative Neurosurgery 07:38 Deep Brain Stimulation 08:41 DBS for Parkinson’s Disease 11:57 DBS Treatment Pipeline 15:34 DBS Targets for PD 17:18 GPi vs. STN 18:57 Direct Targeting 19:35 Indirect Targeting 20:28 Connectivity-Based Thalamic Map 21:00 Leksell Coordinate System 22:49 Frame Placement 25:04 Recording Signals 25:22 Microelectrode Recording 26:06 Awake Testing During Surgery 27:38 Side View of Brain w/ DBS Electrode in Place 33:17 Potential Risks of DBS Surgery 35:09 Patient Example 35:46 Timing of DBS Surgery 37:30 DBS for Essential Tremor 39:07 Patient & Provider Expectations 39:29 Therapies for Tremor: Looking Beyond DBS 40:04 Noninvasive Treatment of Tremor: Radiosurgery 41:15 FUS Essential Tremor 42:43 Continuous monitoring: clinical & imaging 47:00 Clinical Trial Results 47:07 MRgFUS Considerations 49:52 Comparison of Options 51:08 Q&A 01:00:37 Outro ----------------------------------------------------------------------------------------------------------------------- 🎥 Related Content: Let's Talk Parkinson's Online Events Playlist:    • "Let's Talk Parkinson's" Online Events   Connect with PCLA: 👉 Website: www.pcla.org 👉 PCLA Blog: https://pcla.org/blog/ 👉 Instagram:   / parkinsons.la   👉 Facebook:   / parkinsonscommunityla   👉 Twitter:   / pdcommunityla   Parkinson's Community Los Angeles is a non-profit organization. If you enjoyed this free program, please consider donating to PCLA on our website at https://pcla.org/donate/. PCLA's online events are intended as an informational and educational resource for the Parkinson's community. Always consult with your healthcare team for medical and treatment advice. The views and opinions expressed by presenters and participants do not necessarily reflect those of PCLA. Sponsorship support does not influence PCLA's content perspective or panelist selection. #parkinsons #parkinsonsdisease #pcla