Referring your patient for deep brain stimulation has two distinct components. The first step is identifying appropriate surgical candidates in your practice. Occasionally patients who are not appropriate candidates are referred to our center. To help you as you consider whether a patient should be referred, please consider the following:
- Does this patient have idiopathic Parkinson's disease with motor fluctuations, dyskinesia or severe tremor?
- Is this an essential tremor patient whose quality of life or employment is significantly impacted by their symptoms?
- Is this a primary or secondary dystonia patient whose symptoms are not managed adequately with their current treatment?
Parkinson's patients who do not respond to levodopa (with the exception of tremor), or patients with dementia or uncontrolled depression are not appropriate surgical candidates.
Medtronic has developed a helpful tool to assist neurologists as they consider whether a particular patient is an appropriate surgical referral (Activa Patient Referral Advisor for Parkinson's disease). This tool does not determine whether the patients should have surgery but only whether they are appropriate candidates for referral to a DBS center. This referral tool is available at www.medtronic.com/dbsreferraladvisor.
Once you have identified an appropriate patient for referral, the second component is communication with our center. We respect your time and it is our desire that the referral process be quick and easy. Physicians may fax the DBS referral form to (312) 563-2024.