LOS ANGELES (July 20, 2011) Neurologist Michele Tagliati, MD, director of the Movement Disorders Program at Cedars-Sinai Medical Center, served on an elite international task force commissioned by the Movement Disorder Society to provide insights and guidance on deep brain stimulation for dystonia, an uncommon condition that causes sustained, sometimes crippling muscle contractions.
The resulting articles, describing the data reviewed and outlining the group's conclusions, recommendations and points to be addressed in future research, published online last month in a special supplement to the journal Movement Disorders.
With members from Asia, Europe and North and South America, the task force critically reviewed, discussed and debated current practice and research before reaching consensus on issues facing treatment professionals. The group included neurologists, neurosurgeons, neurophysiologists, neuropsychiatrists, neuropsychologists and nurses with expertise and experience in deep brain stimulation for dystonia.
Tagliati made major contributions to two articles reviewing postoperative issues: "Long-Term Management of DBS in Dystonia: Response to Stimulation, Adverse Events, Battery Changes, and Special Considerations," and "Early Postoperative Management: Programming, Medication Changes, and Evaluations." He was the only member from the United States in the group studying post-surgical management of patients undergoing deep brain stimulation.
"We reviewed the research literally paper by paper and line by line to come up with these documents," he said. "We separated credible papers from less authoritative papers and tried to extract what we could define as reliable evidence, separating solid data from that which is not as strong. Deep brain stimulation was developed in Europe and later adopted in the United States and many of the experts are in Europe because they've done it for a longer time. It was an honor for
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Cedars-Sinai Medical Center