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the time course or the progression; it’s a purely
symptomatic treatment.”
Since DBS was initially performed approximately
20 years ago, some 100,000 people have been
implanted throughout the world. UCLA has
performed more than 500 of the surgeries. While
most often used for patients with Parkinson’s
disease or essential tremor, it is also FDA-
approved for a third movement disorder, dystonia
(characterized by sustained involuntary muscle
contractions), as well as for obsessive-compulsive
disorder. It is currently being studied for its
potential to help in a number of other conditions —
including chronic pain, post-traumatic stress
disorder, Alzheimer’s disease, Tourette’s syndrome
and depression.
In the United States, an estimated 10-million
people have essential tremor, and 1 million have
Parkinson’s disease. Although a large number of
these patients could benefit from DBS, many are
unaware of the procedure, while some who do
know about it are reluctant to undergo a brain
operation, Dr. Pouratian says.
drugs, experience complications that can’t be
managed, or have intolerable side effects should
be evaluated to determine whether DBS is
an option. At UCLA, patients are seen by a
multidisciplinary team, led by a neurosurgeon
and by neurologist Yvette Bordelon, MD, PhD,
who help to determine the best course of action.
“We are fortunate in our field to have very good
studies — randomized controlled trials — that
show DBS to be an excellent therapy,” says
Dr. Pouratian. “There is significant improvement
in quality of life with the surgery, well beyond
what patients get from the available medications.
It’s not a cure, but it’s quite clear that they spend
much more of their day in a better condition —
able to participate in many more activities and to
enjoy their lives more. One of the most powerful
comments I hear from many patients is that they
wish they had done it earlier.”
UCLA Tweets
Surgery Live
The world was watching when
UCLA’s Neurosurgical Movement
Disorders Program performed its
500th deep-brain-stimulation surgery
earlier this year.
UCLA Health invited Twitter followers
to observe a surgery-in-progress on
social media as a way to educate the
public about deep-brain stimulation. In
addition to live-tweeting the procedure,
UCLA Health posted Instagram photos
and short video clips via the new
Twitter application Vine. The event
went viral, appearing in millions of
Twitter news feeds and attracting
widespread attention from conventional
news media. Adding to the interest,
the patient, musician and actor
Brad Carter, played guitar during
the awake portion of the procedure,
helping the neurosurgery team to
optimize placement of the electrodes
for Carter’s brain pacemaker.
For more information about UCLA’s
Deep-Brain-Stimulation Program, go to:
dbs.ucla.edu He notes that medications are the first-line
therapy for movement disorders, and they can
be effective in many patients. But patients who
either don’t receive satisfactory benefit from their
“As a teaching institution, we’re
used to having medical students,
residents, fellows and visitors from
other parts of the country and around
the world observe our surgeries and
learn from us,” says Nader Pouratian,
MD, who performed the surgery.
“We thought this would be a great
opportunity to bring the world into the
operating room.”
To read Twitter feeds and see
video clips of Brad Carter’s
surgery, go to:
uclahealth.org/uclaorlive 5
UCLA Physicians Update