Safety and Effectiveness of Closed-loop DBS in Parkinson's Disease: A Long-term Follow-up Study
Closed-loop DBS is an emerging neuromodulation pattern in Parkinson's disease with dyanmic adjustment of stimulation parameters to patients' disease fluctuations and state of activity. The purpose of this study is to verify the long-term safety and effectiveness of closed-loop DBS. Through comparing with open-loop DBS, the study also determine whether closed-loop DBS is more effective than conventional open-loop DBS on PD treatment.
• Diagnosis of primary Parkinson's disease: Diagnosis of primary Parkinson's disease should meet the diagnostic criteria outlined in the Diagnosis Standards for Parkinson's Disease in China published in 2016 or the diagnostic criteria for primary Parkinson's disease by the International Parkinson and Movement Disorder Society (MDS) published in 2015.
• Good response to levodopa combination therapy.
• Significant reduction in drug efficacy or significant impact on the patient's quality of life due to prominent motor complications.
• Intolerable adverse reactions to medication affecting its efficacy.
• Presence of uncontrollable tremors despite medication.