For tremor only, the thalamus would be targeted. The subthalamic nucleus improves all the cardinal symptoms of Parkinson's disease such as rigidity, dykinesia. and tremor. The electrodes are connected to an electrical pulse generator, which is implanted subcutaneously below the clavicle. This pulse generator delivers electrical stimulation to the implanted electrodes in the brain causing immediate relief of Parkinson's disease symptoms. Stimulation can be turned on and off by the patient using an external magnet.
Many patients prefer to turn off the pulse generator at night to conserve energy.
Stimulation frequency, amplitude, and pulse width are adjustable by the physician using an external programming unit. All Deep Brain Stimulation procedures are done at St. Francis Medical Center. Patients considering Deep Brain Stimulation through the Hawaii Movement Disorder Center will receive a full evaluation from the Center's physicians. Idiopathic Parkinson's patients with advanced PD, who no longer experience relief from aggressive trials of anti-Parkinson's medications. Gamma Knife Radiosurgery News Donations Hawaii Movement Disorder Center Liliha Street.