The Neuromodulation Casebook

Jeff Arle, MD, PhD, FAANSDr. Arle is currently the Associate Chief of Neurosurgery at Beth Israel Deaconess Medical Center in Boston, the Chief of Neurosurgery at Mt. Auburn Hospital in Cambridge, and an Associate Professor of Neurosurgery at Harvard Medical School. He received his BA in Biopsychology from Columbia University in 1986 and his MD and PhD from the University of Connecticut in 1992. His dissertation work for his doctorate in Biomedical Sciences was in computational modeling in the Cochlear Nucleus. He then went on to do a residency in neurosurgery at the University of Pennsylvania, incorporating a double fellowship in movement disorder surgery and epilepsy surgery under Drs. Patrick Kelly, Ron Alterman, and Werner Doyle, finishing in 1999. He edited the companion text Essential Neuromodulation with Dr. Shils, the first edition published by Elsevier in 2011. He has now practiced in the field of functional neurosurgery for 17 years and is experienced in all areas of neuromodulation from deep brain stimulators to vagus nerve, spinal cord, peripheral nerve, and motor cortex stimulators, contributing frequent peer-reviewed publications and numerous chapters to the literature on many aspects of the neuromodulation field. He currently serves as an associate editor at the journals Neuromodulation and Neurosurgery, is the co-chair of the Research and Scientific Policy Committee for the International Neuromodulation Society, and is on the Board of Directors for the International Society for Intraoperative Neurophysiology. His longstanding research interests are in the area of computational modeling in the understanding and improved design of devices used in neuromodulation treatments.

"This book is an excellent resource for trainees in the field who are learning to identify appropriate surgical candidates and perform these procedures. The variations provided within each scenario help to highlight important details to note for further decision making in each specific case." --Doody

• 1. Percutaneous trial case for FBSS2. Percutaneous trial case for CRPS3. Percutaneous trial for cervical placement4. Percutaneous permanent procedures5. Paddle placement for FBSS6. Paddle placement for a cervical location7. Paddle trial case (prior fusion)8. Complicating problems with follow-up of SCS leads and IPG9. Dorsal Root Ganglion Stimulation10. Programming concerns with SCS11. STN case for PD12. GPi case for dystonia13. Vim case for tremor14. Programming Cases for DBS in Parkinsons Disease, Dystonia, and Tremor15. Case Selection and trials for PNS16. Peripheral field stimulation – back17. Peripheral field stimulation – face18. Occipital nerve stimulation, trial and permanent19. Other PNS – inguinal, sural, coccyx20. New vagus nerve stimulation lead and IPG placement21. Revision/Removal of VNS lead and IPG22. New Evaluation and Programming of the heart-rate sensitive VNS system23. Responsive Neural Stimulation Placement