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janvier

Can frequency be used to reduce side effects

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Dear Doctor,

After bilateral STN I have Pulse = 60, Frequency - 180 Hz, Amplitude 4.2 and bipolar stimulation on one side. Can this frequency be decreased to 130 or lower values to decrease the speech and swallowing problems while controlling the tremor at the same level by increasing the amplitude.

Thanks

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Certainly the programmer can try lower frequencies and other adjustments to improve speech.  One issue that we have seen is that when you start to get below 100Hz the resting tremor may re-emerge.  Programming around speech issues has been a challenge....

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