Rapid subthalamic nucleus deep brain stimulation lead placement utilising CT/MRI fusion, microelectrode recording and test stimulation
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Subthalamic nucleus (STN) deep brain stimulation (DBS) has become an established treatment strategy for patients with medically refractory Parkinson’s disease (PD). There are however numerous strategies employed for STN lead placement. Variations include method of STN localisation, use of microelectrode recording, number of microelectrode recording passes and time taken for the procedure. We describe a relatively simple and rapid technique of STN lead placement utilising CT / MRI image fusion, microelectrode recording and test stimulation.
The first 58 consecutive patients undergoing STN DBS were assessed pre- and post-operatively. UPDRS scores, medication use and any surgical complication were assessed.
Bilateral STN DBS was an efficacious treatment option for medically refractory PD. We have described a technique which can be performed with effect and low morbidity, and in a time which is well tolerated by patients.
- Rapid subthalamic nucleus deep brain stimulation lead placement utilising CT/MRI fusion, microelectrode recording and test stimulation
- Book Title
- Advances in Functional and Reparative Neurosurgery
- pp 49-50
- Print ISBN
- Online ISBN
- Series Title
- Acta Neurochirurgica Supplementum
- Series Volume
- Series ISSN
- Springer Vienna
- Copyright Holder
- Additional Links
- Deep brain stimulation
- movement disorder
- Parkinson’s disease
- subthalamic nucleus
- Industry Sectors
- eBook Packages
- Editor Affiliations
- 1. Yonsei University College of Medicine
- 2. Nihon University
- Author Affiliations
- 4. St Andrews and Wesley Hospitals, Brisbane and Royal North Shore Private Hospital, Sydney, Australia
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