Influence of Intraoperative Microelectrode Recording in Deep Brain Stimulation
| Autor: | Albert J. Fenoy, Sujan T Reddy, Mya C. Schiess, Raja Mehanna, Erin Furr-Stimming |
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| Rok vydání: | 2020 |
| Předmět: |
Deep brain stimulation
business.industry medicine.medical_treatment Significant difference 030204 cardiovascular system & hematology Lead location nervous system diseases 03 medical and health sciences Microelectrode recording Subthalamic nucleus 0302 clinical medicine Globus pallidus nervous system Health science medicine Implant business Nuclear medicine 030217 neurology & neurosurgery |
| Zdroj: | The Neurologist. 25:151-156 |
| ISSN: | 2331-2637 |
| DOI: | 10.1097/nrl.0000000000000289 |
| Popis: | BACKGROUND: There is considerable debate regarding the use of intraoperative microelectrode recording (MER) in deep brain stimulation (DBS). OBJECTIVE: To determine if the use of intraoperative MER impacts the final position of the lead implant in DBS of the subthalamic nucleus (STN) and globus pallidus (GPi) and to evaluate the incidence of complications. METHODS: The authors conducted a retrospective chart review of all patients who underwent STN and GPi DBS with MER, at the University of Texas Health Science Center in Houston from June 1, 2009 to October 1, 2013 to compare initial and final coordinates. Hemorrhagic and infectious complications were reviewed. RESULTS: A total of 90 lead implants on 46 patients implanted at the center during this time period were reviewed and included in the study. A statistically significant difference between the initial and final coordinates was observed in the superior-inferior direction with a mean difference of 0.40 mm inferiorly (±0.96 mm, P |
| Databáze: | OpenAIRE |
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