Safety of Noncontrast Imaging–Guided Deep Brain Stimulation Electrode Placement in Parkinson Disease
| Autor: | Anthony Diaz, Jenna Kylene Davis, Daniel G. Di Luca, Jonathan R. Jagid, Joacir Graciolli Cordeiro, Corneliu C. Luca, Ghulam Farooq |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Standard of care Deep brain stimulation Deep Brain Stimulation medicine.medical_treatment Contrast Media Postoperative Hemorrhage Globus Pallidus Contrast imaging Neurosurgical Procedures Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Refractory Deep brain stimulation electrode Subthalamic Nucleus Humans Medicine Aged Aged 80 and over business.industry Parkinson Disease Middle Aged Globus pallidus internus Magnetic Resonance Imaging Subthalamic nucleus Implantable Neurostimulators Surgery Computer-Assisted 030220 oncology & carcinogenesis Female Surgery Neurology (clinical) Radiology business Lead Placement Intracranial Hemorrhages 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 134:e1008-e1014 |
| ISSN: | 1878-8750 |
| Popis: | Background Deep brain stimulation (DBS) is considered standard of care for the treatment of medically refractory Parkinson disease (PD). The placement of brain electrodes is performed using contrast imaging to enhance blood vessel identification during stereotactic planning. We present our experience with a series of patients implanted using noncontrast imaging. Methods All cases of DBS surgery for PD performed between 2012 and 2018 with noncontrast imaging were retrospectively reviewed. Clinical features, postoperative imaging, and complications were analyzed. Results A total of 287 deep-seated electrodes were implanted in 152 patients. Leads were placed at the subthalamic nucleus and globus pallidus internus in 258 and 29 hemispheres, respectively. We identified 2 cases of intracranial hemorrhage (0.7%). Conclusions DBS lead placement can be performed without the use of intravenous contrast with a postoperative intracranial hemorrhage rate comparable with other reported series. |
| Databáze: | OpenAIRE |
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