Accuracy of stereotactic electrode placement in deep brain stimulation by intraoperative computed tomography
| Autor: | Jürgen Volker Anton, Wilhelm Eisner, Thaddäus Gotwald, Richard Bauer, Florian Sohm, Thomas Fiegele, K. Twerdy, Gudrun Feuchtner |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Deep brain stimulation medicine.medical_treatment Deep Brain Stimulation Neurosurgical Procedures Stereotaxic Techniques Intraoperative Period Monitoring Intraoperative Medicine Humans Electrodes Talairach coordinates Retrospective Studies Dystonia Image fusion Movement Disorders business.industry Middle Aged medicine.disease Neurology Evaluation Studies as Topic Stereotaxy Stereotaxic technique Female Neurology (clinical) Radiology Tomography Geriatrics and Gerontology business Tomography X-Ray Computed |
| Zdroj: | Parkinsonismrelated disorders. 14(8) |
| ISSN: | 1353-8020 |
| Popis: | The purpose of this study was to evaluate the accuracy of stereotactic electrode placement in patients undergoing deep brain stimulation by using pre- and postoperative computed tomography (CT). Twenty-three patients with movement disorders (Parkinson's disease (n=7), tremor (n=9), dystonia (n=7)) treated with bilateral deep brain stimulation (DBS) (overall 46 target points) were investigated. The target point of the electrode was planned stereotactically in combination with a preoperative stereotactic helical computed tomography (CT). A postoperative CT, which was carried out still in the operating room while the patient had the stereotactic frame on the head, was performed in order to control the position of the electrodes in relation to the previously planned target point. The position of the four electrode contacts was measured according to the Talairach space (AC-PC line) and compared with the coordinates of the planned target point. The mean spatial distance of planned target perpendicular to the electrode was 1.32+/-0.75mm. These results show the high accuracy of stereotactic implantation of DBS electrodes assisted by pre- and postoperative image fusion with computed tomography (CT). |
| Databáze: | OpenAIRE |
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