Image-Guided Deep Brain Stimulation

被引：18

作者：

Vega, Rafael A. ^{[1
]}

Holloway, Kathryn L. ^{[2
,3
]}

Larson, Paul S. ^{[4
]}

机构：

[1] Virginia Commonwealth Univ, Dept Neurosurg, Richmond, VA 23298 USA

[2] Virginia Commonwealth Univ, Dept Neurosurg Parkinsons Dis Res, Richmond, VA 23298 USA

[3] Virginia Commonwealth Univ, McGuire VAMC, Clin Care Ctr, Richmond, VA 23298 USA

[4] Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2014年 / 25卷 / 01期

关键词：

Deep brain stimulation; Functional neurosurgery; Movement disorders; Stereotactic surgery; Target localization; Intraoperative imaging; Magnetic resonance imaging; Computed tomography; HARDWARE-RELATED COMPLICATIONS; SUBTHALAMIC NUCLEUS; PARKINSONS-DISEASE; MOVEMENT-DISORDERS; TECHNICAL APPROACH; LEAD PLACEMENT; SURGERY; ACCURACY; LOCATION; SHIFT;

D O I：

10.1016/j.nec.2013.08.008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Advances in deep brain stimulation (DBS) surgery have been achieved through the use of stereotactic targeting of key tracks in patients undergoing awake surgery. Intraoperative detection of track location has been useful in interpreting physiologic results, has limited the number of brain penetrations, and has decreased the incidence of reoperations. Alternatively, some centers are gaining experience with placement of the lead under general anesthesia using a purely anatomic approach, for which both computed tomography and magnetic resonance imaging have proved useful. In this article, the use of image guidance with both the anatomic and physiologic approaches is described.

引用

页码：159 / +

页数：15

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