Rapid subthalamic nucleus deep brain stimulation lead placement utilising CT/MR1 fusion, microelectrode recording and test stimulation

被引：23

作者：

Coyne, T. ^{[1
]}

Silburn, P.

Cook, R.

Silberstein, P.

Mellick, G.

Sinclair, F.

Fracchia, G.

Wasson, D.

Stanwell, P.

机构：

[1] St Andrews & Wesley Hosp, Sydney, NSW, Australia

[2] Brisbane & Royal N Shore Private Hosp, Sydney, NSW, Australia

来源：

Advances in Functional and Reparative Neurosurgery | 2006年 / 99卷

关键词：

deep brain Stimulation; movement disorder; Parkinson's disease; subthalamic nucleus;

D O I：

10.1007/978-3-211-35205-2_9

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：49 / 50

页数：2