Placement of deep brain stimulators into the subthalamic nucleus or globus pallidus internus: Technical approach

被引：154

作者：

Starr, PA

机构：

[1] Univ Calif San Francisco, Dept Neurosurg, San Francisco, CA 94143 USA

[2] Moffitt Hosp, Vet Affairs Med Ctr, San Francisco, CA 94121 USA

来源：

STEREOTACTIC AND FUNCTIONAL NEUROSURGERY | 2002年 / 79卷 / 3-4期

关键词：

dystonia; globus pallidus; Parkinson's disease; stereotactic neurosurgery; subthalamic nucleus; surgical techniques;

D O I：

10.1159/000070828

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Deep brain stimulation (DBS) represents a major advance in the treatment of Parkinson's disease (PD). As more neurosurgeons enter this field, technical descriptions of implantation techniques are needed. Here we present our technical approach to subthalamic nucleus (STN) and globus pallidus internus (GPi) DBS implantation, based on 180 STN implants and 75 GPi implants. The essential steps in DBS implantation are magnetic resonance imaging (MRI)-guided stereotactic localization, confirmation of the motor territory of the target nucleus with microelectrode mapping, and intra-operative test stimulation to determine voltage thresholds for stimulation-induced adverse effects. Lead locations are documented by postoperative MRI in all cases. Copyright (C) 2002 S. Karger AG, Basel.

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收藏

页码：118 / 145

页数：28

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