Safety and risk of microelectrode recording in surgery for movement disorders

被引:94
作者
Hariz, MI [1 ]
机构
[1] Univ Umea Hosp, Dept Clin Neurosci, SE-90185 Umea, Sweden
关键词
microelectrode recording; pallidotomy; deep brain stimulation; Parkinson's disease; movement disorders; stereotactic surgery;
D O I
10.1159/000068960
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
There is an ongoing controversy about whether it is necessary to use microelectrode recording (MER) techniques in stereotactic surgery for Parkinson's disease and other movement disorders. This paper consists of a critical review of the published literature in order to analyze the value of MER in providing safe, efficient and accurate functional stereotactic surgery. Review of the literature revealed that MER techniques do not necessarily improve targeting accuracy or clinical results, compared to techniques using impedance monitoring and macrostimulation. In terms of safety for the patients, however, MER techniques are relatively safe, but non-Mer techniques, based on macrostimulation-guided surgery, are at least five times safer. Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:146 / 157
页数:12
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