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Microelectrode Recording for Deep Brain Stimulation of the Subthalamic Nucleus in Patients with Advanced Parkinson's Disease
- Source :
- Turkish Neurosurgery, 29(5), 677-682. Turkish Neurosurgical Society
- Publication Year :
- 2019
-
Abstract
- WOS: 000486326100009 PubMed: 30806475 AIM: To investigate the effect of using microelectrode recording (MER) on the length of time required to carry out a deep brain stimulation (DBS) procedure of the subthalamic nucleus in patients with Parkinson's disease (PD). MATERIAL and METHODS: The time required to include MER in the DBS operation was calculated for the first and second sides in 24 patients with PD. The number of microelectrodes used on each trajectory for the first and second sides, and the percentage of permanent electrodes implanted on each trajectory for the first and second sides, were quantified. RESULTS: The average times taken to use MER were 23.4 +/- 6.2 minutes, 17.4 +/- 6.5 minutes, and 41.2 +/- 6.3 minutes for the first side, second side and total procedure, respectively. In 75% of patients, the permanent electrode was implanted at the planned target site for the first side, and in 61% of patients for the second side. CONCLUSION: MER extends the time required to carry out the DBS procedure. However, during surgery, it provides real-time information on the electrodes' neurophysiological locations and helps the surgical team choose an alternative target if the planned target does not produce satisfying results.
- Subjects :
- Male
Time Factors
Parkinson's disease
Deep brain stimulation
Intraoperative Neurophysiological Monitoring
SURGERY
medicine.medical_treatment
Microelectrode recording
Subthalamic nucleus
Cohort Studies
03 medical and health sciences
HEMORRHAGE
0302 clinical medicine
Humans
Medicine
In patient
Prospective Studies
Aged
RISK
Surgical team
business.industry
Parkinson Disease
ELECTRICAL-STIMULATION
Middle Aged
Neurophysiology
medicine.disease
Microelectrode
HARDWARE-RELATED COMPLICATIONS
Female
Neurology (clinical)
business
Microelectrodes
030217 neurology & neurosurgery
Biomedical engineering
MRI
Subjects
Details
- Language :
- English
- ISSN :
- 10195149
- Volume :
- 29
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Turkish Neurosurgery
- Accession number :
- edsair.doi.dedup.....297ca5f3f49558b56e70b66d6db87598