Methods for microelectrode-guided posteroventral pallidotomy.
Identifieur interne : 004362 ( Main/Merge ); précédent : 004361; suivant : 004363Methods for microelectrode-guided posteroventral pallidotomy.
Auteurs : A. Lozano [Canada] ; W. Hutchison ; Z. Kiss ; R. Tasker ; K. Davis ; J. DostrovskySource :
- Journal of neurosurgery [ 0022-3085 ] ; 1996.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Parkinson Disease.
- methods : Catheter Ablation.
- pathology : Globus Pallidus.
- surgery : Globus Pallidus, Parkinson Disease.
- Humans, Magnetic Resonance Imaging, Microelectrodes, Postoperative Complications, Stereotaxic Techniques.
Abstract
Methods for localizing the posteroventral globus pallidus intermus are described. The authors' techniques include the use of microelectrodes to record single-unit activity and to microstimulate in human pallidum and its surrounding structures. This technique allows a precise determination of the locations of characteristic cell types in sequential trajectories through the external and internal segments of the pallidum. The location of the optic tract can be determined from microstimulation-evoked visual sensations and recordings of flash-evoked potentials. In addition, microstimulation-evoked motor and sensory responses allow the internal capsule to be identified. The data collected using this technique are an important adjunct to selecting optimum sites to place electrocoagulation lesions for stereotactic posteroventral pallidotomy for refractory Parkinson's disease.
DOI: 10.3171/jns.1996.84.2.0194
PubMed: 8592221
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pubmed:8592221Le document en format XML
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<author><name sortKey="Lozano, A" sort="Lozano, A" uniqKey="Lozano A" first="A" last="Lozano">A. Lozano</name>
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<author><name sortKey="Kiss, Z" sort="Kiss, Z" uniqKey="Kiss Z" first="Z" last="Kiss">Z. Kiss</name>
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<author><name sortKey="Tasker, R" sort="Tasker, R" uniqKey="Tasker R" first="R" last="Tasker">R. Tasker</name>
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<author><name sortKey="Davis, K" sort="Davis, K" uniqKey="Davis K" first="K" last="Davis">K. Davis</name>
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<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Microelectrodes</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (surgery)</term>
<term>Postoperative Complications</term>
<term>Stereotaxic Techniques</term>
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<term>Magnetic Resonance Imaging</term>
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<front><div type="abstract" xml:lang="en">Methods for localizing the posteroventral globus pallidus intermus are described. The authors' techniques include the use of microelectrodes to record single-unit activity and to microstimulate in human pallidum and its surrounding structures. This technique allows a precise determination of the locations of characteristic cell types in sequential trajectories through the external and internal segments of the pallidum. The location of the optic tract can be determined from microstimulation-evoked visual sensations and recordings of flash-evoked potentials. In addition, microstimulation-evoked motor and sensory responses allow the internal capsule to be identified. The data collected using this technique are an important adjunct to selecting optimum sites to place electrocoagulation lesions for stereotactic posteroventral pallidotomy for refractory Parkinson's disease.</div>
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