Deep brain stimulation for Parkinson's disease: Surgical issues
Identifieur interne : 004816 ( Main/Merge ); précédent : 004815; suivant : 004817Deep brain stimulation for Parkinson's disease: Surgical issues
Auteurs : Ali R. Rezai [États-Unis] ; Brian H. Kopell [États-Unis] ; Robert E. Gross [États-Unis] ; Jerrold L. Vitek [États-Unis] ; Ashwini D. Sharan [États-Unis] ; Patricia Limousin [Royaume-Uni] ; Alim-Louis Benabid [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-06.
English descriptors
- KwdEn :
- Brain (pathology), Brain (surgery), Deep Brain Stimulation (instrumentation), Deep Brain Stimulation (methods), Electrodes, Equipment Design, Humans, Magnetic Resonance Imaging, Parkinson Disease (therapy), Parkinson's disease, Postoperative Care, Postoperative Complications (prevention & control), Preoperative Care, deep brain stimulation surgery, macrostimulation, microelectrode recording, microstimulation, stereotaxis, surgical complications.
- MESH :
- instrumentation : Deep Brain Stimulation.
- methods : Deep Brain Stimulation.
- pathology : Brain.
- prevention & control : Postoperative Complications.
- surgery : Brain.
- therapy : Parkinson Disease.
- Electrodes, Equipment Design, Humans, Magnetic Resonance Imaging, Postoperative Care, Preoperative Care.
Abstract
Numerous factors need to be taken into account when implanting deep brain stimulation (DBS) systems into patients with Parkinson's disease. The surgical procedure itself can be divided into immediate preoperative, intraoperative, and immediate postoperative phases. Preoperative considerations include medication withdrawal issues, stereotactic equipment choices, imaging modalities, and targeting strategy. Intraoperative considerations focus on methods for physiological confirmation of a given target for DBS electrode deployment. Terms such as microelectrode recording, microstimulation, and macrostimulation will be defined to clarify inconsistencies in the literature. Advantages and disadvantages of each technique will be addressed. Furthermore, operative decisions such as staging, choice of electrode and implantable pulse generator, and methods of device fixation will be outlined. Postoperative issues include imaging considerations, including magnetic resonance safety, device–device interactions, and immediate surgical complications pertaining to the DBS procedure. This report outlines answers to a series of questions developed to address all aspects of the DBS surgical procedure and decision‐making with a systematic overview of the literature (until mid‐2004) and by the expert opinion of the authors. This is a report from the Consensus on Deep Brain Stimulation for Parkinson's Disease, a project commissioned by the Congress of Neurological Surgeons and the Movement Disorder Society. It outlines answers to a series of questions developed to address all surgical aspects of deep brain stimulation. © 2006 Movement Disorder Society
Url:
- https://api.istex.fr/document/775C1B8568E6BA588842D8D6FA916E47CC67BE50/fulltext/pdf
- http://www.hal.inserm.fr/inserm-00390714
DOI: 10.1002/mds.20956
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<front><div type="abstract" xml:lang="en">Numerous factors need to be taken into account when implanting deep brain stimulation (DBS) systems into patients with Parkinson's disease. The surgical procedure itself can be divided into immediate preoperative, intraoperative, and immediate postoperative phases. Preoperative considerations include medication withdrawal issues, stereotactic equipment choices, imaging modalities, and targeting strategy. Intraoperative considerations focus on methods for physiological confirmation of a given target for DBS electrode deployment. Terms such as microelectrode recording, microstimulation, and macrostimulation will be defined to clarify inconsistencies in the literature. Advantages and disadvantages of each technique will be addressed. Furthermore, operative decisions such as staging, choice of electrode and implantable pulse generator, and methods of device fixation will be outlined. Postoperative issues include imaging considerations, including magnetic resonance safety, device–device interactions, and immediate surgical complications pertaining to the DBS procedure. This report outlines answers to a series of questions developed to address all aspects of the DBS surgical procedure and decision‐making with a systematic overview of the literature (until mid‐2004) and by the expert opinion of the authors. This is a report from the Consensus on Deep Brain Stimulation for Parkinson's Disease, a project commissioned by the Congress of Neurological Surgeons and the Movement Disorder Society. It outlines answers to a series of questions developed to address all surgical aspects of deep brain stimulation. © 2006 Movement Disorder Society</div>
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