Magnetic resonance-based deep brain stimulation technique: a series of 478 consecutive implanted electrodes with no perioperative intracerebral hemorrhage.
Identifieur interne : 000A98 ( PubMed/Curation ); précédent : 000A97; suivant : 000A99Magnetic resonance-based deep brain stimulation technique: a series of 478 consecutive implanted electrodes with no perioperative intracerebral hemorrhage.
Auteurs : Igor Lima Maldonado [France] ; Thomas Roujeau ; Laura Cif ; Victoria Gonzalez ; Hassan El-Fertit ; Xavier Vasques ; Alain Bonafe ; Phillippe CoubesSource :
- Neurosurgery [ 1524-4040 ] ; 2009.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Brain (anatomy & histology), Brain (physiopathology), Brain (surgery), Child, Child, Preschool, Deep Brain Stimulation (adverse effects), Deep Brain Stimulation (methods), Electrodes, Implanted (adverse effects), Electrodes, Implanted (standards), Female, Humans, Iatrogenic Disease (prevention & control), Intraoperative Complications (etiology), Intraoperative Complications (physiopathology), Intraoperative Complications (prevention & control), Magnetic Resonance Imaging (methods), Male, Middle Aged, Monitoring, Intraoperative (methods), Movement Disorders (therapy), Neural Pathways (anatomy & histology), Neural Pathways (physiopathology), Neural Pathways (surgery), Neuronavigation (methods), Postoperative Hemorrhage (etiology), Postoperative Hemorrhage (physiopathology), Postoperative Hemorrhage (prevention & control), Stereotaxic Techniques (adverse effects), Young Adult.
- MESH :
- adverse effects : Deep Brain Stimulation, Electrodes, Implanted, Stereotaxic Techniques.
- anatomy & histology : Brain, Neural Pathways.
- etiology : Intraoperative Complications, Postoperative Hemorrhage.
- methods : Deep Brain Stimulation, Magnetic Resonance Imaging, Monitoring, Intraoperative, Neuronavigation.
- physiopathology : Brain, Intraoperative Complications, Neural Pathways, Postoperative Hemorrhage.
- prevention & control : Iatrogenic Disease, Intraoperative Complications, Postoperative Hemorrhage.
- standards : Electrodes, Implanted.
- surgery : Brain, Neural Pathways.
- therapy : Movement Disorders.
- Adolescent, Adult, Aged, Child, Child, Preschool, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
The aim of this study was to determine the safety of a deep brain stimulation technique consisting of a combination of routine general anesthesia, magnetic resonance imaging direct targeting, and a single penetration technique in a large population of patients undergoing operation for movement disorders.
DOI: 10.1227/01.NEU.0000342404.14347.FB
PubMed: 19934995
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<author><name sortKey="Maldonado, Igor Lima" sort="Maldonado, Igor Lima" uniqKey="Maldonado I" first="Igor Lima" last="Maldonado">Igor Lima Maldonado</name>
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<author><name sortKey="El Fertit, Hassan" sort="El Fertit, Hassan" uniqKey="El Fertit H" first="Hassan" last="El-Fertit">Hassan El-Fertit</name>
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<series><title level="j">Neurosurgery</title>
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<term>Brain (physiopathology)</term>
<term>Brain (surgery)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Deep Brain Stimulation (adverse effects)</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Electrodes, Implanted (adverse effects)</term>
<term>Electrodes, Implanted (standards)</term>
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<term>Humans</term>
<term>Iatrogenic Disease (prevention & control)</term>
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<term>Intraoperative Complications (physiopathology)</term>
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<term>Monitoring, Intraoperative (methods)</term>
<term>Movement Disorders (therapy)</term>
<term>Neural Pathways (anatomy & histology)</term>
<term>Neural Pathways (physiopathology)</term>
<term>Neural Pathways (surgery)</term>
<term>Neuronavigation (methods)</term>
<term>Postoperative Hemorrhage (etiology)</term>
<term>Postoperative Hemorrhage (physiopathology)</term>
<term>Postoperative Hemorrhage (prevention & control)</term>
<term>Stereotaxic Techniques (adverse effects)</term>
<term>Young Adult</term>
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<term>Electrodes, Implanted</term>
<term>Stereotaxic Techniques</term>
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<term>Magnetic Resonance Imaging</term>
<term>Monitoring, Intraoperative</term>
<term>Neuronavigation</term>
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<term>Neural Pathways</term>
<term>Postoperative Hemorrhage</term>
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<term>Postoperative Hemorrhage</term>
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<term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Child, Preschool</term>
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<front><div type="abstract" xml:lang="en">The aim of this study was to determine the safety of a deep brain stimulation technique consisting of a combination of routine general anesthesia, magnetic resonance imaging direct targeting, and a single penetration technique in a large population of patients undergoing operation for movement disorders.</div>
</front>
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<DateCreated><Year>2009</Year>
<Month>11</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted><Year>2010</Year>
<Month>03</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised><Year>2009</Year>
<Month>11</Month>
<Day>25</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1524-4040</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>65</Volume>
<Issue>6 Suppl</Issue>
<PubDate><Year>2009</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Neurosurgery</Title>
<ISOAbbreviation>Neurosurgery</ISOAbbreviation>
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<ArticleTitle>Magnetic resonance-based deep brain stimulation technique: a series of 478 consecutive implanted electrodes with no perioperative intracerebral hemorrhage.</ArticleTitle>
<Pagination><MedlinePgn>196-201; discussion 201-2</MedlinePgn>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this study was to determine the safety of a deep brain stimulation technique consisting of a combination of routine general anesthesia, magnetic resonance imaging direct targeting, and a single penetration technique in a large population of patients undergoing operation for movement disorders.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">One hundred ninety-four patients treated with deep brain stimulation between 1996 and 2007 were assessed via a computerized database for intra- and perioperative events. Most patients were young; only 62 of them were older than 40 years (mean age, 31.1 years). General anesthesia was induced in all cases before placement of a magnetic resonance imaging-compatible stereotactic frame. Electrode implantation was done under radioscopic control via a rigid immobile cannula using a single cerebral perforation. No perioperative microelectrode recording or neurostimulation testing was used. Systematic postoperative magnetic resonance imaging was performed before frame removal.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 478 electrodes were implanted in 220 procedures: 426 for dystonic-dyskinetic syndromes and 52 for Parkinson disease. The mean number of parenchymal penetrations per patient was 2.5 for the dystonic-dyskinetic syndrome group and 2.08 for the Parkinson disease group. Postimplantation magnetic resonance imaging detected no perioperative intraparenchymal hemorrhages.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We consider that the risk of hemorrhagic complication is multifactorial but closely related to the chosen technique.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maldonado</LastName>
<ForeName>Igor Lima</ForeName>
<Initials>IL</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery, Research Unit on Movement Disorders, University Hospital of Montpellier, Montpellier, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Cif</LastName>
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<Author ValidYN="Y"><LastName>Gonzalez</LastName>
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<Author ValidYN="Y"><LastName>El-Fertit</LastName>
<ForeName>Hassan</ForeName>
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<Author ValidYN="Y"><LastName>Vasques</LastName>
<ForeName>Xavier</ForeName>
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<Author ValidYN="Y"><LastName>Bonafe</LastName>
<ForeName>Alain</ForeName>
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<Author ValidYN="Y"><LastName>Coubes</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
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<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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