Microelectrode recording: lead point in STN-DBS surgery

Kim, M. S.; Jung, Yong-Tae; Sim, Jae Hong; Kim, S. J.; Kim, J. W.; Burchiel, Kim J.

doi:10.1007/978-3-211-35205-2_7

Cited by 12 publications

(10 citation statements)

References 13 publications

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“…These decisions are experience‐dependent and frequently require multiple microelectrode penetrations before the location of the target nucleus and bordering structures can be three‐dimensionally understood. To reduce the time associated with serial single microelectrode penetrations some groups prefer to rely on multiple simultaneous microelectrode recordings with systems like the Ben Gun .…”

Section: Introductionmentioning

confidence: 99%

The Safety and Efficacy of Using the O-Arm Intraoperative Imaging System for Deep Brain Stimulation Lead Implantation

Frizon

Shao

Maldonado-Naranjo

et al. 2018

Neuromodulation: Technology at the Neural Interface

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Section: Introductionmentioning

confidence: 99%

The Safety and Efficacy of Using the O-Arm Intraoperative Imaging System for Deep Brain Stimulation Lead Implantation

Frizon

Shao

Maldonado-Naranjo

et al. 2018

Neuromodulation: Technology at the Neural Interface

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“…The placement of the electrodes can be veri fi ed using intraoperative testing combined with neurological examination, since nearly 40 % of the performed DBS implantations require electrode location correction [ 12,16,19,24,29,32,37,56,62,64,73 ] . For that purpose, the use of a combined micro/macroelectrode appears appropriate to achieve a close-mesh spatial correlation between the micro-recording and the test stimulation (Fig.…”

Section: Techniquementioning

confidence: 99%

“…Hyperactivity of the STN and the GPi in patients with PD reveals characteristic irregular discharge patterns, so-called "bursts" [ 13,20,22,24,32,37 ] . MER undoubtedly contributes to our understanding of the functional organization of the basal ganglia, allowing spatial assignment of the functional target, e.g., the STN.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Multichannel Microelectrode Recording (MER) in Deep Brain Stimulation of the Basal Ganglia

Kinfe

Vesper

2013

Acta Neurochirurgica Supplement

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Deep brain stimulation (DBS) of the basal ganglia (Ncl. subthalamicus, Ncl. ventralis intermedius thalami, globus pallidus internus) has become an evidence-based and well-established treatment option in otherwise refractory movement disorders. The Ncl. subthalamicus (STN) is the target of choice in Parkinson's disease.However, a considerable discussion is currently ongoing with regard to the necessity for micro-electrode recording (MER) in DBS surgery.The present review provides an overview on deep brain stimulation and (MER) of the STN in patients with Parkinson's disease. Detailed description is given concerning the multichannel MER systems nowadays available for DBS of the basal ganglia, especially of the STN, as a useful tool for target refinement. Furthermore, an overview is given of the historical aspects, spatial mapping of the STN by MER, and its impact for accuracy and precision in current functional stereotactic neurosurgery.The pros concerning target refinement by MER means on the one hand, and cons including increased bleeding risk, increased operation time, local or general anesthesia, and single versus multichannel microelectrode recording are discussed in detail. Finally, the authors favor the use of MER with intraoperative testing combined with imaging to achieve a more precise electrode placement, aiming to ameliorate clinical outcome in therapy-resistant movement disorders.

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“…The first article regarding DBS for movement disorders written by Korean authors and published in an international peer review journal in 2002 may be retrieved via PubMed [ 15 ]. A clinical study article regarding DBS for PD from a Korean institution was first published in 2006 [ 7 , 16 ]. More than 100 papers regarding both clinical and basic research have since been published.…”

Section: Research and Academic Publicationsmentioning

confidence: 99%

The Current Status of Deep Brain Stimulation for the Treatment of Parkinson Disease in the Republic of Korea

Lee

2015

JMD

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Parkinson disease (PD) is a common neurodegenerative disease with an increasing prevalence in Korea. Deep brain stimulation (DBS) is a safe and effective surgical treatment option for this disease. The aim of this review was to provide an update regarding current DBS practices with respect to the treatment of PD in the Republic of Korea. The first DBS in Korea was performed in 2000; approximately 2,000 patients have undergone DBS for a variety of neurological disorders, the majority of whom were patients with PD. Approximately 150 new patients with PD receive DBS annually, and more than 20 centers perform DBS. However, DBS remains underutilized for many reasons, and the clinical case burden at many institutions is below the level presumed adequate for qualified practice. With a rapidly aging population and an evolving socioeconomic environment, the need for surgical intervention for PD is likely to increase significantly in the future. Many issues such as finances, education, and quality assurance must be resolved to cope with this need.

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Microelectrode recording: lead point in STN-DBS surgery

Cited by 12 publications

References 13 publications

The Safety and Efficacy of Using the O-Arm Intraoperative Imaging System for Deep Brain Stimulation Lead Implantation

The Safety and Efficacy of Using the O-Arm Intraoperative Imaging System for Deep Brain Stimulation Lead Implantation

The Impact of Multichannel Microelectrode Recording (MER) in Deep Brain Stimulation of the Basal Ganglia

The Current Status of Deep Brain Stimulation for the Treatment of Parkinson Disease in the Republic of Korea

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