Vim line technique for determining the ventral intermediate location

Abstract

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Deep Brain Stimulation with Double Targeting of the VIM and PSA for the Treatment of Rare Tremor Syndromes

“…A horizontal line was drawn passing through the equator of the red nucleus at the level of its maximum diameter. The target point in the PSA was defined on this line, 2/3 of the distance from the lateral border of the red nucleus toward the posterior tip of the subthalamic nucleus [44][45][46][47][48][49]. The VIM target was calculated as the sum of the targets used by Watanabe et al [45], Mink et al [49], Benabid et al [43], and Ferreira et al [48].…”

“…The VIM target was calculated as the sum of the targets used by Watanabe et al [45], Mink et al [49], Benabid et al [43], and Ferreira et al [48]. These all consider the width of the third ventricle and the AC-PC line distance [46,47,50,51]. The approximate target is at the junction of the posterior 1/4 and 2/4 of the AC-PC line, 10-11 mm lateral to the ventricular wall at the depth of the MCP [45][46][47][48][49].…”

“…These all consider the width of the third ventricle and the AC-PC line distance [46,47,50,51]. The approximate target is at the junction of the posterior 1/4 and 2/4 of the AC-PC line, 10-11 mm lateral to the ventricular wall at the depth of the MCP [45][46][47][48][49]. The electrode's trajectory was then adjusted in the coronal and sagittal planes to align with the VIM target such that the deepest contact would be at the target point in the PSA, while the third and/or fourth contact would reach the VIM (Fig.…”