Placement of Deep Brain Stimulators into the Subthalamic Nucleus or Globus pallidus internus: Technical ApproachStarr P.A.
University of California at San Francisco and San Francisco Veteran’s Affairs Medical Center, Moffitt Hospital, San Francisco, Calif., USA
Deep brain stimulation (DBS) represents a major advance in the treatment of Parkinson’s disease (PD). As more neurosurgeons enter this field, technical descriptions of implantation techniques are needed. Here we present our technical approach to subthalamic nucleus (STN) and globus pallidus internus (GPi) DBS implantation, based on 180 STN implants and 75 GPi implants. The essential steps in DBS implantation are magnetic resonance imaging (MRI)-guided stereotactic localization, confirmation of the motor territory of the target nucleus with microelectrode mapping, and intra-operative test stimulation to determine voltage thresholds for stimulation-induced adverse effects. Lead locations are documented by postoperative MRI in all cases.
Assist. Prof. Philip A. Starr, MD, PhD, Department of
Neurosurgery, University of California at San Francisco,
and San Francisco Veteran’s Affairs Medical Center
779 Moffitt Hospital, 505 Parnassus Avenue
San Francisco, CA 94143 (USA), Tel. +1 415 502 3744
Fax +1 415 753 1772, E-Mail firstname.lastname@example.org
Number of Print Pages : 28
Number of Figures : 10, Number of Tables : 3, Number of References : 65
Stereotactic and Functional Neurosurgery
Founded 1938 as ‘Confinia Neurologica’ by E.A. Spiegel; Continued 1975–1988 as ‘Applied Neurophysiology’
Official Journal of the World Society for Stereotactic and Functional Neurosurgery; Official Journal of the American Society for Stereotactic and Functional Neurosurgery
Vol. 79, No. 3-4, Year 2002 (Cover Date: Released July 2003)
Journal Editor: D.W. Roberts, Lebanon, N.H.; Ph.L. Gildenberg, Houston, Tex.
ISSN: 1011–6125 (print), 1423–0372 (Online)
For additional information: http://www.karger.com/sfn