How I do it - asleep DBS placement for Parkinson's disease.

ABSTRACT:

Background

Traditionally, functional neurosurgery relied in stereotactic atlases and intraoperative micro-registration in awake patients for electrode placement in Parkinson's disease. Cumulative experience on target description, refinement of MRI, and advances in intraoperative imaging has enabled accurate preoperative planning and its implementation with the patient under general anaesthesia.

Methods

Stepwise description, emphasising preoperative planning, and intraoperative imaging verification, for transition to asleep-DBS surgery.

Conclusion

Direct targeting relies on MRI anatomic landmarks and accounts for interpersonal variability. Indeed, the asleep procedure precludes patient distress. A particular complication to avoid is pneumocephalus; it can lead to brain

SUBMITTER: Roldan P 

PROVIDER: S-EPMC10409652 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature