Indications Clinical confirmation of trigeminal neuralgia, hemifacial spasms, or glossopharyngeal neuralgia with an offending vessel seen on magnetic resonance imaging (MRI). MRI with FIESTA sequences are helpful in detailing the relationship of the brainstem vessels to the cranial nerves. You’re…
Indications Peripheral nerve stimulation (PNS) is indicated for patients with chronic, medically refractory, severe neuropathic pain that involves distribution of the nerve to be stimulated. Occipital nerve stimulation (ONS) is indicated primarily for treatment of occipital neuralgia, including posttraumatic and…
Indications Motor cortex stimulation (MCS) may be considered for patients with medically refractory deafferentation or neuropathic pain, including central pain syndromes related to stroke or, rarely, trauma or multiple sclerosis; trigeminal neuropathic pain (anesthesia dolorosa and postherpetic neuralgia); glossopharyngeal neuralgia;…
Indications Medically refractory, dopamine-responsive Parkinson disease. Medically refractory essential tremors. Medically refractory dystonia. Rare, off-label uses include treatment of chronic pain and of epilepsy. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles…
Additional videos for this topic are available online at . Indications Pallidotomy Parkinson disease : Complications of advancing disease and medical therapy including tremor, wearing off, motor fluctuations, and dyskinesia in patients with a good response to levodopa therapy.…
Additional videos for this topic are available online at . Indications Medically intractable, generalized atonic seizures. Secondarily generalized seizures without identifiable focus. Medically intractable, Lennox-Gastaut syndrome with multiple seizure types. Severe myoclonic absence seizures. You’re Reading a Preview Become…
Indications When the planned resection site of a tumor is near essential language cortex, intraoperative language mapping is necessary. Occasionally, tumors in or near motor cortex are best removed with intraoperative testing of motor ability during surgery. You’re Reading a…
Indications Invasive monitoring of EEG in patients with medically refractory, focal-onset epilepsy can provide valuable information regarding an epileptogenic zone that is not clearly correlated with seizure symptoms and noninvasive studies, including scalp EEG, magnetic resonance imaging (MRI) of the…
Indications Mesial temporal lobe epilepsy without evidence of neocortical involvement is an indication for selective amygdalohippocampectomy. The decision to proceed with surgery is usually made after medical intractability of epilepsy is established. In many institutions, a paradigm shift toward early…
Indications Medial temporal lobe epilepsy associated with mesial temporal sclerosis pathology consisting of neuronal cell loss, gliosis, and synaptic reorganization. Presumed mesial temporal sclerosis can be determined preoperatively as hippocampal atrophy or increased hippocampal fluid attenuated inversion recovery (FLAIR) signal…