This chapter includes an accompanying slide presentation that has been prepared by the authors: Video 129.1 . Key Concepts In performing motor cortex stimulation (MCS), the use of intraoperative neurophysiologic confirmation is critical for the success of the procedure. MCS…
This chapter includes an accompanying lecture presentation that has been prepared by the authors: Video 115.1 . Key Concepts Microelectrode recording (MER) offers the most accurate structure differentiation tool to localize deep nuclei in the brain. MER requires knowledge of…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
41.1 Introduction Intraoperative neurophysiology normally improves patient safety, but like any medical procedure it can cause inadvertent harm. This chapter reviews electrical and procedure-specific safety, infection control, and essential performance in terms of potential hazards and their means of protection.…
37.1 Introduction Spinal cord stimulation (SCS) is a common therapy used to treat medically refractory neuropathic back and other limb pain syndromes . Historically, placement of SCS leads required direct interaction with the patient to ascertain where the patient felt…
34.1 Introduction The full potential of intraoperative neurophysiology is realized during the performance of so-called functional neurosurgical procedures. During these interventions, therapeutic lesions or stimulating electrodes are stereotactically placed within deep brain structures to treat movement disorders, such as Parkinson’s…
DBS in STN for Parkinson's disease Scenario A 64-year-old male with an 11-year history of Parkinson's disease and bilateral segmental lead Subthalamic nucleus (STN) Deep Brain Stimulation (DBS) electrodes and implantable pulse generators (IPGs) placed 2 weeks prior to the…
Introduction One of the greatest advantages of neuromodulation therapies, and in contrast to ablative procedures of the past, is that the anatomical and physiological substrate of the therapy may continue to be manipulated long after the implant surgery is accomplished.…
Introduction As neuromodulation therapies become a treatment standard for a variety of disorders including medically refractory Parkinson's disease (PD), essential tremor, dystonia, pain syndromes, epilepsy, psychiatric disorders, and other future indications, more is being learned about the longevity and function…