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…
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…
32.1 Introduction Epilepsy has been recognized as a serious medical condition for thousands of years . Estimates of its prevalence range from 0.5% to 1%; thus 30–80 million people suffer from epilepsy. Despite this, medical therapies fail in up to…
Scenario A 27-year-old man who had had seizures for over 15 years was being evaluated for possible invasive monitoring to define his epileptic focus in a more localized fashion. His hope, of course, was that a resectable focus could be…
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Scenario A 27-year-old man had suffered from epilepsy since the age of 8. He had two types of seizures ultimately, one with generalized tonic-clonic behavior and the other with staring and brief rhythmic chewing type movements followed by slight left…
Scenario A 39-year-old man presented to the emergency room (ER) at his local hospital with obesity and severe localized pain in the right groin after doing some cleanup and sweeping in his garage the previous weekend. After examination by ER…
Scenario A 45-year-old woman presented in referral from a headache center with a long history of complex migraines and focal occipitoparietal head pain as well. The head pains seemed to be present all the time, or nearly so, while the…
Scenario A 37-year-old woman who had been in severe pain for over 4 years after three dental procedures was referred to the clinic. Two other oral surgeons and a pain physician who specializes in facial pain had seen her over…