Advertisement
Operative technique| Volume 12, ISSUE 4, P457-463, May 2005

Download started.

Ok

Deep brain stimulation for movement disorders and pain

      Summary

      Deep brain stimulation (DBS) is an expanding field within neurosurgery. With many neurosurgeons performing relatively small numbers of these procedures, detailed descriptions of the technical aspects and nuances of DBS may be worthwhile. We describe our technique for DBS, based on over 300 procedures. This methodology continues to evolve and is refined according to our own experience, our observations of others, technological innovations, and information derived from the neurosurgical literature. The indications for DBS in our service are outlined, the anatomical targets described, and the anaesthetic and surgical aspects detailed.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Clinical Neuroscience
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Vitek J.L.
        Deep brain stimulation for Parkinson’s disease. A critical re-evaluation of STN versus GPi DBS.
        Stereotact Funct Neurosurg. 2002; 78: 119-131
        • Nandi D.
        • Liu X.
        • Bain P.
        • et al.
        Electrophysiological confirmation of the zona incerta as a target for surgical treatment of disabling involuntary arm movements in multiple sclerosis: use of local field potentials.
        J Clin Neurosci. 2002; 9: 64-68
        • Yianni J.
        • Aziz T.
        Globus pallidus internus deep brain stimulation for dystonic conditions.
        Neurol Sci. 2003; 24: S277-S280
        • Yianni J.
        • Bain P.
        • Giladi N.
        • et al.
        Globus pallidus internus deep brain stimulation for dystonic conditions: a prospective audit.
        Mov Disord. 2003; 18: 436-442
        • Vercueil L.
        • Pollak P.
        • Fraix V.
        • et al.
        Deep brain stimulation in the treatment of severe dystonia.
        J Neurol. 2001; 248: 695-700
        • Young R.F.
        • Chambi V.I.
        Pain relief by electrical stimulation of the periaqueductal and periventricular gray matter.
        J Neurosurg. 1987; 66: 364-371
        • Kumar K.
        • Toth C.
        • Nath R.K.
        Deep brain stimulation for intractable pain: a 15-year experience.
        Neurosurgery. 1997; 40: 736-747
        • Nandi D.
        • Aziz T.
        • Carter H.
        • Stein J.
        Thalamic field potentials in chronic central pain treated by periventricular gray stimulation – a series of eight cases.
        Pain. 2003; 101: 97-107
        • Hosobuchi Y.
        Intracerebral stimulation for the relief of chronic pain.
        in: Youmans J.R. Neurological Surgery. WB Saunders, Philadelphia1990: 4128-4143
        • Rodriguez-Oroz M.C.
        • Rodriguez M.
        • Guridi J.
        • et al.
        The subthalamic nucleus in Parkinson’s disease: somatotopic organization and physiological characteristics.
        Brain. 2001; 124: 1777-1790
        • Starr P.A.
        Placement of deep brain stimulators into the subthalamic nucleus or globus pallidus internus: technical approach.
        Stereotact Funct Neurosurg. 2002; 79: 118-145
        • Volkmann J.
        • Fogel W.
        • Krack P.
        Postoperatives neurologisches management bei stimulation des nucleus subthalamicus.
        Akt Neurol. 2000; 27: S23-S39