| NI FEATURE: CENTS (CONCEPTS, ERGONOMICS, NUANCES, THERBLIGS, SHORTCOMINGS) COMMENTARY |
|
| Year : 2018 | Volume
: 66
| Issue : 7 | Page : 122--130 |
Deep brain stimulation for movement disorders: Surgical nuances
Manmohan Singh, KV Shabari Girishan, Jitin Bajaj, Kanwaljeet Garg
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
Correspondence Address:
Dr. Manmohan Singh
Department of Neurosurgery, Room No. 715, Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.226461
Parkinson's disease (PD) and dystonia are common indications for the deep brain stimulation (DBS) procedure. It is very important to be diligent about target localization and execution of the procedure. The single most important predictor of a good postoperative outcome is proper patient selection. The various steps of performing DBS include taking a preoperative non - stereotactic MRI, stereotactic frame fixation, fusion of MRI with stereotactic CT scan images, planning of the target and trajectory, lead placement at target through the planned trajectory, implantation of pulse generator/ battery and programming of the implanted device. Utmost care and precision are required to execute the procedure, which decide the final outcome of the surgical procedure.
[FULL TEXT] [PDF]*
|
