In this issue, Zibetti et al. from Turin describe their experience of Deep Brain Stimulation
(DBS) in movement disorders from the point of view of the safety of their microelectrode
recording (MER)-based surgical technique [
[1]
]. The authors present a consecutive series of 221 mainly Parkinsonian patients who
underwent implantation of 442 DBS electrodes using the Ben Gun and a total of 590
MER tracks (“a mean of 1.33 tracks for each procedure; more than 3 tracks in 4 procedures;
3 tracks in 13 procedures; 2 tracks in 109 procedures and 1 track in 316 procedures”).
Forty-two of their patients (19%) suffered from hypertension. All patients underwent
an immediate postoperative CT scan followed by a cranial MRI 7 days later. Not a single
hemorrhagic complication (HC) occurred, neither during intraoperative nor during postoperative
period.- Zibetti M.
- Romagnolo A.
- Crobeddu E.
- et al.
Does intraoperative microrecording really increase the risk of hemorrhagic complications
in deep brain stimulation?.
Brain Stimul. 2014 Jul 26; (pii: S1935–861X(14)00266-6 [Epub ahead of print])https://doi.org/10.1016/j.brs.2014.07.037
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References
- Does intraoperative microrecording really increase the risk of hemorrhagic complications in deep brain stimulation?.Brain Stimul. 2014 Jul 26; (pii: S1935–861X(14)00266-6 [Epub ahead of print])https://doi.org/10.1016/j.brs.2014.07.037
- Reducing hemorrhagic complications in functional neurosurgery: a large case series and systematic literature review.J Neurosurg. 2012; 116: 84-94
- Pallidotomy for parkinson disease: a review of contemporary literature.J Neurosurg. 2001; 94: 43-49
- Risk factors for hemorrhage during microelectrode-guided deep brain stimulation and the introduction of an improved microelectrode design.Neurosurgery. 2009; 64: 754-762
- Stereotactic pallidotomy performed without using microelectrode guidance in patients with Parkinson's disease: surgical technique and 2-year results.J Neurosurg. 2000; 92: 375-383
Article info
Publication history
Published online: October 07, 2014
Accepted:
September 8,
2014
Received:
September 3,
2014
Footnotes
Disclosures: The author has received travel expenses and honoraria from Medtronic and St Jude for speaking at meetings.
The Unit of Functional Neurosurgery at UCL Institute of Neurology is supported by the Parkinson appeal UK and the Monument Trust.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
