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Stereotactic Surgery in Parkinson Disease

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Relative Contribution of Magnetic Resonance Imaging, Microelectrode Recordings, and Awake Test Stimulation in Final Lead Placement during Deep Brain Stimulation Surgery of the Subthalamic Nucleus in Parkinson's Disease.

Henrieke L Frequin, Maarten Bot, José Dilai, Marije N Scholten, Miranda Postma, Lodewijk J Bour, Maria Fiorella Contarino, Rob M A de Bie, P Rick Schuurman, Pepijn van den Munckhof,

INTRODUCTION:For deep brain stimulation (DBS) surgery of the subthalamic nucleus (STN) in Parkinson's disease (PD), many centers employ visualization of the nucleus on magnetic resonance imaging (MRI), intraoperative microelectrode recordings (MER), and test stimulation in awake patients. The value of these steps is a subject for ongoing debate. In the ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2020, :1-11]

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The Potential of Stereotactic-EEG for Brain-Computer Interfaces: Current Progress and Future Directions.

Christian Herff, Dean J Krusienski, Pieter Kubben,

Stereotactic electroencephalogaphy (sEEG) utilizes localized, penetrating depth electrodes to measure electrophysiological brain activity. It is most commonly used in the identification of epileptogenic zones in cases of refractory epilepsy. The implanted electrodes generally provide a sparse sampling of a unique set of brain regions including deeper brain structures such as ... Read more >>

Front Neurosci (Frontiers in Neuroscience)
[2020, 14:123]

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Spinal Cord Stimulation with Surgical Lead Improves Pain and Gait in Parkinson's Disease after a Dislocation of Percutaneous Lead: A Case Report.

Yijie Lai, Yixin Pan, Linbin Wang, Chencheng Zhang, Bomin Sun, Dianyou Li,

Spinal cord stimulation (SCS) is receiving increasing interests for treating pain and gait disorders in patients with Parkinson's disease (PD). In an SCS study, it is hard to apply a double-blind approach, especially at low frequencies, as the stimulation normally induces paresthesia which can be perceived by the patient. We ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2020, :1-6]

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Left prefrontal impact links subthalamic stimulation with depressive symptoms.

Friederike Irmen, Andreas Horn, Philip Mosley, Alistair Perry, Jan Niklas Petry-Schmelzer, Haidar S Dafsari, Michael Barbe, Veerle Visser-Vandewalle, Gerd-Helge Schneider, Ningfei Li, Dorothee Kübler, Gregor Wenzel, Andrea Kühn,

OBJECTIVE:Subthalamic nucleus deep brain stimulation (STN-DBS) in Parkinson's Disease (PD) not only stimulates focal target structures but also affects distributed brain networks. The impact this network modulation has on non-motor DBS effects is not well characterized. By focusing on the affective domain, we systematically investigate the impact of electrode placement ... Read more >>

Ann. Neurol. (Annals of neurology)
[2020, :]

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Magnetic Resonance-Guided Focused Ultrasound Thalamotomy to Treat Essential Tremor in Nonagenarians.

Michelle Paff, Alexandre Boutet, Clemens Neudorfer, Gavin J B Elias, Jürgen Germann, Aaron Loh, Walter Kucharczyk, Alfonso Fasano, Michael L Schwartz, Andres M Lozano,

Essential tremor (ET) is a disabling movement disorder that is most prevalent among the elderly. While deep brain stimulation surgery targeting the ventral intermediate nucleus of the thalamus is commonly used to treat ET, the most elderly patients or those with multiple medical comorbidities may not qualify as surgical candidates. ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2020, :1-5]

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Symptomatic Pneumocephalus after Deep Brain Stimulation Surgery: Report of 2 Cases.

Luigi Albano, Pratik Rohatgi, Alon Kashanian, Ausaf Bari, Nader Pouratian,

BACKGROUND:Symptomatic pneumocephalus is an uncommon complication of cranial surgery. Reports of symptomatic pneumocephalus in deep brain stimulation (DBS) surgery are lacking, due to the rarity of this condition. The -authors describe 2 patients who experienced clinically significant intraparenchymal pneumocephalus as a consequence of DBS surgery and report their clinical presentations, ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2020, 98(1):30-36]

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Clinical outcomes of globus pallidus deep brain stimulation for Parkinson disease: a comparison of intraoperative MRI- and MER-guided lead placement.

Yarema B Bezchlibnyk, Vibhash D Sharma, Kushal B Naik, Faical Isbaine, John T Gale, Jennifer Cheng, Shirley D Triche, Svjetlana Miocinovic, Cathrin M Buetefisch, Jon T Willie, Nicholas M Boulis, Stewart A Factor, Thomas Wichmann, Mahlon R DeLong, Robert E Gross,

OBJECTIVE:Deep brain stimulation (DBS) lead placement is increasingly performed with the patient under general anesthesia by surgeons using intraoperative MRI (iMRI) guidance without microelectrode recording (MER) or macrostimulation. The authors assessed the accuracy of lead placement, safety, and motor outcomes in patients with Parkinson disease (PD) undergoing DBS lead placement ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2020, :1-11]

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The effects of chronic subthalamic stimulation on nonmotor symptoms in advanced Parkinson's disease, revealed by an online questionnaire program.

Minako Kawaguchi, Kazuhiro Samura, Yasushi Miyagi, Tsuyoshi Okamoto, Ryo Yamasaki, Nobutaka Sakae, Fumiaki Yoshida, Koji Iihara,

BACKGROUND:This study was designed to detect and assess the frequency and severity of nonmotor symptoms (NMSs) in advanced Parkinson's disease (PD) and to investigate the effects of subthalamic nucleus deep brain stimulation (STN-DBS) on NMSs. METHODS:We developed an online PC-based questionnaire program to assess NMSs in PD. Twenty-six PD patients ... Read more >>

Acta Neurochir (Wien) (Acta neurochirurgica)
[2020, 162(2):247-255]

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Fixed-Life or Rechargeable Battery for Deep Brain Stimulation: A Prospective Long-Term Study of Patient's Preferences.

Luciano Furlanetti, Ahmed Raslan, Tahir Khaleeq, Harutomo Hasegawa, Ruby Tambirajoo, Michael Samuel, Keyoumars Ashkan,

INTRODUCTION:Deep brain stimulation (DBS) is an established treatment for movement disorders. We have previously shown that in our practice, the majority of adult patients prefer fixed-life implantable pulse generators (IPGs), although rechargeable batteries are increasingly used. The aim of this study was to evaluate patients' long-term satisfaction with their choice ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2020, 98(1):43-47]

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Characterization of information processing in the subthalamic area of Parkinson's patients.

Immo Weber, Esther Florin, Michael von Papen, Veerle Visser-Vandewalle, Lars Timmermann,

Despite advances in symptomatic treatment options the pathomechanism of idiopathic Parkinson's disease (PD) remains poorly understood. Animal studies from recent years suggest pathological information processing in the basal ganglia network to be responsible for major movement deficits observed in patients, which, according to the information lesion hypothesis, might also explain ... Read more >>

Neuroimage (NeuroImage)
[2020, 209:116518]

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Tractographic description of major subcortical projection pathways passing the anterior limb of the internal capsule. Corticopetal organization of networks relevant for psychiatric disorders.

Volker A Coenen, Thomas E Schlaepfer, Bastian Sajonz, Máté Döbrössy, Christoph P Kaller, Horst Urbach, Marco Reisert,

BACKGROUND:Major depression (MD) and obsessive-compulsive disorder (OCD) are psychiatric diseases with a huge impact on individual well-being. Despite optimal treatment regiments a subgroup of patients remains treatment resistant and stereotactic surgery (stereotactic lesion surgery, SLS or Deep Brain Stimulation, DBS) might be an option. Recent research has described four networks ... Read more >>

Neuroimage Clin (NeuroImage. Clinical)
[2020, 25:102165]

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Is Transcranial Magnetic Resonance Imaging-Guided Focused Ultrasound a Repeatable Treatment Option? Case Report of a Retreated Patient With Tremor Combined With Parkinsonism.

Francesca Valentino, Giuseppe Cosentino, Rosario Maugeri, Roberto Giammalva, Gerardo Domenico Iacopino, Maurizio Marrale, Tommaso Vincenzo Bartolotta, Cesare Gagliardo,

INTRODUCTION:In recent years, transcranial Magnetic Resonance Imaging-guided Focused Ultrasound (tcMRgFUS) treatments for functional neurological disorders are giving a new thrust to the field of therapeutic brain lesioning. OBJECTIVE:To present the case of a patient affected by tremor combined with Parkinsonism who underwent a second tcMRgFUS thalamotomy because of relapsing tremor ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2019, :]

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Effect of Anesthesia on Microelectrode Recordings during Deep Brain Stimulation Surgery in Tourette Syndrome Patients.

Michael J Bos, Ana Maria Alzate Sanchez, Anouk Y J M Smeets, Raffaella Bancone, Linda Ackermans, Anthony R Absalom, Wolfgang F Buhre, Mark J Roberts, Marcus L F Janssen,

BACKGROUND:Deep brain stimulation (DBS) is an accepted treatment for patients with medication-resistant Tourette syndrome (TS). Sedation is commonly required during electrode implantation to attenuate anxiety, pain, and severe tics. Anesthetic agents potentially impair the quality of microelectrode recordings (MER). Little is known about the effect of these anesthetics on MER ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2019, 97(4):225-231]

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Deep brain stimulation for Tourette's syndrome.

Wenying Xu, Chencheng Zhang, Wissam Deeb, Bhavana Patel, Yiwen Wu, Valerie Voon, Michael S Okun, Bomin Sun,

Tourette syndrome (TS) is a childhood-onset neuropsychiatric disorder characterized by the presence of multiple motor and vocal tics. TS usually co-occurs with one or multiple psychiatric disorders. Although behavioral and pharmacological treatments for TS are available, some patients do not respond to the available treatments. For these patients, TS is ... Read more >>

Transl Neurodegener (Translational neurodegeneration)
[2020, 9:4]

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Safety of Noncontrast Imaging-Guided Deep Brain Stimulation Electrode Placement in Parkinson Disease.

Joacir Graciolli Cordeiro, Anthony Diaz, Jenna Kylene Davis, Daniel Garbin Di Luca, Ghulam Farooq, Corneliu C Luca, Jonathan Russell Jagid,

BACKGROUND:Deep brain stimulation (DBS) is considered standard of care for the treatment of medically refractory Parkinson disease (PD). The placement of brain electrodes is performed using contrast imaging to enhance blood vessel identification during stereotactic planning. We present our experience with a series of patients implanted using noncontrast imaging. METHODS:All ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 134:e1008-e1014]

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Two-year clinical outcomes associated with robotic-assisted subthalamic lead implantation in patients with Parkinson's disease.

Michelle Paff, Alice S Wang, Nicolas Phielipp, Sumeet Vadera, Anna Morenkova, Neal Hermanowicz, Frank P K Hsu,

Few centers have routinely implemented robotic stereotactic systems for deep brain stimulator (DBS) placement. The present study compares clinical outcomes associated with robotic-assisted subthalamic nucleus (STN)-targeted DBS surgery in patients with Parkinson's disease (PD) to those of the traditional frame-based method. A retrospective chart review was performed (February 2013-June 2017). Thirty-three ... Read more >>

J Robot Surg (Journal of robotic surgery)
[2019, :]

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Topography of emotional valence and arousal within the motor part of the subthalamic nucleus in Parkinson's disease.

Tereza Serranová, Tomáš Sieger, Filip Růžička, Eduard Bakštein, Petr Dušek, Pavel Vostatek, Daniel Novák, Evžen Růžička, Dušan Urgošík, Robert Jech,

Clinical motor and non-motor effects of deep brain stimulation (DBS) of the subthalamic nucleus (STN) in Parkinson's disease (PD) seem to depend on the stimulation site within the STN. We analysed the effects of the position of the stimulation electrode within the motor STN on subjective emotional experience, expressed as ... Read more >>

Sci Rep (Scientific reports)
[2019, 9(1):19924]

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Defining the Dorsal STN Border Using 7.0-T MRI: A Comparison to Microelectrode Recordings and Lower Field Strength MRI.

Maarten Bot, Okker Verhagen, Matthan Caan, Wouter V Potters, Y Dilai, Vincent J J Odekerken, Joke M Dijk, Rob M A de Bie, P Richard Schuurman, Pepijn van den Munckhof,

BACKGROUND:7.0-T T2-weighted MRI offers excellent visibility of the subthalamic nucleus (STN), which is used as a target for deep brain stimulation (DBS) in Parkinson's disease (PD). A comparison of 7.0-T MRI to microelectrode recordings (MER) for STN border identification has not been performed. OBJECTIVE:To compare representation of STN borders on ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2019, 97(3):153-159]

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Comparison of Awake and Asleep Deep Brain Stimulation for Parkinson's Disease: A Detailed Analysis Through Literature Review.

Jun Wang, Francisco A Ponce, Jun Tao, Hong-Mei Yu, Ji-Yuan Liu, Yun-Jie Wang, Guo-Ming Luan, Shao-Wu Ou,

OBJECTIVES:Deep brain stimulation (DBS) for Parkinson's disease (PD) has been applied to clinic for approximately 30 years. The goal of this review is to explore the similarities and differences between "awake" and "asleep" DBS techniques. METHODS:A comprehensive literature review was carried out to identify relevant studies and review articles describing applications ... Read more >>

Neuromodulation (Neuromodulation : journal of the International Neuromodulation Society)
[2019, :]

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Procedural Variables Influencing Stereotactic Accuracy and Efficiency in Deep Brain Stimulation Surgery.

Zaman Mirzadeh, Tsinsue Chen, Kristina M Chapple, Margaret Lambert, John P Karis, Rohit Dhall, Francisco A Ponce,

BACKGROUND:Deep brain stimulation (DBS) is well-established, evidence-based therapy for Parkinson disease, essential tremor, and primary dystonia. Clinical outcome studies have recently shown that "asleep" DBS lead placement, performed using intraoperative imaging with stereotactic accuracy as the surgical endpoint, has motor outcomes comparable to traditional "awake" DBS using microelectrode recording (MER), ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2019, 17(1):70-78]

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Cerebrospinal Fluid Leak to the IPG Subcutaneous Pocket after Deep Brain Stimulation Implantation: A Case Report.

Jaromir Hanuska, Dusan Urgosik, Stefan Raev, Filip Ruzicka, Robert Jech,

This case report presents a 54-year-old Parkinson´s disease patient who underwent a DBS implantation to the subthalamic nuclei bilaterally. Shortly after the operation, the subcutaneous pocket of the generator filled with a liquid. Repeated aspirations did not show any bacterial contamination, and an infection was not found. In the sample, ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2019, 97(5-6):404-406]

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Rescuing Suboptimal Outcomes of Subthalamic Deep Brain Stimulation in Parkinson Disease by Surgical Lead Revision.

Robert C Nickl, Martin M Reich, Nicoló Gabriele Pozzi, Patrick Fricke, Florian Lange, Jonas Roothans, Jens Volkmann, Cordula Matthies,

BACKGROUND:Clinical trials have established subthalamic deep-brain-stimulation (STN-DBS) as a highly effective treatment for motor symptoms of Parkinson disease (PD), but in clinical practice outcomes are variable. Experienced centers are confronted with an increasing number of patients with partially "failed" STN-DBS, in whom motor benefit doesn't meet expectations. These patients require ... Read more >>

Neurosurgery (Neurosurgery)
[2019, 85(2):E314-E321]

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Tanshinone IIA Alleviates CCL2-Induced Leaning memory and Cognition Impairment in Rats: A Potential Therapeutic Approach for HIV-Associated Neurocognitive Disorder.

Yuan-Jun Liao, Jian-Min Chen, Jiang-Yi Long, Yi-Jun Zhou, Bing-Yu Liang, Yan Zhou,

Chemokine CC motif ligand 2 (CCL2) is one of the most recognized proinflammatory chemokines, and the expression of CCL2 in the cerebrospinal fluid of patients infected with HIV-1 is significantly higher than that of healthy people. As such, it is seen as an important cause of HIV-associated neurocognitive disorder (HAND). ... Read more >>

Biomed Res Int (BioMed Research International)
[2020, 2020:2702175]

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Clinical Validation of Quality Improvements Using the Six Sigma Concept: A Case Study for Deep Brain Stimulation in Parkinson's Disease.

Witold H Polanski, Lisa Klingelhoefer, Amir Zolal, Swen Guenther, Johann Klein, Gabriele Schackert, Heinz Reichmann, Stephan B Sobottka,

BACKGROUND:The Six Sigma concept allows for the evaluation of quality changes after the implementation of new technical equipment or adjustment of perioperative procedures. Exemplarily, we applied this method for quality assessment in deep brain stimulation surgery (DBS) for Parkinson's disease. METHODS:The medical procedure and possible errors were registered. Then, 6 ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2019, 97(3):195-201]

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Asymmetry of Subthalamic Neuronal Firing Rate and Oscillatory Characteristics in Parkinson's Disease.

Xue-Min Zhao, Ping Zhuang, Yong-Jie Li, Yu-Qing Zhang, Jian-Yu Li, Yun-Peng Wang, Ji-Ping Li,

Purpose:The aim of this study was to compare the neuronal firing rate and oscillatory activity of the subthalamic nucleus (STN) between the more affected (MA) and the less affected (LA) hemispheres in Parkinson's disease (PD). Patients and Methods:We recorded and analyzed the intra-operative microelectrode recordings (MER) from the STN of ... Read more >>

Neuropsychiatr Dis Treat (Neuropsychiatric Disease and Treatment)
[2020, 16:313-323]

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