Intraoperative magnetic resonance imaging findings during deep brain stimulation surgery.
Olivia Huston,Robert E. Watson,Matt A. Bernstein,Kiaran P. McGee,S. Matt Stead,Debb A. Gorman,Kendall H. Lee,John Huston +7 more
TLDR
Intraoperative MR imaging can be safely performed and may assist in demonstrating acute changes involving intracranial hemorrhage and air during DBS surgery, and selective use of T2 FLAIR and T2 FSE imaging can confirm the presence of hemorrhage or air and preclude the need for CT examinations.Abstract:
Object Deep brain stimulation (DBS) is an established neurosurgical technique used to treat a variety of neurological disorders, including Parkinson disease, essential tremor, dystonia, epilepsy, depression, and obsessive-compulsive disorder. This study reports on the use of intraoperative MR imaging during DBS surgery to evaluate acute hemorrhage, intracranial air, brain shift, and accuracy of lead placement. Methods During a 46-month period, 143 patients underwent 152 DBS surgeries including 289 lead placements utilizing intraoperative 1.5-T MR imaging. Imaging was supervised by an MR imaging physicist to maintain the specific absorption rate below the required level of 0.1 W/kg and always included T1 magnetization-prepared rapid gradient echo and T2* gradient echo sequences with selected use of T2 fluid attenuated inversion recovery (FLAIR) and T2 fast spin echo (FSE). Retrospective review of the intraoperative MR imaging examinations was performed to quantify the amount of hemorrhage and the amount of...read more
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Deep brain stimulation in the treatment of depression.
TL;DR: Promising efficacy and safety have been demonstrated in preliminary trials in patients with treatment-resistant depression (TRD), and neuroimaging has played a pivotal role in identifying some DBS targets and remains an important tool for evaluating the mechanism of action of this novel intervention.
Journal ArticleDOI
The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Bleeding and Coagulation Management in Neurostimulation Devices.
Timothy R. Deer,Samer Narouze,David A. Provenzano,Jason E. Pope,Steven M. Falowski,Marc Russo,Honorio T. Benzon,Konstantin V. Slavin,Julie G. Pilitsis,Kenneth M. Alo,Jonathan D. Carlson,Porter McRoberts,Shivanand P. Lad,Jeffrey E. Arle,Robert M. Levy,Brian A. Simpson,Nagy Mekhail +16 more
TL;DR: The Neurostimulation Appropriateness Consensus Committee (NACC) was formed by the International Neuromodulation Society in 2012 to evaluate the evidence to reduce the risk of complications and improve the efficacy of neurostimulation.
Journal ArticleDOI
Intraoperative electrocorticography for physiological research in movement disorders: principles and experience in 200 cases
Fedor Panov,Emily Levin,Coralie de Hemptinne,Nicole C. Swann,Salman E. Qasim,Svjetlana Miocinovic,Jill L. Ostrem,Philip A. Starr +7 more
TL;DR: Intraoperative ECoG has long been used in neurosurgery for functional mapping and localization of seizure foci and has become an important research tool for understanding the brain networks in movement disorders and the mechanisms of therapeutic stimulation.
Journal ArticleDOI
Intraoperative MRI for optimizing electrode placement for deep brain stimulation of the subthalamic nucleus in Parkinson disease
TL;DR: The iMRI technique can guide surgeons as they adjust deviated electrodes to improve the accuracy of implanting the electrodes into the correct anatomical position during DBS surgery and acute intracranial changes.
Journal ArticleDOI
3 Tesla intraoperative MRI for brain tumor surgery.
Daniel Thomas Ginat,Brooke Swearingen,William T. Curry,Daniel P. Cahill,Joseph R. Madsen,Pamela W. Schaefer +5 more
TL;DR: The MR compatibility and radiofrequency shielding pose particularly stringent technical constraints at 3T and influence the design and usage of the surgical suite with iMRI, which can potentially improve patient outcome.
References
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Journal ArticleDOI
Deep brain stimulation for treatment-resistant depression.
Helen S. Mayberg,Helen S. Mayberg,Andres M. Lozano,Valerie Voon,Heather E. McNeely,David A. Seminowicz,Clement Hamani,Jason M. Schwalb,Sidney H. Kennedy +8 more
TL;DR: It is suggested that disrupting focal pathological activity in limbic-cortical circuits using electrical stimulation of the subgenual cingulate white matter can effectively reverse symptoms in otherwise treatment-resistant depression.
Journal ArticleDOI
Deep-brain stimulation of the subthalamic nucleus or the pars interna of the globus pallidus in Parkinson's disease.
TL;DR: Bilateral stimulation of the subthalamic nucleus or pars interna of the globus pallidus is associated with significant improvement in motor function in patients with Parkinson's disease whose condition cannot be further improved with medical therapy.
Journal ArticleDOI
Electrical stimulation of the anterior nucleus of thalamus for treatment of refractory epilepsy
Robert S. Fisher,Vicenta Salanova,Thomas C. Witt,Robert M. Worth,Thomas R. Henry,Robert E. Gross,Kalarickal J. Oommen,Ivan Osorio,Jules M. Nazzaro,Douglas Labar,Michael G. Kaplitt,Michael R. Sperling,Evan Sandok,John H. Neal,Adrian Handforth,John M. Stern,Antonio DeSalles,Steve Chung,Andrew G. Shetter,Donna Bergen,Roy A.E. Bakay,Jaimie M. Henderson,Jacqueline A. French,Gordon H. Baltuch,William E. Rosenfeld,Andrew Youkilis,William J. Marks,Paul A. Garcia,Nicolas Barbaro,Nathan B. Fountain,Carl W. Bazil,Robert R. Goodman,Guy M. McKhann,K. Babu Krishnamurthy,Steven Papavassiliou,Charles M. Epstein,John R. Pollard,Lisa Tonder,Joan Grebin,Robert J. Coffey,Nina M. Graves,Marc A. Dichter,William Elias,Paul Francel,Robert C. Frysinger,Kevin Graber,John Grant,Gary Heit,Susan T. Herman,Padmaja Kandula,Andres M. Kanner,Jeanne Ann King,Eric Kobylarz,Karen Lapp,Suzette M. LaRoche,Susan Lippmann,Rama Maganti,Timothy Mapstone,Dragos Sabau,Lara M. Schrader,Ashwini Sharan,Mike Smith,David M. Treiman,Steve Wilkinson,Steven Wong,Andro Zangaladze,Shelley Adderley,Brian Bridges,Mimi Callanan,Dawn Cordero,Cecelia Fields,Megan Johnson,MaryAnn Kavalir,Patsy Kretschmar,Carol Macpherson,Kathy Mancl,Marsha Manley,Stephanie Marsh,Jean Montgomery,Pam Mundt,Phani Priya Nekkalapu,Bill Nikolov,Bruce Palmer,Linda Perdue,Alison Randall,David Smith,Linda Smith,Kristen Strybing,Leigh Stott,Robin Taylor,Stacy Thompson,Zornitza Timenova,Bree Vogelsong,Virginia Balbona,Donna K. Broshek,Deborah A. Cahn-Weiner,Lisa Clift,Mary Davidson,Evan Drake,Sally Frutiger,Lynette Featherstone,Chris Grote,Dan Han,Dianne Henry,Jessica Horsfall,Andrea Hovick,Jennifer Gray,David Kareken,Kristin Kirlin,Debbie Livingood,Michele Meyer,Nancy Minniti,Jeannine Morrone Strupinsky,William Schultz,James Scott,Joseph I. Tracy,Stuart Waltonen,Penelope Ziefert,Carla Van Amburg,Mark E Burdelle,Sandra Clements,Robert Cox,Raeleen Dolin,Michelle Fulk,Harinder R. Kaur,Lawrence J. Hirsch,Thomas J. Hoeppner,Andrea Hurt,Mary Komosa,Scott E. Krahl,Laura Ponticello,Mark Quigg,Helene Quinn,Marvin A. Rossi,Patty Schaefer,Christopher Skidmore,Diane Sundstrom,Patricia Trudeau,Monica Volz,Norman C. Wang,Lynette Will,Carol Young +141 more
TL;DR: A multicenter, double‐blind, randomized trial of bilateral stimulation of the anterior nuclei of the thalamus for localization‐related epilepsy is reported.
Journal ArticleDOI
Bilateral Deep-Brain Stimulation of the Globus Pallidus in Primary Generalized Dystonia
Marie Vidailhet,Laurent Vercueil,Jean-Luc Houeto,Pierre Krystkowiak,Alim-Louis Benabid,Philippe Cornu,Christelle Lagrange,Sophie Tezenas du Montcel,Didier Dormont,Sylvie Grand,Serge Blond,Olivier Detante,Bernard Pillon,Claire Ardouin,Yves Agid,Alain Destée,Pierre Pollak +16 more
TL;DR: These findings support the efficacy and safety of the use of bilateral stimulation of the internal globus pallidus in selected patients with primary generalized dystonia.
Journal ArticleDOI
Comparison of MRI and CT for Detection of Acute Intracerebral Hemorrhage
Chelsea S. Kidwell,Chelsea S. Kidwell,Julio A. Chalela,Jeffrey L. Saver,Sidney Starkman,Michael D. Hill,Andrew M. Demchuk,John A. Butman,Nicholas J. Patronas,Jeffry R. Alger,Jeffry R. Alger,Lawrence L. Latour,Marie Luby,Alison E. Baird,Megan C. Leary,Margaret Tremwel,Bruce Ovbiagele,Andre Fredieu,Shuichi Suzuki,J. Pablo Villabianca,Stephen M. Davis,Billy Dunn,Jason W. Todd,Mustapha A. Ezzeddine,Joseph Haymore,John K. Lynch,Lisa Davis,Lisa Davis,Steven Warach +28 more
TL;DR: MRI may be as accurate as CT for the detection of acute hemorrhage in patients presenting with acute focal stroke symptoms and is more accurate than CT forThe detection of chronic intracerebral hemorrhage.
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