Hemorrhage Detection and Incidence during Magnetic Resonance-Guided Deep Brain Stimulator Implantations

2017 ◽  
Vol 95 (5) ◽  
pp. 307-314 ◽  
Author(s):  
Alastair J. Martin ◽  
Philip A. Starr ◽  
Jill L. Ostrem ◽  
Paul S. Larson
Keyword(s):  
Magnetic Resonance ◽  
Deep Brain Stimulator ◽  
Deep Brain

scholarly journals Implanted deep brain stimulator and 1.0-Tesla magnetic resonance imaging

2006 ◽  
Vol 24 (6) ◽  
pp. 1409-1412 ◽  
Author(s):  
Norbert Kovacs ◽  
Ferenc Nagy ◽  
Ferenc Kover ◽  
Adam Feldmann ◽  
Carlos Llumiguano ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Deep Brain Stimulator ◽  
Deep Brain

Evaluation of the RF heating of a generic deep brain stimulator exposed in 1.5 T magnetic resonance scanners

2012 ◽  
Vol 34 (2) ◽  
pp. 104-113 ◽  
Author(s):  
Eugenia Cabot ◽  
Tom Lloyd ◽  
Andreas Christ ◽  
Wolfgang Kainz ◽  
Mark Douglas ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Rf Heating ◽  
Deep Brain Stimulator ◽  
Deep Brain

Placement of deep brain stimulator electrodes using real-time high-field interventional magnetic resonance imaging

2005 ◽  
Vol 54 (5) ◽  
pp. 1107-1114 ◽  
Author(s):  
Alastair J. Martin ◽  
Paul S. Larson ◽  
Jill L. Ostrem ◽  
W. Keith Sootsman ◽  
Pekka Talke ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Real Time ◽  
High Field ◽  
Resonance Imaging ◽  
Deep Brain Stimulator ◽  
Interventional Magnetic Resonance Imaging ◽  
Deep Brain

Interventional Magnetic Resonance Guidance of Deep Brain Stimulator Implantation for Parkinson Disease

2008 ◽  
Vol 19 (4) ◽  
pp. 213-221 ◽  
Author(s):  
Alastair J. Martin ◽  
Paul S. Larson ◽  
Jill L. Ostrem ◽  
Philip A. Starr
Keyword(s):  
Magnetic Resonance ◽  
Parkinson Disease ◽  
Deep Brain Stimulator ◽  
Deep Brain

Successful Deep Brain Stimulation Surgery With Intraoperative Magnetic Resonance Imaging on a Difficult Neuroacanthocytosis Case

Neurosurgery ◽  
2013 ◽  
Vol 73 (1) ◽  
pp. E184-E188 ◽  
Author(s):  
Thien Thien Lim ◽  
Hubert H. Fernandez ◽  
Scott Cooper ◽  
Kathryn Mary K. Wilson ◽  
Andre G. Machado
Keyword(s):  
Magnetic Resonance Imaging ◽  
Deep Brain Stimulation ◽  
Magnetic Resonance ◽  
General Anesthesia ◽  
Brain Stimulation ◽  
Resonance Imaging ◽  
Imaging Guidance ◽  
Intraoperative Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Guidance ◽  
Deep Brain

Abstract BACKGROUND AND IMPORTANCE: Chorea acanthocytosis is a progressive hereditary neurodegenerative disorder characterized by hyperkinetic movements, seizures, and acanthocytosis in the absence of any lipid abnormality. Medical treatment is typically limited and disappointing. CLINICAL PRESENTATION: We report on a 32-year-old patient with chorea acanthocytosis with a failed attempt at awake deep brain stimulation (DBS) surgery due to intraoperative seizures and postoperative intracranial hematoma. He then underwent a second DBS operation, but under general anesthesia and with intraoperative magnetic resonance imaging guidance. Marked improvement in his dystonia, chorea, and overall quality of life was noted 2 and 8 months postoperatively. CONCLUSION: DBS surgery of the bilateral globus pallidus pars interna may be useful in controlling the hyperkinetic movements in neuroacanthocytosis. Because of the high propensity for seizures in this disorder, DBS performed under general anesthesia, with intraoperative magnetic resonance imaging guidance, may allow successful implantation while maintaining accurate target localization.

scholarly journals Technical nuances to minimize common complications of deep brain stimulation

2017 ◽  
Vol 42 (videosuppl2) ◽  
pp. V2
Author(s):  
Paul House
Keyword(s):  
Deep Brain Stimulation ◽  
Surgical Technique ◽  
Brain Stimulation ◽  
Deep Brain Stimulator ◽  
Link Type ◽  
Prospective Trials ◽  
Skin Erosion ◽  
Deep Brain

The implantation of deep brain stimulator electrodes is associated with infrequent complications. These complications are consistent across prospective trials and include infection, skin erosion, hemorrhage, and lead misplacement. Nuances of surgical technique can be used to minimize the risk of these commonly noted complications. Several of these technical nuances are highlighted in this video submission.The video can be found here: https://youtu.be/GL09W9p013g.

Accuracy of Magnetic Resonance Imaging–Directed Frame-Based Stereotaxis

2011 ◽  
Vol 70 (suppl_1) ◽  
pp. ons114-ons124 ◽  
Author(s):  
Nova B. Thani ◽  
Arul Bala ◽  
Christopher R. P. Lind
Keyword(s):  
Deep Brain Stimulation ◽  
Magnetic Resonance ◽  
Brain Stimulation ◽  
Entry Point ◽  
Mean Deviation ◽  
Guide Tube ◽  
3 Dimensional ◽  
The Mean ◽  
The Brain ◽  
Deep Brain

Abstract BACKGROUND: Accurate placement of a probe to the deep regions of the brain is an important part of neurosurgery. In the modern era, magnetic resonance image (MRI)-based target planning with frame-based stereotaxis is the most common technique. OBJECTIVE: To quantify the inaccuracy in MRI-guided frame-based stereotaxis and to assess the relative contributions of frame movements and MRI distortion. METHODS: The MRI-directed implantable guide-tube technique was used to place carbothane stylettes before implantation of the deep brain stimulation electrodes. The coordinates of target, dural entry point, and other brain landmarks were compared between preoperative and intraoperative MRIs to determine the inaccuracy. RESULTS: The mean 3-dimensional inaccuracy of the stylette at the target was 1.8 mm (95% confidence interval [CI], 1.5-2.1. In deep brain stimulation surgery, the accuracy in the x and y (axial) planes is important; the mean axial inaccuracy was 1.4 mm (95% CI, 1.1-1.8). The maximal mean deviation of the head frame compared with brain over 24.1 ± 1.8 hours was 0.9 mm (95% CI, 0.5-1.1). The mean 3-dimensional inaccuracy of the dural entry point of the stylette was 1.8 mm (95% CI, 1.5-2.1), which is identical to that of the target. CONCLUSION: Stylette positions did deviate from the plan, albeit by 1.4 mm in the axial plane and 1.8 mm in 3-dimensional space. There was no difference between the accuracies at the dura and the target approximately 70 mm deep in the brain, suggesting potential feasibility for accurate planning along the whole trajectory.

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