PMID: 16519424Mar 8, 2006Paper

Epidural motor cortex stimulation with functional imaging guidance

Neurosurgical Focus
A Y Mogilner, Ali R Rezai

Abstract

Chronic epidural motor cortex stimulation (MCS) has been shown to have promise in the treatment of patients with refractory deafferentation pain. Precise placement of the electrode over the motor cortex region corresponding to the area of pain is essential for the success of this procedure. Whereas standard anatomical landmarks have been used in the past in conjunction with image guidance, the use of functional brain imaging can be beneficial in the precise surgical planning. The authors report the use of functional imaging-guided frameless stereotactic surgery for epidural MCS. Five patients underwent MCS in which functional imaging guidance was used. Prior to surgery, patients underwent magnetic resonance (MR) imaging with skin fiducial markers placed on standard anatomical reference prints, followed by magnetoencephalography (MEG) mapping of the sensory and motor cortices. In two patients, functional MR imaging was also performed using a motor task paradigm. The functional imaging data were integrated into a frameless stereotactic database by using a three-dimensional coregistration algorithm. Subsequently, a frameless stereotactic craniotomy was performed using the integrated anatomical and functional imaging data for surgi...Continue Reading

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Citations

Jan 1, 2008·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Jeffrey E Arle, Jay L Shils
Mar 8, 2007·Neurosurgical Focus·Jaimie M Henderson, Shivanand P Lad
Jul 2, 2008·Journal of Neurosurgery·Jeffrey E ArleJay L Shils
Dec 12, 2012·Surgical Neurology International·Guillermo A Monsalve
Sep 23, 2014·Neurosurgery Clinics of North America·Thomas OstergardJonathan P Miller
Nov 20, 2012·Neurologia i neurochirurgia polska·Tomasz MandatWiesław Bonicki
Dec 18, 2007·Neurophysiologie clinique = Clinical neurophysiology·B CioniN Montano
Sep 21, 2011·Nature Reviews. Neurology·Jean-Paul NguyenJean-Pascal Lefaucheur

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