Jul 22, 2018

Frameless robot-assisted pallidal deep brain stimulation surgery in pediatric patients with movement disorders: precision and short-term clinical results

Journal of Neurosurgery. Pediatrics
Santiago CandelaBelén Pérez-Dueñas

Abstract

The purpose of this study was to verify the safety and accuracy of the Neuromate stereotactic robot for use in deep brain stimulation (DBS) electrode implantation for the treatment of hyperkinetic movement disorders in childhood and describe the authors' initial clinical results. A prospective evaluation of pediatric patients with dystonia and other hyperkinetic movement disorders was carried out during the 1st year after the start-up of a pediatric DBS unit in Barcelona. Electrodes were implanted bilaterally in the globus pallidus internus (GPi) using the Neuromate robot without the stereotactic frame. The authors calculated the distances between the electrodes and their respective planned trajectories, merging the postoperative CT with the preoperative plan using VoXim software. Clinical outcome was monitored using validated scales for dystonia and myoclonus preoperatively and at 1 month and 6 months postoperatively and by means of a quality-of-life questionnaire for children, administered before surgery and at 6 months' follow-up. We also recorded complications derived from the implantation technique, "hardware," and stimulation. Six patients aged 7 to 16 years and diagnosed with isolated dystonia ( DYT1 negative) (3 patient...Continue Reading

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References

  • References5
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Citations

Mentioned in this Paper

Computer Software
Unified Parkinson's Disease Rating Scale Questionnaire
Study
Follow-up
Paleostriatum
Hyperactive Behavior
Robotic Procedure With Computer Assistance
Myoclonic Dystonia
Blastocyst Implantation, Natural
Choreoathetosis

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