Frameless Stereotaxis for Subthalamic Nucleus Deep Brain Stimulation: An Innovative Method for the Direct Visualization of Electrode Implantation by Intraoperative X-ray Control

Brain Sciences
Paolo MazzoneEugenio Scarnati

Abstract

The recent introduction of frameless devices has enabled stereotactic neurosurgery to reach a level of accuracy that is comparable to traditional frame-based methodologies. Among frameless devices, the Nexframe appears to be very useful in implanting electrodes into the subthalamic nucleus or other structures for deep brain stimulation in Parkinson's disease. However, frameless devices, including the Nexframe, limit the possibility of intraoperative visual control of the placement of electrodes in the brain. Utilizing intraoperative O-arm Computed tomography (CT) scan or high-field Magnetic Resonance Imaging (MRI) could overcome this limitation, but their high cost restricts their use. Thus, in this paper we propose an innovation in Nexframe surgical planning that allows the intraoperative use of a C-arm X-ray apparatus to establish: (1) the progression of the electrode guide tube and the electrode in the brain; (2) the accuracy of the electrode trajectory; and (3) the correct attainment of the target. The proposed frameless technique using the Nexframe has been developed and successfully applied in our practice. It was shown to be helpful in overcoming the major issues that are usually encountered when electrodes are placed in...Continue Reading

References

Jun 15, 2000·Stereotactic and Functional Neurosurgery·K V SlavinK J Burchiel
Mar 23, 2002·Stereotactic and Functional Neurosurgery·R SteinmeierR Fahlbusch
Oct 6, 2005·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Alastair J MartinPhilip A Starr
Oct 21, 2005·Journal of Neurosurgery·Kathryn L HollowayJaimie M Henderson
Feb 15, 2011·Journal of Neural Transmission·Paolo MazzoneEugenio Scarnati
Apr 19, 2011·Journal of Neurosurgery·Adam P Smith, Roy A E Bakay
Jun 14, 2012·Movement Disorders : Official Journal of the Movement Disorder Society·Leo Verhagen MetmanRoy A E Bakay
Oct 22, 2013·British Journal of Neurosurgery·Chun-Yuan ChengMeng-Chih Lee
Aug 1, 2015·Stereotactic and Functional Neurosurgery·Maarten BotLeo Verhagen Metman
Aug 15, 2015·Movement Disorders : Official Journal of the Movement Disorder Society·Leo Verhagen Metman, Konstantin V Slavin
Jan 19, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Mayur Sharma, Milind Deogaonkar
Jan 15, 2018·Progress in Neurological Surgery·Viktoras Palys, Kathryn L Holloway

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Software Mentioned

FrameLink
Nexframe
Medtronic Stealth - Station Framelink

Related Concepts

Related Feeds

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.