Secondary STN-DBS ater failing GPI-DBS in advanced Parkinson's dsiease is as effective as primary STN-DBS

Details

Serval ID
serval:BIB_0809B6597BA1
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Secondary STN-DBS ater failing GPI-DBS in advanced Parkinson's dsiease is as effective as primary STN-DBS
Title of the conference
XIVth Congress of the European Society for Stereotactic and Functional Neurosurgery
Author(s)
Villemure JG, Vingerhoets F, Pollo C, Temperli P, Ghika J
Address
London, United Kingdom, October 25-27, 2000
ISBN
0942-0940
ISSN-L
0001-6268
Publication state
Published
Issued date
2000
Volume
142
Series
Acta Neurochirurgica
Pages
1173
Language
english
Abstract
Objectives: To correlate the chronic stimulated electrode position on postoperative MRI with the clinical response obtained in PD patients. Material and Method: We retrospectively reviewed 14 consecutive parkinsonian patients who were selected for STN-DBS surgery. Coordinates were determined on an IR T2 MRI coronal section per pendicular to AC-PC plane 3 mm posterior to midcommissural point (MCP) and 12 mm lateral to the midline the inferior aspect of subthalamic region. A CRW stereotactic frame was used for the surgical procedure. A 3D IR T2 MRI was performed postoperatively to determine the location of the stimulated contact in each patient. The clinical results were assessed independently by the neurological team. Results: All but 2 patients had monopolar stimulation. The mean coordinates of the stimulated contacts were: AP ^ ÿ4:23G1:4, Lat ^ 1:12G0:15, Vert ^ ÿ4:1 G2:7 to the MCP. With a mean follow-up of 8 months, all stimulated patients had a signi®cant clinical improvement (preop/postop «ON» UPDRS: 25:8G7:0= 23:3 G8:6; preop/postop «OFF» UPDRS: 50:2G11:4=26:0 G7:8), 60% of them without any antiparkinsonian drug. Conclusion: According to the stereotactic atlas of Schaltenbrand and Warren and the 3D shape of the STN, our results show that our targetting is accurate and almost all the stimulated contacts are comprised in the STN volume. This indicates that MRI is a safe, precise and reproducible procedure for targetting the STN. The location of the stimulated contact within the STN volume is a good predictor of the clinical results.
Create date
11/12/2013 23:10
Last modification date
20/08/2019 12:30
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