How I do it — asleep DBS placement for Parkinson’s disease

Roldan, Pedro; Mosteiro, Alejandra; Valldeoriola, Francesc; Rumià, Jordi

doi:10.1007/s00701-023-05659-7

How I do it — asleep DBS placement for Parkinson’s disease

Document detail

ID

doi:10.1007/s00701-023-05659-7...

Author

Roldan, Pedro Mosteiro, Alejandra Valldeoriola, Francesc Rumià, Jordi

Langue

Editor

Springer

Year

2023

listing date

6/21/2023

Keywords

dbs parkinson subthalamic nucleus asleep oarm

Metrics

Abstract

Background Traditionally, functional neurosurgery relied in stereotactic atlases and intraoperative micro-registration in awake patients for electrode placement in Parkinson’s disease.

Cumulative experience on target description, refinement of MRI, and advances in intraoperative imaging has enabled accurate preoperative planning and its implementation with the patient under general anaesthesia.

Methods Stepwise description, emphasising preoperative planning, and intraoperative imaging verification, for transition to asleep-DBS surgery.

Conclusion Direct targeting relies on MRI anatomic landmarks and accounts for interpersonal variability.

Indeed, the asleep procedure precludes patient distress.

A particular complication to avoid is pneumocephalus; it can lead to brain-shift and potential deviation of electrode trajectory.

Roldan, Pedro,Mosteiro, Alejandra,Valldeoriola, Francesc,Rumià, Jordi, 2023, How I do it — asleep DBS placement for Parkinson’s disease, Springer