𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Imaging of subthalamic nucleus and ventralis intermedius of the thalamus

✍ Scribed by Alim Louis Benabid; Adnan Koudsie; Abdelhamid Benazzouz; Jean-François Le Bas; Pierre Pollak


Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
468 KB
Volume
17
Category
Article
ISSN
0885-3185

No coin nor oath required. For personal study only.

✦ Synopsis


The techniques of targeting the subthalamic nucleus (STN) and the ventralis intermedius nucleus (Vim) are similar, only the coordinates are different. Targeting ideally consists of gathering all data about a target and positioning the electrode correctly within that target. The electrode should be positioned within a statistical range of coordinates, where the neuronal firing fits a given pattern and responds to external stimuli, particularly to proprioceptive inputs, in a somatotopically organized manner. Moreover, final placement should provide the best clinical improvement of symptoms under the stimulation parameters expected to be used in the long term. This latter criterion is by far the most important, because intraoperative findings indicate the functional benefit for the patient, which is the ultimate purpose of this surgery. A variety of radiological modalities are available to provide data for electrode placement, but each type has its drawbacks. Ventriculography, although safe when performed accordingly to strict technical procedure, is the most precise method but provides more indirect targeting and is more invasive than magnetic resonance imaging (MRI). MRI is the best method for visualizing the STN and, to some extent, for discerning the Vim, but it is plagued with unpredictable and nonreproducible deformations that induce a systematic distortion. These shortcomings no doubt will be corrected in the near future, and the technologies will better assist us in the proper placement of electrodes, which will provide the patient with the highest possible benefit.


📜 SIMILAR VOLUMES


Functional imaging of subthalamic nucleu
✍ Tessel Boertien; Ludvic Zrinzo; Joshua Kahan; Marjan Jahanshahi; Marwan Hariz; L 📂 Article 📅 2011 🏛 John Wiley and Sons 🌐 English ⚖ 233 KB

Deep brain stimulation of the subthalamic nucleus is an accepted treatment for the motor complications of Parkinson's disease. The therapeutic mechanism of action remains incompletely understood. Although the results of deep brain stimulation are similar to the results that can be obtained by lesion

Stimulation of the subthalamic nucleus a
✍ Benedicte Ballanger; Thilo van Eimeren; Elena Moro; Andres M. Lozano; Clement Ha 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 327 KB

Objective: In Parkinson disease (PD) patients, deep brain stimulation (DBS) of the subthalamic nucleus (STN) may contribute to certain impulsive behavior during high-conflict decisions. A neurocomputational model of the basal ganglia has recently been proposed that suggests this behavioral aspect ma

Localization of dopaminergic markers in
✍ Sarah J. Augood; Zane R. Hollingsworth; David G. Standaert; Piers C. Emson; John 📂 Article 📅 2000 🏛 John Wiley and Sons 🌐 English ⚖ 564 KB

The potential role for dopamine in the subthalamic nucleus was investigated in human postmortem tissue sections by examining; (1) immunostaining for tyrosine hydroxylase, the rate-limiting enzyme in catecholamine synthesis; (2) binding of [ 3 H]-SCH23390 (D1-like), [ 3 H]-YM-09151-2 (D2-like), and [

Intraoperative microrecordings of the su
✍ Abdelhamid Benazzouz; Sorin Breit; Adnan Koudsie; Pierre Pollak; Paul Krack; Ali 📂 Article 📅 2002 🏛 John Wiley and Sons 🌐 English ⚖ 66 KB

Microelectrode recordings of single unit neuronal activity were used during stereotactic surgery to define the subthalamic nucleus for chronic deep brain stimulation in the treatment of Parkinson's disease. By using five parallel trajectories, often two to three microelectrodes allow us to recognize