Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Zrinzo, L; Holl, EM; Petersen, EA; Limousin, P; Foltynie, T; Hariz, MI.
Skewering the Subthalamic Nucleus via a Parietal Approach.
Stereotact Funct Neurosurg. 2011; 89(2):70-75
Doi: 10.1159/000323371
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Holl Etienne
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- Abstract:
- Background/Aims: A frontal burr hole around the level of the coronal suture is the conventional entry point when performing subthalamic nucleus (STN) deep brain stimulation (DBS). However, alternative approaches may sometimes be necessary. Methods: We present a report of delayed hardware erosion through the scalp in the left frontal region after successful bilateral STN DBS for Parkinson's disease. The left STN was retargeted via a parietal entry point. Results: Significant improvement in UPDRS motor score (59%) was obtained with bilateral stimulation 6 months after re-operation. The literature was examined for similar approaches and the rationale, risks and benefits of non-frontal entry points in functional neurosurgery were explored. Conclusion: Together with a brief review of STN anatomy, this report demonstrates that the parietal approach to the STN remains a viable option in addition to the more traditional frontal access. Copyright (C) 2011 S. Karger AG, Basel
- Find related publications in this database (using NLM MeSH Indexing)
- Deep Brain Stimulation - adverse effects
- Female -
- Humans -
- Magnetic Resonance Imaging -
- Middle Aged -
- Neurosurgical Procedures - adverse effects
- Parietal Bone - surgery
- Parkinson Disease - therapy
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- Subthalamic Nucleus - pathology
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Deep brain stimulation
- Parkinson's disease
- Subthalamic nucleus
- Magnetic resonance imaging