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Description
| - Pacient s pozdní formou Parkinsonovy choroby podstoupil hlubokou mozkovou stimulaci (DBS). Po implantaci první kvadripolární elektrody do STN se náhle objevila alterace vědomí a rozvinula se homolaterální hemiparéza. Urgentně provedené CT a MRI odhalily rozsáhlý pneumocefalus v levém frontálním regionu. Pól frontálním laloku byl komprimován posteriorně 40 mm, levý přední roh postrnní komory byl posunut vzad 30 mm a AC, PC byly deviovány posteriorně 1 mm a laterálně vpravo 1.5 mm. Koordináty kontaktu kvadripolární elektrody, který byl zaveden do cíle byly posunuty proti původním výpočtům v rozmezí 0.4 – 0.6 mm. Čím více v hloubi mozku, tím menší deviace mozkových struktur byla pozorována. V oblasti subthalamu byl zaznamenán posun koordinát na hranici přesnosti MRI a neměl vliv na přesnost prováděné operace. (cs)
- A patient suffering from advanced Parkinson’s disease underwent deep brain stimulation (DBS). After the implantation the first quadripolar electrode in the STN, a sudden alteration of consciousness and homolateral hemiparesis developed. An urgent CT and MRI disclosed a large-scale pneumocephalus in the left frontal region. The pole of the frontal lobe was compressed posteriorly 40 mm, the left anterior horn of lateral ventricle was shifted towards the back 30 mm, the AC and PC were shifted posteriorly for 1mm and to the right side by 1.5 mm. The coordinates of the quadripolar electrode contact introduced into the target changed from the original calculation in the range 0.4 – 0.6 mm. The more we moved into intracerebral space, the smaller the deviation of brain structured was noticed. Regarding the level of subthalamus, the shift was on the border resolution of MRI and did not really influence the precision of surgery.
- A patient suffering from advanced Parkinson’s disease underwent deep brain stimulation (DBS). After the implantation the first quadripolar electrode in the STN, a sudden alteration of consciousness and homolateral hemiparesis developed. An urgent CT and MRI disclosed a large-scale pneumocephalus in the left frontal region. The pole of the frontal lobe was compressed posteriorly 40 mm, the left anterior horn of lateral ventricle was shifted towards the back 30 mm, the AC and PC were shifted posteriorly for 1mm and to the right side by 1.5 mm. The coordinates of the quadripolar electrode contact introduced into the target changed from the original calculation in the range 0.4 – 0.6 mm. The more we moved into intracerebral space, the smaller the deviation of brain structured was noticed. Regarding the level of subthalamus, the shift was on the border resolution of MRI and did not really influence the precision of surgery. (en)
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Title
| - Pneumocephalus and its influence on the accuracy of deep brain stimulation in the region of subthalamic nucleus (STN)
- Pneumocephalus and its influence on the accuracy of deep brain stimulation in the region of subthalamic nucleus (STN) (en)
- Pneumocefalus a jeho vliv na přesnost hluboké mozkové stimulace v oblasti nucleus subthalamicus (STN) (cs)
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skos:prefLabel
| - Pneumocephalus and its influence on the accuracy of deep brain stimulation in the region of subthalamic nucleus (STN)
- Pneumocephalus and its influence on the accuracy of deep brain stimulation in the region of subthalamic nucleus (STN) (en)
- Pneumocefalus a jeho vliv na přesnost hluboké mozkové stimulace v oblasti nucleus subthalamicus (STN) (cs)
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skos:notation
| - RIV/00023884:_____/06:00000005!RIV07-MZ0-00023884
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http://linked.open.../vavai/riv/strany
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http://linked.open...avai/riv/aktivita
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http://linked.open...avai/riv/aktivity
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http://linked.open...iv/cisloPeriodika
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http://linked.open...vai/riv/dodaniDat
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http://linked.open...aciTvurceVysledku
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http://linked.open.../riv/druhVysledku
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http://linked.open...iv/duvernostUdaju
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http://linked.open...titaPredkladatele
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http://linked.open...dnocenehoVysledku
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http://linked.open...ai/riv/idVysledku
| - RIV/00023884:_____/06:00000005
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http://linked.open...riv/jazykVysledku
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http://linked.open.../riv/klicovaSlova
| - pneumocephalus; stereotaxy; target accuracy (en)
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http://linked.open.../riv/klicoveSlovo
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http://linked.open...odStatuVydavatele
| - DE - Spolková republika Německo
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http://linked.open...ontrolniKodProRIV
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http://linked.open...i/riv/nazevZdroje
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http://linked.open...in/vavai/riv/obor
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http://linked.open...ichTvurcuVysledku
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http://linked.open...cetTvurcuVysledku
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http://linked.open...vavai/riv/projekt
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http://linked.open...UplatneniVysledku
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http://linked.open...v/svazekPeriodika
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http://linked.open...iv/tvurceVysledku
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issn
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number of pages
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