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Statements

Subject Item
n2:RIV%2F00159816%3A_____%2F13%3A00060680%21RIV14-MZ0-00159816
rdf:type
n7:Vysledek skos:Concept
dcterms:description
Objective: The aim of the paper was to describe the relationship of the anatomical and electrophysiological target for the subthalamic electrode implantation in Parkinson's disease patients defined as the best electrophysiological recordings from multiple paralel electrodes tracts with a target discrepancy explanation. Background: Although microrecording is the standard in subthalamic stimulation, microelectrode monitoring prolongs surgical time and may increase the risk of haemorrhagic complications. The main purpose for the electrophysiological mapping is to overcome the discrepancy between the anatomical and electrophysiological targets. Methods: Subthalamic electrodes were stereotactically implanted in 58 patients using microrecording by means of parallel electrodes at defined distances. The relationship of the final electrode to the anatomical trajectory, the subthalamic nucleus electrical activity length, and the relationship of right and left electrodes were analysed. Results: The final electrode placement matched the anatomical trajectory in 53.4 % of patients on the right side, and 43.1 % of patients on the left side. The electrode position was symmetrical in 38.3 % of patients. The analysis of left and right electrode positions did not prove brain shift as the sole factor responsible for anatomy-functional discrepancy. Further, neither age, Parkinson's disease duration, or L-DOPA adverse effects were confirmed as responsible factors. Conclusions: The difference between the anatomical trajectory and the final electrode placement underlined the need for functional microelectrode monitoring. Brain shift is not the only causative factor for the difference (Tab. 7, Ref. 27). Full Text in PDF www.elis.sk. Objective: The aim of the paper was to describe the relationship of the anatomical and electrophysiological target for the subthalamic electrode implantation in Parkinson's disease patients defined as the best electrophysiological recordings from multiple paralel electrodes tracts with a target discrepancy explanation. Background: Although microrecording is the standard in subthalamic stimulation, microelectrode monitoring prolongs surgical time and may increase the risk of haemorrhagic complications. The main purpose for the electrophysiological mapping is to overcome the discrepancy between the anatomical and electrophysiological targets. Methods: Subthalamic electrodes were stereotactically implanted in 58 patients using microrecording by means of parallel electrodes at defined distances. The relationship of the final electrode to the anatomical trajectory, the subthalamic nucleus electrical activity length, and the relationship of right and left electrodes were analysed. Results: The final electrode placement matched the anatomical trajectory in 53.4 % of patients on the right side, and 43.1 % of patients on the left side. The electrode position was symmetrical in 38.3 % of patients. The analysis of left and right electrode positions did not prove brain shift as the sole factor responsible for anatomy-functional discrepancy. Further, neither age, Parkinson's disease duration, or L-DOPA adverse effects were confirmed as responsible factors. Conclusions: The difference between the anatomical trajectory and the final electrode placement underlined the need for functional microelectrode monitoring. Brain shift is not the only causative factor for the difference (Tab. 7, Ref. 27). Full Text in PDF www.elis.sk.
dcterms:title
Subthalamic electrode implantation using the MicroDrive system and the importance of microrecording data Subthalamic electrode implantation using the MicroDrive system and the importance of microrecording data
skos:prefLabel
Subthalamic electrode implantation using the MicroDrive system and the importance of microrecording data Subthalamic electrode implantation using the MicroDrive system and the importance of microrecording data
skos:notation
RIV/00159816:_____/13:00060680!RIV14-MZ0-00159816
n7:predkladatel
n19:ico%3A00159816
n3:aktivita
n12:I n12:P
n3:aktivity
I, P(NS10411)
n3:cisloPeriodika
6
n3:dodaniDat
n18:2014
n3:domaciTvurceVysledku
n14:7854870 n14:1369938 n14:1791656 n14:6069711 n14:9418431
n3:druhVysledku
n8:J
n3:duvernostUdaju
n4:S
n3:entitaPredkladatele
n17:predkladatel
n3:idSjednocenehoVysledku
108917
n3:idVysledku
RIV/00159816:_____/13:00060680
n3:jazykVysledku
n15:eng
n3:klicovaSlova
brain shift; microelectrode recording; subthalamic stimulation; stereotaxy
n3:klicoveSlovo
n10:subthalamic%20stimulation n10:stereotaxy n10:microelectrode%20recording n10:brain%20shift
n3:kodStatuVydavatele
SK - Slovenská republika
n3:kontrolniKodProRIV
[1B1807A70126]
n3:nazevZdroje
Bratislavské lekárske listy
n3:obor
n13:FP
n3:pocetDomacichTvurcuVysledku
5
n3:pocetTvurcuVysledku
5
n3:projekt
n6:NS10411
n3:rokUplatneniVysledku
n18:2013
n3:svazekPeriodika
114
n3:tvurceVysledku
Baláž, Marek Chrastina, Jan Novák, Zdeněk Bočková, Martina Říha, Ivo
n3:wos
000321023200003
s:issn
0006-9248
s:numberOfPages
6
n11:doi
10.4149/BLL_2013_066