Tag: lead implantation

Predicting DBS Lead Implantation Success from Microsubthalamotomy

Neurologist 1: “We generally do not use microelectrode recordings for target location in the subthalamic nucleus. We use the patient’s clinical response to DBS test stimulation and adjust the location of the lead if we need to. However, our last patient had a remarkable microsubthalamotomy effect so we could only test whether the patient would […]

Microelectrode Arrays versus Single Electrodes

“Well, Jane, it just goes to show you, it’s always something—if it ain’t one thing, it’s another.” – Roseanne Roseannadanna (Gilda Radner) Saturday Night Live, NBC television There is great diversity between surgical approaches for Deep Brain Stimulation (DBS) lead implantation; however, there is no “smoking gun” evidence for one approach over another. However, it […]

Deep Brain Stimulation Lead Implantation Surgery – Awake or Asleep?

“To sleep, perchance to dream- ay, there’s the rub.” — Hamlet (III, i, 65-68), Shakespeare The great diversity of surgical methods for Deep Brain Stimulation (DBS) lead implantation raises interesting issues. A neurologist looking in from the outside would have to ask the question, are all of the implantation approaches right? To be sure, even […]