Tag: STN

Microelectrode Recordings: How Much is Enough?

Microelectrode Recordings (MERs) It would appear obvious that there is a great diversity in surgical approaches to Deep Brain Stimulation (DBS) lead implantation. In the near mathematical impossibility of randomized control trials that pits each different approach against the others, how is one to decide which approach or method is best? These newsletters have argued […]

A Chain is Only as Strong as its Weakest Link: the Microelectrode

The targets for Deep Brain Stimulation (DBS) for movement disorders are not the subthalamic nucleus (STN), globus pallidus interna (GPi) or the ventral intermediate nucleus of the thalamus (Vim).  It is the sensori-motor region of the STN.  It is the motor homunculus appropriate to the patient’s symptomology in the GPi and Vim.  To date, the […]

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 […]