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Stereotactic Functional Neurosurgery
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Month: December 2019

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  • 2019 Archives
  • Dec Archives

Deep brain stimulation versus pallidotomy for status dystonicus: a single-center case series. Levi V, Zorzi G, Messina G, Romito L, Tramacere I, Dones I, Nardocci N, Franzini A. J Neurosurg. 2019 Dec 20:1-11.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: 14 patients with a mean postoperative follow-up of 40.6 ± 30 months. DBS ended the dystonic storm in 87.5% of cases (7/8), while pallidotomy had a success rate of 83.3% (5/6). No significant differences were observed between the two …

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Deep brain stimulation in the caudal zona incerta in patients with essential tremor: effects on cognition 1 year after surgery. Philipson J, Blomstedt P, Hariz M, Jahanshahi M. J Neurosurg. 2019 Dec 20:1-8.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: The authors investigated 26 consecutive ET patients who received DBS in cZi using a comprehensive neuropsychological test battery covering the major cognitive domains preop. and 12 months postop. There were no major adverse effects on patient performance on the …

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The striking effects of deep cerebellar stimulation on generalized fixed dystonia: case report. Horisawa S, Arai T, Suzuki N, Kawamata T, Taira T. J Neurosurg. 2019 Mar 1:1-5.

  • Posted by Marwan Hariz
  • Categories Publications
  • Comments 0 comment

SUMMARY: A 16 year old girl with severe generalized fixed dystonia that was refractory to bilateral pallidotomy and intrathecal baclofen therapy received 4 DBS leads, 2 through the bilateral superior cerebellar peduncle (SCP) and 2 in the dentate nuclei (DN). …

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Left Radiofrequency Thalamotomy for Drug-Refractory Essential Tremor. Grewal SS, Domingo RA, Wharen RE Jr. World Neurosurg. 2019 Nov 5;134:438.

  • Posted by Marwan Hariz
  • Categories Publications
  • Comments 0 comment

SUMMARY: A 91-year-old man with essential tremor was offered all available treatment modalities and opted for a radiofrequency thalamotomy. A left thalamic target with coordinates 11.5 mm lateral to the wall of the third ventricle, 8 mm anterior to the …

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Pallidothalamic Tractotomy (Forel’s Field H1-tomy) for Dystonia: Preliminary Results. Horisawa S, Fukui A, Tanaka Y, Wendong L, Yamahata H, Kawamata T, Taira T. World Neurosurg. 2019 Sep;129:e851-e856.

  • Posted by Marwan Hariz
  • Categories Publications
  • Comments 0 comment

SUMMARY: Eleven patients underwent unilateral pallidothalamic tractotomy, including 5 with generalized dystonia, 4 with segmental dystonia, and 2 with cervical dystonia. All patients had undergone unilateral pallidotomy before the contralateral pallidothalamic tractotomy. The mean interval between the previous surgery (pallidotomy) …

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Posterior subthalamic area deep brain stimulation for treatment of tremor and dystonia in Wilson’s disease. Low HL, Alexander SK, Misbahuddin A, Gillett GT. Brain Stimul. 2019 Sep – Oct;12(5):1304-1306.

  • Posted by Marwan Hariz
  • Categories Publications
  • Comments 0 comment

SUMMARY: a patient with Wilson’s disease whose major problems were severe arm tremors and left arm dystonia underwent bilateral PSA-DBS with excellent results on both tremor and dystonia at 3 years follow up. COMMENTS: Another indication for use of the …

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Directional DBS leads show large deviations from their intended implantation orientation. Dembek TA, Hoevels M, Hellerbach A, Horn A, Petry-Schmelzer JN, Borggrefe J, Wirths J, Dafsari HS, Barbe MT, Visser-Vandewalle V, Treuer H. Parkinsonism Relat Disord. 2019 Oct;67:117-121.

  • Posted by Marwan Hariz
  • Categories Publications
  • Comments 0 comment

SUMMARY: Lead orientation was analyzed in 100 consecutive patients (198 Cartesia BSc leads). Different anatomical targets and intraoperative setups were compared. Results: Deviations of up to 90° from the intended implantation direction were observed. Deviations of more than 30° were …

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Beware of deep water after subthalamic deep brain stimulation. Waldvogel D, Baumann-Vogel H, Stieglitz L, Hänggi-Schickli R, Baumann CR. Neurology. 2019 Nov 27.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: 9 patients who had been proficient swimmers even after their PD diagnosis lost their ability to swim after STN DBS. Otherwise they had good effect of DBS even on gait. The authors speculate that maybe DBS affects the supplementary …

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Complete resolution of postherpetic neuralgia following pallidotomy: case report. De Vloo P, Milosevic L, Gramer RM, Aguirre-Padilla DH, Dallapiazza RF, Lee DJ, Hutchison WD, Fasano A, Lozano AM. J Neurosurg. 2019 Sep 27:1-6.

  • Posted by Marwan Hariz
  • Categories Publications
  • Comments 0 comment

SUMMARY: A female patient with left-dominant Parkinson’s disease with motor fluctuations and dyskinesias and comorbid long-standing, pharmacologically refractory, and severe postherpetic neuralgia (PHN) underwent a right-sided pallidotomy. Besides a substantial improvement in her Parkinson’s symptoms, she reported an immediate and …

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Pallidal low-frequency activity in dystonia after cessation of long-term deep brain stimulation. Scheller U, Lofredi R, van Wijk BCM, Saryyeva A, Krauss JK, Schneider GH, Kroneberg D, Krause P, Neumann WJ, Kühn AA. Mov Disord. 2019 Nov;34(11):1734-1739.

  • Posted by Marwan Hariz
  • Categories Publications
  • Comments 0 comment

SUMMARY: Here LFPs were recorded from the GPi in 9 dystonia patients when stim was off, showing correlation between low frequency activity (3-12 Hz) and symptom severity. Beta band activity (13-30Hz) did not show such correlation. The authors conclude that …

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