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Stereotactic Functional Neurosurgery
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Month: December 2019

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  • Dec Archives

Long term correlation of subthalamic beta band activity with motor impairment in patients with Parkinson’s disease. Neumann WJ, Staub-Bartelt F, Horn A, Schanda J, Schneider GH, Brown P, Kühn AA. Clin Neurophysiol. 2017 Nov;128(11):2286-2291.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: In 12 patients with STN DBS who had a special IPG called “Activa PC + S” (that allows recording of LFP) the authors could record LFPs On and OFF med at 8 months after surgery showing that beta activity …

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Cerebral peri-lead edema following deep brain stimulation surgery. Habibi SAH, Shahidi G, Parvaresh M, Fasano A, Pouranian M, Yazdi N, Modara F, Mehdizadeh M, Taghizadeh G, Rohani M. Neurol Sci. 2019 Aug 29.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: This is a case of severe MRI visible massive peri-electrode edema on one side stretching down to the STN. This appeared only 4 days after surgery when the patient developed lethargy and mild confusion in absence of fever or …

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Modulation of Nigrofugal and Pallidofugal Pathways in Deep Brain Stimulation for Parkinson Disease. Avecillas-Chasin JM, Honey CR. Neurosurgery. 2019 Dec 12.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: The authors retrospectively evaluated 43 patients with PD who received bilateral STN-DBS. The volumes of activated tissue were analyzed to obtain significant stimulation clusters predictive of 4 clinical outcomes: improvements in bradykinesia, rigidity, tremor, and reduction of dopaminergic medication. …

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Decision under risk: Argument against early deep brain stimulation in Parkinson’s disease. Kim HJ, Jeon B. Parkinsonism Relat Disord. 2019 Dec;69:7-10.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: EARLYSTIM has been very advertised since the paper published in NEJM in 2013. Kim et al argue that “despite of more benefit from DBS surgery than best medical therapy in early stage of PD, we need to consider the …

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Comparison of Awake and Asleep Deep Brain Stimulation for Parkinson’s Disease: A Detailed Analysis Through Literature Review. Wang J, Ponce FA, Tao J, Yu HM, Liu JY, Wang YJ, Luan GM, Ou SW. Neuromodulation. 2019 Dec 12.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: The authors reviewed 58 articles to explore the similarities and differences between “awake” and “asleep” DBS techniques. The surgical procedures, clinical outcomes, costs and complications of each technique were compared in detail through literature review. The results demonstrated that …

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Utilizing the Flexibility of Directional Deep Brain Stimulation Intraoperatively (if Needed) to Minimize Microelectrode Lead Repositioning. Falconer R, Shah T, Rogers S, Green A, Shenai M. Cureus. 2019 Jul 30;11(7):e5276.

  • Posted by Marwan Hariz
  • Categories Publications
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SUMMARY: The authors describe a patient in whom STN DBS implantation based on one MER pass resulted in good response at 1 mA but sustained dysarthria at 2 mA, suggesting a slightly anteriorly located electrode. Instead of lead adjustment and …

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