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Published in: Acta Neurochirurgica 12/2010

01-12-2010 | Clinical Article

Comparison of electrode location between immediate postoperative day and 6 months after bilateral subthalamic nucleus deep brain stimulation

Authors: Yong Hwy Kim, Hee Jin Kim, Cheolyoung Kim, Dong Gyu Kim, Beom Seok Jeon, Sun Ha Paek

Published in: Acta Neurochirurgica | Issue 12/2010

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Abstract

Objective

We compared the electrode positions of subthalamic nucleus (STN) deep brain stimulation (DBS) estimated at the immediate postoperative period with those estimated 6 months after surgery.

Methods

Brain CT scans were taken immediately and 6 months after bilateral STN DBS in 53 patients with Parkinson’s disease. The two images were fused using the mutual information technique. The discrepancies of electrode positions in three coordinates were measured in the fused images, and the relationship with the pneumocephalus was evaluated.

Results

The average discrepancy of x- and y-coordinates of electrode positions at the level of STN (3.5 mm below the anterior commissure–posterior commissure line) were 0.6 ± 0.5 mm (range, 0~2.1 mm) and 1.0 ± 0.8 mm (range, 0~5.2 mm), respectively. The average discrepancy of z-coordinates of the electrode tips of the fused images was 1.0 ± 0.8 mm (range, 0.1~4.0 mm). The volume of pneumocephalus (range, 0~76 ml) was correlated with the y-coordinate discrepancies (p < 0.005).

Conclusion

The electrode positions in the immediate postoperative CT might have significant discrepancies with those in the CT taken at a stable period after STN DBS especially when there is a large amount of pneumocephalus.
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Metadata
Title
Comparison of electrode location between immediate postoperative day and 6 months after bilateral subthalamic nucleus deep brain stimulation
Authors
Yong Hwy Kim
Hee Jin Kim
Cheolyoung Kim
Dong Gyu Kim
Beom Seok Jeon
Sun Ha Paek
Publication date
01-12-2010
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 12/2010
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-010-0771-x

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