Frameless and fiducial-less method for deep brain stimulation
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F19%3AN0000084" target="_blank" >RIV/00098892:_____/19:N0000084 - isvavai.cz</a>
Alternative codes found
RIV/61989592:15110/19:73598565
Result on the web
<a href="https://www.csnn.eu/en/journals/czech-and-slovak-neurology-and-neurosurgery/2019-3-3/frameless-and-fi-ducial-less-method-for-deep-brain-stimulation-112797" target="_blank" >https://www.csnn.eu/en/journals/czech-and-slovak-neurology-and-neurosurgery/2019-3-3/frameless-and-fi-ducial-less-method-for-deep-brain-stimulation-112797</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.14735/amcsnn2019342" target="_blank" >10.14735/amcsnn2019342</a>
Alternative languages
Result language
angličtina
Original language name
Frameless and fiducial-less method for deep brain stimulation
Original language description
Deep brain stimulation (DBS) is a very effective procedure for the treatment of idiopathic Parkinson‘s disease (PD), essential tremor and dystonia. The authors describe a method of DBS using frameless and fiducial-less system Nexframe (Medtronic), S8 navigation (Medtronic) and O-arm (Medtronic) for placing DBS electrodes in four patients (8 electrodes). To our knowledge, this is only the second centre in the world to have used this method. Methods: Two adult patients with PD and two with essential tremor were indicated to bilateral DBS. Baseline neurological status and DBS-related improvement in motor function were measured using patients‘ diaries, Unified Parkinson‘s Disease Rating Scale and Clinical Global Improvement tests. The implantation of DBS leads was performed using MRI, preoperative CT examination and their fusion with perioperative O-arm imaging. The accuracy was checked using the same methodology as the Nexframe system. We also evaluated average time of surgery for Leksell frame-based surgery, Nexframe procedure and fiducial-less procedure. Results: The accuracy and patient outcome were excellent, with a total error of 2.49 mm, without any complication. Average times of surgeries were: Leksell frame 290 min, Nexframe system 222 min and last procedure 201 min. Conclusion: Implantation of DBS electrodes using frameless and fiducial-less system is a very useful and technically feasible procedure with excellent patient toleration. It will be necessary to operate in this way on many more patients to prove efficacy of this method, but from our point of view this method appears very promising.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30210 - Clinical neurology
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Česká a slovenská neurologie a neurochirurgie
ISSN
1210-7859
e-ISSN
1802-4041
Volume of the periodical
82
Issue of the periodical within the volume
3
Country of publishing house
CZ - CZECH REPUBLIC
Number of pages
3
Pages from-to
342-344
UT code for WoS article
000472881100016
EID of the result in the Scopus database
2-s2.0-85068475059