Learning Curve in Anatomo-Electrophysiological Correlations in Subthalamic Nucleus Stimulation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F18%3A00068705" target="_blank" >RIV/00159816:_____/18:00068705 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/18:00102996

Result on the web

<a href="https://cerebellumandataxias.biomedcentral.com/articles/10.1186/s40673-018-0087-9" target="_blank" >https://cerebellumandataxias.biomedcentral.com/articles/10.1186/s40673-018-0087-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5137/1019-5149.JTN.19450-16.0" target="_blank" >10.5137/1019-5149.JTN.19450-16.0</a>

Result language

angličtina

Original language name

Learning Curve in Anatomo-Electrophysiological Correlations in Subthalamic Nucleus Stimulation

Original language description

AIM: Advances in neuroradiological planning techniques in deep brain stimulation have put the need for intraoperative electrophysiological monitoring into doubt. Moreover intraoperative monitoring prolongs surgical time and there is potential association between the use of microelectrodes and increased incidence of hemorrhagic complications. The aim of this study was to analyze the correlation between the anatomically planned trajectory and the final subthalamic electrode placement after electrophysiological monitoring in patients with Parkinson&apos;s disease and its change with the increasing experience of the surgical team. MATERIAL and METHODS: The trajectories of right (first implanted) and left electrodes were compared in the first 50 patients operated on (Group 1) and the next 50 patients (Group 2). RESULTS: In Group 1, 52% of central trajectories were on the right and 38% on the left; in Group 2, the percentage of central trajectories was 76% on the right and 78% on the left; the difference was statistically significant (p=0.021 and 0.001). The difference in the percentage of posterior trajectories reflecting brain shift between the right and left sides was statistically insignificant in Groups 1 (26% and 28%, p=0.999) and 2 (18% and 12%, p=0.549). The percentage of bilateral central electrodes was 14% and 62% in Groups 1 and 2, respectively. CONCLUSION: The correlation between anatomically planned trajectory and final electrode placement markedly improves with the number of patients. However the significant percentage of patients with final electrode trajectory differing from anatomically planned target supports the use of intraoperative monitoring.

Czech name

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Czech description

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Type

J_imp - 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

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Turkish Neurosurgery

ISSN

1019-5149

e-ISSN

—

Volume of the periodical

28

Issue of the periodical within the volume

2

Country of publishing house

TR - TURKEY

Number of pages

7

Pages from-to

296-302

UT code for WoS article

000428044700020

EID of the result in the Scopus database

2-s2.0-85042561688