Microelectrode Techniques??Lead Point in STN-DBS Surgery |
Ho Seok Jeong, Moo Seong Kim, Sang Ho Jeon, Young Gyun Jeong, Se Young Pyo, Sun Il Lee, Yong Tae Jung, Jae Hong Sim |
Department of Neurosurgery, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea |
|
Abstract |
Objective Microelectrode recording is an integral part of many surgical procedures for movement disorders. Commerically abaible microrecording system is Neuro Trek, lead point, NeuroMap, Neurosystem R, Guideline system 3000A. We evaluate the Lead point. We used, Lead point 4 in 12 patients, etc. during STN-DBS surgery.
Subjects and Method: The MicroGuide system is its intergreated screen display that provides the user with all the information needed during the surgery on one screen.
Results The microrecording data of the Lead point are displayed on a leadtop monitor. Microrecording data of the Leadpoint showed high background activity, and firing rate of 14 to 50Hz. The discharge pattern is typically chaotic, with frequent irregular bursts and pauses.
Conclusion The microelectrode recording of the NeuroTrek and Leadpoint showed unique result of the typical STN-spike. Interest in the electrophysiology of the STN is prompted by their inereasing importance in the surgical treatment of parkinsonism. |
Key Words:
Microelectrode recording, STN-DBS, Parkinson's disease. |
|