Evidence map›Paper›PMID 32967337›Full record

ReviewJournal of clinical medicine2020

Bilateral Subthalamic Nucleus Deep Brain Stimulation under General Anesthesia: Literature Review and Single Center Experience.

Hye Ran Park, Yong Hoon Lim, Eun Jin Song, Jae Meen Lee, Kawngwoo Park, Kwang Hyon Park, Woong-Woo Lee, Han-Joon Kim, Beomseok Jeon, Sun Ha Paek

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Hye Ran ParkDepartment of Neurosurgery, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea.ORCID 0000-0003-0506-4882
Yong Hoon LimDepartment of Neurosurgery, Seoul National University Hospital, Seoul 03080, Korea.ORCID 0000-0002-0346-2345
Eun Jin SongDepartment of Neurosurgery, Seoul National University Hospital, Seoul 03080, Korea.
Jae Meen LeeDepartment of Neurosurgery, Pusan National University Hospital, Busan 49241, Korea.
Kawngwoo ParkDepartment of Neurosurgery, Gachon University Gil Medical Center, Incheon 21565, Korea.
Kwang Hyon ParkDepartment of Neurosurgery, Chuungnam National University Sejong Hospital, Sejong 30099, Korea.
Woong-Woo LeeDepartment of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul 01830, Korea.ORCID 0000-0002-8767-7967
Han-Joon KimDepartment of Neurology, Seoul National University Hospital, Seoul 03080, Korea.ORCID 0000-0001-8219-9663
Beomseok JeonDepartment of Neurology, Seoul National University Hospital, Seoul 03080, Korea.ORCID 0000-0003-2491-3544
Sun Ha PaekDepartment of Neurosurgery, Seoul National University Hospital, Seoul 03080, Korea.
Seoul National University Hospital · KRGachon University Gil Medical Center · KREulji University · KRPusan National University Hospital · KRSoonchunhyang University Hospital Seoul · KR

Funding

Ministry of Health & Welfare, Republic of Korea HI11C21100200, HI18C0886Soonchunhyang University Research Fund (2020)the Ministry of Education, Republic of Korea NRF-2017R1D1A1B03035556the Ministry of Education, Science and Technology, Republic of Korea 2017M3C7A1047392the Ministry of Education, Science and Technology, Republic of Korea grant 2015M3C7A1028926, 2017M3C7A1044367the Ministry of Trade, Industry & Energy, Republic of Korea grant 10050154
6 · The paper itself

Abstract

Bilateral subthalamic nucleus (STN) Deep brain stimulation (DBS) is a well-established treatment in patients with Parkinson's disease (PD). Traditionally, STN DBS for PD is performed by using microelectrode recording (MER) and/or intraoperative macrostimulation under local anesthesia (LA). However, many patients cannot tolerate the long operation time under LA without medication. In addition, it cannot be even be performed on PD patients with poor physical and neurological condition. Recently, it has been reported that STN DBS under general anesthesia (GA) can be successfully performed due to the feasible MER under GA, as well as the technical advancement in direct targeting and intraoperative imaging. The authors reviewed the previously published literature on STN DBS under GA using intraoperative imaging and MER, focused on discussing the technique, clinical outcome, and the complication, as well as introducing our single-center experience. Based on the reports of previously published studies and ours, GA did not interfere with the MER signal from STN. STN DBS under GA without intraoperative stimulation shows similar or better clinical outcome without any additional complication compared to STN DBS under LA. Long-term follow-up with a large number of the patients would be necessary to validate the safety and efficacy of STN DBS under GA.

Indexed as

deep brain stimulationgeneral anesthesiaintraoperative computed tomographyintraoperative magnetic resonance imaginglocal anesthesiamicroelectrode recordingParkinson’s diseasesubthalamic nucleus

Identifiers

PMID32967337
PMCPMC7564882
OpenAlexW3087254214

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.