ArticleActa neurochirurgica2021
Pneumocephalus in subthalamic deep brain stimulation for Parkinson's disease: a comparison of two different surgical techniques considering factors conditioning brain shift and target precision.
Article in Acta neurochirurgica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Pneumocephalus after deep brain stimulation in Parkinson's disease: The role of brain volume in brain shift.Surgical neurology international · 2026Article
- Article
- Intraoperative 3D fluoroscopy accurately predicts final electrode position in deep brain stimulation surgery.Acta neurochirurgica · 2024Article
- The Related Factors and Effect of Electrode Displacement on Motor Outcome of Subthalamic Nuclei Deep Brain Stimulation in Parkinson's Disease.Journal of clinical medicine · 2023Article
- MER and increased operative time are not risk factors for the formation of pneumocephalus during DBS.Scientific reports · 2023Article
- Frameless Robot-Assisted Asleep Centromedian Thalamic Nucleus Deep Brain Stimulation Surgery in Patients with Drug-Resistant Epilepsy: Technical Description and Short-Term Clinical Results.Neurology and therapy · 2023Article
- Technical Issues of Vim-PSA Double-Target DBS for Essential Tremor.Brain sciences · 2023Article
- The efficacy and safety of asleep and awake subthalamic deep brain stimulation for Parkinson's disease patients: A 1-year follow-up.Frontiers in aging neuroscience · 2023Article
- Subthalamic deep brain stimulation for primary dystonia: defining an optimal location using the medial subthalamic nucleus border as anatomical reference.Frontiers in aging neuroscience · 2023Article
- A systematic review of brain morphometry related to deep brain stimulation outcome in Parkinson's disease.NPJ Parkinson's disease · 2022Review
- A Modified Dura Puncture Procedure to Reduce Brain Shift in Deep Brain Stimulation Surgery: One Institution's Experience.Frontiers in neurology · 2022Article
- Comparison of dural puncture and dural incision in deep brain stimulation surgery: A simple but worthwhile technique modification.Frontiers in neuroscience · 2022Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPrecise placement of electrodes in deep brain stimulation (DBS) may be influenced by brain shift caused by cerebrospinal fluid leaking or air inflow. We compared accuracy and treatment outcomes between a standard technique and one aiming at reducing brain shift.
methodsWe retrospectively reviewed 46 patients (92 targets) treated with bilateral subthalamic-DBS for Parkinson's disease. The patients were divided into two groups: group A surgery was performed in supine position with standard burr hole, dural opening, fibrin glue and gelfoam plugging. Group B patients were operated in a semi-sitting position with direct dural puncture to reduce CSF loss. We analysed target deviation on head CT performed immediately after surgery and at 1 month merged with preoperative MRI planning. We recorded pneumocephalus volume, brain atrophy and target correction by intraoperative neurophysiology (ION).
resultsIn group A, the mean pneumocephalus volume was 10.55 cm
conclusionsThe modified DBS technique significantly reduced errors of electrode placement, though such difference was clinically irrelevant. ION corrected a high amount of trajectories in both groups (70% vs 50%). The choice of either strategy is acceptable.
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