Evidence map›Paper›PMID 35223294›Full record

ArticleCureus2022

Elevated Electrode Impedances During Deep Brain Stimulation Surgery May Be Due to Peri-Electrode Air Collections.

Bryan T Klassen, Juliana Rotter, Colleen Crane, Timothy J Kaufmann, Kai J Miller

Abstract readCase Reports
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

5 authors.

Bryan T KlassenNeurology, Mayo Clinic, Rochester, USA.
Juliana RotterNeurological Surgery, Mayo Clinic, Rochester, USA.
Colleen CraneNeuromodulation, Boston Scientific, Valencia, USA.
Timothy J KaufmannNeuroradiology, Mayo Clinic, Rochester, USA.
Kai J MillerNeurological Surgery, Mayo Clinic, Rochester, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep brain stimulation (DBS) is a commonly used treatment for medically refractory movement disorders and epilepsy. Intraoperative testing of electrode impedances is routinely done during DBS surgery to identify electrical conduction defects in the system. We present two illustrative cases involving elevated intraoperative impedances. In the first case, the temporal evolution of impedance changes and a postoperative head CT were consistent with a small and slowly resolving air collection along the lead. In the second case, an abnormally high impedance reading was observed at a single electrode and then "transferred" to be observed at an adjacent electrode upon adjustments of the electrode position, likely due to small air collection at a fixed position in the brain tissue. In both cases, careful troubleshooting allowed identification of the issue and avoidance of unnecessary surgical revisions. A thorough understanding of the possible sources of, and troubleshooting for, abnormal impedance readings is needed for effective intraoperative DBS monitoring.

Indexed as

computed tomographyct (computed tomography) imagingdeep brain stimulationdirectional stimulationimpedanceneurosurgerysegmented lead

Identifiers

PMID35223294
PMCPMC8862689

What OpenQuestion holds

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Registered trials

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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.