ArticleFrontiers in neuroscience2022
Comparison of dural puncture and dural incision in deep brain stimulation surgery: A simple but worthwhile technique modification.
Article in Frontiers in neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 9 citations in OpenAlex.
- Predictive factors associated with interval changes in STN-DBS lead-tip position between immediate and delayed postoperative CT.Neurosurgical review · 2026Article
- Scalp block improves electrophysiological stability and patient cooperation during deep brain stimulation surgery.Scientific reports · 2025Article
- A General Framework for Characterizing Inaccuracy in Stereotactic Systems.Operative neurosurgery (Hagerstown, Md.) · 2025Review
- Deep Brain Stimulation Electrode Reconstruction: Comparison between Lead-DBS and Surgical Planning System.Journal of clinical medicine · 2023Article
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The accuracy of the deep brain stimulation (DBS) electrode placement is influenced by a myriad of factors, among which pneumocephalus and loss of cerebrospinal fluid that occurs with dural opening during the surgery are considered most important. This study aimed to describe an effective method for decreasing pneumocephalus by comparing its clinical efficacy between the two different methods of opening the dura. Materials and methods: We retrospectively compared two different methods of opening the dura in 108 patients who underwent bilateral DBS surgery in our center. The dural incision group comprised 125 hemispheres (58 bilateral and 9 unilateral) and the dural puncture group comprised 91 (41 bilateral and 9 unilateral). The volume of intracranial air, dural opening time, intraoperative microelectrode recordings (MERs), postoperative electrode displacement, clinical efficacy, and complications were examined. Spearman correlation analysis was employed to identify factors associated with the volume of intracranial air and postoperative electrode displacement. Results: The volume of intracranial air was significantly lower (0.35 cm Conclusion: Our data support the hypothesis that opening the dura via puncture rather than incision when performing DBS surgery reduces pneumocephalus, shortens dural opening time, enables longer sensorimotor area and more stable MERs, minimizes postoperative electrode displacement, and may permit a better clinical efficacy.
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