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Interventional magnetic resonance imaging-guided subthalamic nucleus deep brain stimulation for Parkinson's disease: Patient selection

Hooman Azmi, Fiona Gupta, Mario Vukic, Jason Kreitner, Elizabeth Kera, Gregory Nicola, Sean Pierce, David Panush, Randy Cohen

Date of publication: 02-Aug-2016

Background:Interventional magnetic resonance imaging (iMRI) guided deep brain stimulation (DBS) for Parkinson's disease (PD) has been shown to be effective. The costs of a dedicated intraoperative MRI may be prohibitive. The procedure can also be performed in a diagnostic scanner, however this presents challenges for utilization of time when the scanner is used both as a diagnostic and an interventional unit. This report outlines our novel methodology for patient selection for implantation in a diagnostic MR scanner, as an attempt to streamline the use of resources. A retrospective review of our outcomes is also presented.

The pros and cons of intraoperative CT scan in evaluation of deep brain stimulation lead implantation: A retrospective study

Domenico Servello, Edvin Zekaj, Christian Saleh, Claudio Pacchetti, Mauro Porta

Date of publication: 02-Aug-2016

Background:Deep brain stimulation (DBS) is an established therapy for movement disorders, such as Parkinson's disease (PD), dystonia, and tremor. The efficacy of DBS depends on the correct lead positioning. The commonly adopted postoperative radiological evaluation is performed with computed tomography (CT) scan and/or magnetic resonance imaging (MRI).

Rapid assessment of gait and speech after subthalamic deep brain stimulation

Sierra M. Farris, Monique L. Giroux

Date of publication: 02-Aug-2016

Background:Describe a rapid assessment for patients with idiopathic Parkinson's disease (PD) and deep brain stimulation of the subthalamic nucleus reporting worsening speech and/or gait problems.

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