Alterman R L, Reiter G T, Shils J, Skolnick B, Arle J E, Lesutis M, Simuni T, Colcher A, Stern M, Hurtig H
Institute for Neurology and Neurosurgery, Beth Israel Medical Center, New York, NY 10128, USA.
Stereotact Funct Neurosurg. 1999;72(2-4):150-3. doi: 10.1159/000029718.
The authors assess the accuracy of targeting nucleus ventralis intermedius (Vim) with fast spin echo inversion recovery (FSE/IR) magnetic resonance imaging (MRI) in 18 successful deep brain stimulator (DBS) implants for medically refractory tremor. FSE/IR-MRI-derived coordinates are compared to the final coordinates employed for DBS lead placement, selected with intraoperative neurophysiology. The authors conclude that FSE/IR MRI is sufficiently reliable to serve as the sole means of anatomically targeting Vim for DBS lead placement. An independent computer workstation is not required for accurate targeting; however, intraoperative neurophysiology remains essential.
