Aziz T Z, Nandi D, Parkin S, Liu X, Giladi N, Bain P, Gregory R G, Joint C, Scott R B, Stein J F
University Laboratory of Physiology, Department of Neurosurgery, Radcliffe Infirmary, Oxford, UK.
Stereotact Funct Neurosurg. 2001;77(1-4):87-90. doi: 10.1159/000064602.
The small size and surrounding neuronal structures and fibre tracts make the STN a difficult stereotactic target. In this article we present the technique used by us to target the STN. Our combined experience from two centres comprises 18 lesions and 27 stimulator implants in the STN. Our criteria for patient selection and the use of MRI, frame-on CT and volumetric image fusion are presented. The role of a movement disorder specialist neurologist in the operating theatre, local field potential recording, impedance monitoring, macrostimulation, post-operative CT/MRI and test stimulation are detailed.
由于尺寸小以及周围的神经元结构和纤维束，丘脑底核成为一个难以进行立体定向的靶点。在本文中，我们介绍了我们用于靶向丘脑底核的技术。我们在两个中心的综合经验包括18例毁损术和27例丘脑底核刺激器植入术。我们还介绍了患者选择标准以及MRI、CT定位框架和容积图像融合的使用情况。详细阐述了运动障碍专科神经科医生在手术室中的作用、局部场电位记录、阻抗监测、宏观刺激、术后CT/MRI以及测试刺激。
