Slotty P J, Bara G, Vesper J
Department of Stereotactic and Functional Neurosurgery, Neurosurgical Clinic, Heinrich-Heine University, Düsseldorf, Germany,
Acta Neurochir (Wien). 2015 Jan;157(1):105-8. doi: 10.1007/s00701-014-2281-8. Epub 2014 Nov 26.
Occipital nerve stimulation is increasingly used in the treatment of primary headache disorders. We describe a surgical technique applying preoperative fluoroscopy and intraoperative tactile orientation designed to reduce radiation exposure and provide reproducible results.
Under general anesthesia and in the supine position, the C1-C2 transition is identified fluoroscopically and marked with an electrocardiogram (ECG) electrode prior to surgery. During electrode placement, the ECG electrodes are used for tactile orientation of electrode direction and depth.
The use of tactile orientation solely during surgery reduces radiation exposure and decreases the duration of surgery. This technique allows reproducible results of final electrode position.
枕神经刺激越来越多地用于治疗原发性头痛疾病。我们描述了一种应用术前荧光透视和术中触觉定位的手术技术，旨在减少辐射暴露并提供可重复的结果。
在全身麻醉和仰卧位下，通过荧光透视识别C1 - C2 交界处，并在手术前用心电图（ECG）电极进行标记。在电极放置过程中，使用ECG电极进行电极方向和深度的触觉定位。
仅在手术期间使用触觉定位可减少辐射暴露并缩短手术时间。该技术可使最终电极位置获得可重复的结果。
