Kocabicak Ersoy, Alptekin Onur, Aygun Dursun, Yildiz Onur, Temel Yasin
Ondokuz Mayis University, Faculty of Medicine, Department of Neurosurgery, Samsun, Turkey.
Turk Neurosurg. 2019;29(5):677-682. doi: 10.5137/1019-5149.JTN.23307-18.3.
To investigate the effect of using microelectrode recording (MER) on the length of time required to carry out a deep brain stimulation (DBS) procedure of the subthalamic nucleus in patients with Parkinson's disease (PD).
The time required to include MER in the DBS operation was calculated for the first and second sides in 24 patients with PD. The number of microelectrodes used on each trajectory for the first and second sides, and the percentage of permanent electrodes implanted on each trajectory for the first and second sides, were quantified.
The average times taken to use MER were 23.4 ± 6.2 minutes, 17.4 ± 6.5 minutes, and 41.2 ± 6.3 minutes for the first side, second side and total procedure, respectively. In 75% of patients, the permanent electrode was implanted at the planned target site for the first side, and in 61% of patients for the second side.
MER extends the time required to carry out the DBS procedure. However, during surgery, it provides real-time information on the electrodes' neurophysiological locations and helps the surgical team choose an alternative target if the planned target does not produce satisfying results.
探讨使用微电极记录（MER）对帕金森病（PD）患者进行丘脑底核脑深部电刺激（DBS）手术所需时间的影响。
计算24例PD患者在DBS手术中首次和第二次手术中纳入MER所需的时间。对首次和第二次手术中每条轨迹使用的微电极数量以及每条轨迹上植入的永久电极百分比进行量化。
首次手术、第二次手术和整个手术过程中使用MER的平均时间分别为23.4±6.2分钟、17.4±6.5分钟和41.2±6.3分钟。75%的患者在首次手术时将永久电极植入计划靶点，61%的患者在第二次手术时植入。
MER延长了进行DBS手术所需的时间。然而，在手术过程中，它提供了电极神经生理位置的实时信息，并有助于手术团队在计划靶点未产生满意结果时选择替代靶点。
