Neurophysiological Guidance for Movement Disorder Surgery

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Tipo de produção
bookPart
Data de publicação
2022
DOI
Scopus
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Título do Volume
Editora
SPRINGER INTERNATIONAL PUBLISHING
Autores
PINHEIRO, D. S.
Citação
Pinheiro, D. S.; Fonoff, E.. Neurophysiological Guidance for Movement Disorder Surgery. In: . Intraoperative Monitoring: Neurophysiology and Surgical Approaches: SPRINGER INTERNATIONAL PUBLISHING, 2022. p.817-835.
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Resumo
The use of neurophysiological monitoring during surgical procedures has developed extensively in the past decade to become an important adjunctive technique to assist surgical teams and add more safety to surgical treatment approaches. In stereotactic and functional neurosurgery, the outcome results are intimately related to the target definition and adverse effect avoidance. In stereotactic-guided procedures, as in movement disorder surgery, the targets are deep seated in the brain. Therefore, the neurophysiological monitoring aims to avoid damage to the nervous tissue and participates in the decision-making of target localization, improving outcome. Stereotactic localization relies on perioperative imaging, frame-based patient’s head registration, and individual anatomical landmarks. Stereotactic-mounted probes are used for neuronal activity recording (microelectrode recording and local field potential), impedance monitoring, or controlled electrical stimulation to complement final target definition and correct positioning of the deep brain stimulation electrodes. This chapter covers the use of neurophysiological techniques used for movement disorder surgery. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.
Palavras-chave
Deep brain stimulation, Essential tremor, Internal globus pallidus, Local field potential, Microelectrode recording, Movement disorders, Neuronal activity, Parkinson’s disease, Subthalamic nucleus, Ventral intermediate nucleus
URI
https://observatorio.fm.usp.br/handle/OPI/57203
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Coleções
Livros e Capítulos de Livros - FM/MNE
Livros e Capítulos de Livros - HC/ICHC
Livros e Capítulos de Livros - LIM/45