% 0期刊文章% Sujan Reddy %一个阿尔伯特Fenoy %艾琳Furr-Stimming %威廉·帕斯%米娅Schiess % Raja Mehanna % T的使用术中植入微电极记录影响铅的最终位置在帕金森症患者脑深部电刺激?(P1.166) % D J神经病学20首页15% % P P1.166 % V 84% N % X 14补充目的:确定使用术中微电极记录(MER)影响铅的最终位置植入在帕金森病(PD)患者发生脑深部刺激(DBS)评估相关并发症的发生率。背景:DBS对PD患者的术中MER的有效性是由一些DBS植入中心讨论,建议增加手术并发症,并没有提供额外的好处。方法:我们进行了一项回顾性图表审查所有与MER PD病人DBS在休斯顿德克萨斯大学健康科学中心从2009年6月1日到2013年10月1日。总共88领先植入在综述了45例,62领导子丘脑核(STN)和26日在苍白球interna (GPi)。初始坐标,确定术前MRI,和最终的坐标植入后术中MER比较。评估出血性和感染性并发症,术后CT扫描的头和门诊随访记录一段综述了手术之日起1年。结果:植入的平均年龄是64岁(范围40 - 84)。平均持续时间从诊断到手术10年2 - 20(范围)。初始和最终坐标之间的统计上的显著差异superior-inferior平面上观察到的只有在STN (p = 0.004)和谷歌价格指数(p = 0.0005)植入物,各自的平均差为0.29毫米和0.63毫米相接。 No patient had an infectious complication. One patient (2.2[percnt]) had subdural blood layering and 6 (13.3[percnt]) had minimal intra-ventricular bleeding on post-operative CT, of which only 1 (2.2[percnt]) had transient seizures. None of them had hypertension or intra-parenchymal hemorrhage. None of the patients required a revision for lack of benefits or uncontrollable side effects. CONCLUSIONS: Intra-operative MER significantly modifies final lead placement and does not seem to increase surgical complications.Disclosure: Dr. Reddy has nothing to disclose. Dr. Fenoy has nothing to disclose. Dr. Furr-Stimming has nothing to disclose. Dr. Ondo has received personal compensation for activities with Teva, Ipsen, UCB, Merz, and Lundbeck as a speaker and consultant. Dr. Schiess has nothing to disclose. Dr. Mehanna has nothing to disclose.Monday, April 20 2015, 2:00 pm-6:30 pm %U

map