Rapid subthalamic nucleus deep brain stimulation lead placement utilising CTMRI fusion microelectrode recording and

Silberstein, G. Mellick, F. Sinclair, G. Fracchia, D. Wasson, and P. Stanwell St Andrews and Wesley Hospitals, Brisbane and Royal North Shore Private Hospital, Sydney, Australia Subthalamic nucleus (STN) deep brain stimulation (DBS) has become an established treatment strategy for patients with medically refractory Parkinson's disease (PD). There are however numerous strategies employed for STN lead placement. Variations include method of STN localisation, use...

Feedforward control of poststroke movement disorders by ondemand type stimulation of the thalamus and motor cortex

Kobayashi, H. Oshima, C. Fukaya, and T. Yamamoto Department of Neurological Surgery, Nihon University School of Medicine, Tokyo, Japan Deep brain stimulation (DBS) of the thalamus (Vo Vim) has become popular as a means of controlling involuntary movements, including post-stroke movement disorders. We have also found that post-stroke movement disorders and motor weakness can sometimes be controlled by motor cortex stimulation (MCS). In some forms of movement disorders,...

Mcs

Post-stroke postural tremor by using these systems. In 2 patients with post-stroke motor weakness, MCS was triggered by EMG activity for intention to move, and the effect of stimulation on motor performance was evaluated subjectively. The above 6 patients comprised those who demonstrated excellent control of post-stroke postural tremor or motor weakness by conventional DBS or MCS. Excellent control of post-stroke involuntary movement was achieved by conventional DBS or MCS in 21 of the 28...

Fraunhofer solar spectrum

Spectrum of neurorehabilitation. The patient's process of functional recovery can be seen in analogy to the solar spectrum with its colours and characteristic Fraunhofer lines. CCI patients show also typical landmarks of different phases of recovery over time. Spectrum of neurorehabilitation reflects the interventions for the complex process of holistic functional rehabilitation over time. Rehabilitation starts after the impact to the brain together with first aid and resuscitation at...

Detection of boundaries of subthalamic nucleus by multiplecell spike density analysis in deep brain stimulation for

Kobayashi1'2, M. Kasai1, H. Oshima1, C. Fukaya1'2, and T. Yamamoto1'2 1 Department of Neurological Surgery, Nihon University School of Medicine, Tokyo, Japan 2 Division of Applied System Neuroscience, Nihon University Graduate School of Medical Science, Tokyo, Japan When microelectrode recording of single cell activity is employed for targeting the subthalamic nucleus STN , multiple sampling of single cells is needed to determine whether the electrode has passed...