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Aspects opératoires et péri-opératoires de la stimulation cérébrale profonde

Pralong, Etienne
Draganski, Bogdan
Bloch, Jocelyne
Published in Revue médicale suisse. 2015, vol. 11, no. 472, p. 972-976
Abstract Deep brain stimulation (DBS) requires the surgical implantation of a system including brain electrodes and impulsion generator(s). The nuclei targeted by the stereotaxic implantation methodology have to be visualized at best by high resolution imaging. The surgical procedure for implanting the electrodes is performed if possible under local anaesthesia to make electro-physiological measurements and to test intra-operatively the effect of the stimulation, in order to optimize the position of the definitive electrode. In a second step, the impulsion generator(s) are implanted under general anaesthesia. DBS for movement disorders has a very good efficacy and a low albeit non-zero risk of serious complications. Complications related to the material are the most common.
Keywords Anesthesia, General/methodsAnesthesia, Local/methodsDeep Brain Stimulation/adverse effects/methodsElectrodiagnosis/methodsHumansMovement Disorders/therapyPerioperative Care/methodsStereotaxic Techniques
PMID: 26062223
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Research group Groupe Schaller Karl Lothard (neurochirurgie) (851)
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MOMJIAN, Shahan Marc et al. Aspects opératoires et péri-opératoires de la stimulation cérébrale profonde. In: Revue médicale suisse, 2015, vol. 11, n° 472, p. 972-976. https://archive-ouverte.unige.ch/unige:90794

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Deposited on : 2017-01-04

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