Technical Case Report of Deep Brain Stimulation: Is it Possible Single Electrode Reach to Both of Subthalamic Nucleus and Ventral Intermediate Nucleus in One Stage?

Authors

  • Hülagu Kaptan Dokuz Eylül University, Medical Faculty, Inciralti 35340, Izmir
  • Raif Çakmur Dokuz Eylül University, Medical School, Department of Neurology, Ä°zmir

DOI:

https://doi.org/10.3889/oamjms.2018.137

Keywords:

STN, DBS, VIM, Technical report, Tremor

Abstract

BACKGROUND: The primary target of this operation is Ventral Intermediate Nucleus (VIM); however VIM - Subthalamic Nucleus (STN) were tried to be reached with one electrode, adjusting the angle well, the coronal section; medial of VIM can partially reach the STN. Using the properties of the electrode; we believe we could act on a wide area.

METHODS: An analysis was performed on one patient who underwent VIM Deep Brain Stimulation (DBS) in 3 periods (pre – peri - post-operation).

RESULTS: A 53 – year - old woman diagnosed with Parkinson’s disease 8 years earlier including symptoms of severe tremor on the right than left underwent bilateral DBS VIM. Obtaining a satisfactory improvement of tremor, the patient did well, and postoperative complications were not observed. The patient was discharged from hospital on postoperative thirty day

CONCLUSIONS: It is certain that more research and experience are needed. However, we believe that the two targets can reach the same point and the second operations for another target can be avoided.We believe that this initiative is advantageous and promising regarding patient and cost.

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References

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Published

2018-04-02

How to Cite

1.
Kaptan H, Çakmur R. Technical Case Report of Deep Brain Stimulation: Is it Possible Single Electrode Reach to Both of Subthalamic Nucleus and Ventral Intermediate Nucleus in One Stage?. Open Access Maced J Med Sci [Internet]. 2018 Apr. 2 [cited 2023 Feb. 4];6(4):659-62. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2018.137

Issue

Section

C- Case Reports