Anesthesia for deep brain stimulation in traumatic brain injury‐induced hemidystonia

Jani, Jill M.; Oluigbo, Chima; Reddy, Srijaya K.

doi:10.1002/ccr3.289

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The ability to significantly decrease other anesthetic requirements, such as propofol and remifentanil, makes this α-2-adrenergic agonist the drug of choice for DBS surgery as a part of the MAC technique. Pharmacodynamic and pharmacokinetic properties of these drugs allow big changes in the level of sedation in a short period of time [50]. Usually, high level of sedation or even general anesthesia is required for fixation of pins and for the insertion of the generator (last step), lower levels being used during intraoperative assessment of stimulation [1].…”

Section: Monitored Anesthesia Carementioning

confidence: 99%

Anesthetic Considerations for Deep Brain Stimulation

Fiorda-Diaz¹,

Stoicea²,

Deogaonkar³

et al. 2016

From Bench to Bedside - Trauma, Tumors, Spine, Functional Neurosurgery

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Deep brain stimulation (DBS) was used to treat refractory Parkinson's disease (PD) for the first time in 1987 by Professor Benabid's group by placing stimulating electrodes into targeted brain structures. DBS is a widely accepted neurosurgical treatment for Parkinson's disease (PD), benign tremor, dystonia, epilepsy, and other neuropsychiatric disorders with no significant changes in anatomical brain structures. Prior to the introduction of DBS, traditional treatment for PD involved surgical removal of parts of the brain known as thalamotomy, pallidotomy, and cingulotomy. Intraoperative identification of the affected areas of brain is possible through a couple of mechanisms involving electrical stimulation and monitoring of the brain function, known as "functional neurosurgery". Implantation of electrodes in the targeted area and the insertion of a programmable pulse generator under the clavicle or in the abdomen are the main steps in DBS surgery. Anesthetic management for DBS remains controversial and might vary between institutions and physicians. Although no guidelines have been developed, there are some common anesthetic considerations for DBS surgery, including difficult airway management, facilitation of neuromonitoring, and anesthetic drugs interference with microelectrode recordings (MERs). Local anesthesia, general anesthesia, and monitored anesthesia care (MAC) have been used worldwide in patients undergoing DBS.

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Section: Monitored Anesthesia Carementioning

confidence: 99%

Anesthetic Considerations for Deep Brain Stimulation

Fiorda-Diaz¹,

Stoicea²,

Deogaonkar³

et al. 2016

From Bench to Bedside - Trauma, Tumors, Spine, Functional Neurosurgery

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“…[2,3,8] This is because it allows the surgeon to navigate through complex anatomical structures with greater ease and accuracy, minimizing the need for exploratory surgery or additional imaging studies. [4] Figure 1: Figure 1: Mechanical assembly for Stereotactic Neurosurgery (Jill M. Jani, 2015).…”

Section: Introductionmentioning

confidence: 99%

Design and Development of Multi-axis Manipulator for Data Acquisition for Neurosurgery Applications.

Sanap,

Tiwari,

Anasane

2023

J. Phys.: Conf. Ser.

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Neurosurgery is the specialty of medical operations that deals with the nervous system such as the brain, spinal cord, etc. Stereotactic neurosurgery is an important technique in neurosurgery as it enables precise targeting of specific areas in the brain with minimal damage to surrounding tissues. Neuro-navigation is one of the most important techniques used in stereotactic neurosurgery to help accurately target specific brain locations during the operation. It involves a computer-based system that assists to create 3D images of the patient’s face using imaging processes such as CT/MRI. In the existing process, considerable time is required to reach a specific target location of the tumor. The study presented in this manuscript consists of some mechanical assembly surrounding the patient’s head and a preoperative imaging system. There are several problems associated with the technique. But the main challenge is an inoperative brain shift. There is an error in deviations from the target anatomy from the operative plan brain shifts up to 20 - 50 mm. It may affect the accuracy of targeting and treatment effectiveness. The paper represents the development of a multi-axis manipulator for the neurosurgery application. The main goal of the machine is to provide good accuracy at a low cost. This multi-axis manipulator can assist the neuro registration and perform physical movement of the surgical instrument. In this, the movement of the manipulator is controlled by using a microcontroller with different motors and drivers.

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