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Iranian Journal of Neurology، جلد ۱۵، شماره ۱، صفحات ۳۴-۴۵
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عنوان انگلیسی Spatial distance between anatomically- and physiologically-identified targets in ‎subthalamic nucleus deep brain stimulation in Parkinson’s disease
چکیده انگلیسی مقاله Background: Subthalamic nucleus (STN) stimulation is the  reatment of choice for carefully chosen patients with idiopathic Parkinson's disease (PD) and refractory motor fluctuations. We evaluated the value of intraoperative electrophysiology during STN deep brain stimulation (DBS) procedures in refining the anatomically-defined target. Methods: We determined the spatial distance between the anatomical and physiological targets along x, y and z axes in 50 patients with PD who underwent bilateral subthalamic nucleus DBS surgery. Results: The mean spatial distance between anatomical and functional targets was 1.84 ± 0.88 mm and the least distances in different methods were 0.66 mm [standard error (SE): 0.07], 1.07 mm (SE: 0.08) and 1.01 mm (SE: 0.08) on x, y and z axes, respectively, for the combined method. Conclusion: The most physiologically-accurate anatomical targeting was achieved via a combination of multiple independent methods. There was a statistically significant difference between the anatomical and functional targets in all methods (even the combined) on the y coordinate, emphasizing the need for intra- operative electrophysiological monitoring to refine the anatomico-radiologically-defined target.
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نویسندگان مقاله | Mansour Parvaresh-Rizi
‎Department of Neurosurgery, School of Medicine AND Rasoul-E-Akram ‎Hospital, Iran University of Medical Sciences, Tehran, Iran


| Alireza Tabibkhoei
‎Department of Neurosurgery, School of Medicine AND Rasoul-E-Akram ‎Hospital, Iran University of Medical Sciences, Tehran, Iran


| Gholamali Shahidi
‎Department of Neurosurgery, School of Medicine AND Rasoul-E-Akram ‎Hospital, Iran University of Medical Sciences, Tehran, Iran


| Janardan Vaidyanathan
‎Medtronic, Mumbai, India


| Amirreza Tabibkhoei
‎Department of Neurosurgery, School of Medicine AND Rasoul-E-Akram ‎Hospital, Iran University of Medical Sciences, Tehran, Iran


| Mohammad Rohani
‎Department of Neurosurgery, School of Medicine AND Rasoul-E-Akram ‎Hospital, Iran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی http://ijnl.tums.ac.ir/index.php/ijnl/article/view/949
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/50/article-50-1353484.pdf
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