The Effectiveness of the Stereotactic Burr Hole Technique for Deep Brain Stimulation
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- TOYODA Keisuke
- Department of Neurosurgery, National Hospital Organization, Nagasaki Kawatana Medical Center
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- URASAKI Eiichirou
- Department of Neurosurgery, National Hospital Organization, Nagasaki Kawatana Medical Center
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- UMENO Tetsuya
- Department of Neurosurgery, National Hospital Organization, Nagasaki Kawatana Medical Center
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- SAKAI Waka
- Department of Neurology, National Hospital Organization, Nagasaki Kawatana Medical Center
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- NAGAISHI Akiko
- Department of Neurology, National Hospital Organization, Nagasaki Kawatana Medical Center
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- NAKANE Shunya
- Department of Neurology, National Hospital Organization, Nagasaki Kawatana Medical Center Department of Clinical Research, National Hospital Organization, Nagasaki Kawatana Medical Center
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- FUKUDOME Takayasu
- Department of Neurology, National Hospital Organization, Nagasaki Kawatana Medical Center Department of Clinical Research, National Hospital Organization, Nagasaki Kawatana Medical Center
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- YAMAKAWA Yuzo
- Department of Neurosurgery, National Hospital Organization, Nagasaki Kawatana Medical Center
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抄録
Deep brain stimulation (DBS) is performed by burr hole surgery. In microelectrode recording by multi-channel parallel probe, because all microelectrodes do not always fit in the burr hole, additional drilling to enlarge the hole is occasionally required, which is time consuming and more invasive. We report a stereotactic burr hole technique to avoid additional drilling, and the efficacy of this novel technique compared with the conventional procedure. Ten patients (20 burr holes) that received DBS were retrospectively analyzed (5 in the conventional burr hole group and 5 in the stereotactic burr hole group). In the stereotactic burr hole technique, the combination of the instrument stop slide of a Leksell frame and the Midas Rex perforator with a 14-mm perforator bit was attached to the instrument carrier slide of the arc in order to trephine under stereoguidance. The efficacy of this technique was assessed by the number of additional drillings. Factors associated with additional drilling were investigated including the angle and skull thickness around the entry points. Four of the 10 burr holes required additional drilling in the conventional burr hole group, whereas no additional drilling was required in the stereotactic burr hole group (p = 0.043). The thicknesses in the additional drilling group were 10.9 ± 0.9 mm compared to 9.1 ± 1.2 mm (p = 0.029) in the non-additional drilling group. There were no differences in the angles between the two groups. The stereotactic burr hole technique contributes to safe and exact DBS, particularly in patients with thick skulls.
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 55 (9), 766-772, 2015
一般社団法人 日本脳神経外科学会
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詳細情報
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- CRID
- 1390001205058052992
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- NII論文ID
- 130005099753
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- ISSN
- 13498029
- 04708105
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- PubMed
- 26345669
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可