Minimally invasive surgery for movement disorders.
Movement disorders surgery, particularly deep brain stimulation (DBS), is already a minimally invasive procedure. However, new innovations in the delivery devices for DBS electrodes, new methods for target localization, and alternatives to implanted hardware are all strategies that can make movement disorders surgery less invasive. Frameless DBS techniques can increase patient comfort and shorten operative time. Interventional magnetic resonance imaging can further reduce operative time, and allows DBS placement to be done with a patient asleep and usually with a single brain penetration. Finally, gene transfer eliminates the need for implanted hardware or batteries and simplifies postoperative care.
Larson
Paul S
PS
Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94143-0112, USA.larsonp@neurosurg.ucsf.edu
D004567:Electrodes, Implanted; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D009069:Movement Disorders / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods*; D010300:Parkinson Disease / Q000601:surgery; D013238:Stereotaxic Techniques