title: Securing dual ipsilateral leads through a single burr hole in deep brain stimulation surgery: technical note.
abstract: Deep brain stimulation (DBS) surgery typically involves placement of a single lead through a burr hole, either unilaterally or bilaterally. Rare indications, however, call for placement of 2 ipsilateral leads. To date, there have been no technical descriptions of how best to secure dual ipsilateral leads to the skull. We describe a method of placing and securing 2 ipsilateral DBS leads through a single burr hole using standard cranial plating equipment and a simple modification to a burr hole-mounted anchoring ring. This method has been used safely in 6 patients without detectable displacement of the first lead during implantation of the second lead.
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco, CA 94143-0112, USA.
authors.forename: Mathew B
authors.initials: MB
authors.lastname: Potts
authors.forename: Paul S
authors.initials: PS
authors.lastname: Larson
mesh_terms: D001860:Bone Plates; D003399:Craniotomy / Q000379:methods*; D046690:Deep Brain Stimulation / Q000295:instrumentation* / Q000379:methods*; D004567:Electrodes, Implanted; D020329:Essential Tremor / Q000601:surgery* / Q000628:therapy*; D006801:Humans; D009103:Multiple Sclerosis / Q000601:surgery / Q000628:therapy; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D012886:Skull / Q000601:surgery*; D013238:Stereotaxic Techniques / Q000295:instrumentation; D013788:Thalamus / Q000502:physiology / Q000601:surgery