title: [Operative and perioperative aspects of deep brain stimulation].
abstract: Deep brain stimulation (DBS) requires the surgical implantation of a system including brain electrodes and impulsion generator(s). The nuclei targeted by the stereotaxic implantation methodology have to be visualized at best by high resolution imaging. The surgical procedure for implanting the electrodes is performed if possible under local anaesthesia to make electro-physiological measurements and to test intra-operatively the effect of the stimulation, in order to optimize the position of the definitive electrode. In a second step, the impulsion generator(s) are implanted under general anaesthesia. DBS for movement disorders has a very good efficacy and a low albeit non-zero risk of serious complications. Complications related to the material are the most common.
authors.forename: Shahan
authors.initials: S
authors.lastname: Momjian
authors.forename: Colette
authors.initials: C
authors.lastname: Boëx
authors.forename: Etienne
authors.initials: E
authors.lastname: Pralong
authors.forename: Maria Isabel
authors.initials: MI
authors.lastname: Vargas
authors.forename: Bogdan
authors.initials: B
authors.lastname: Draganski
authors.forename: Judit
authors.initials: J
authors.lastname: Horvath
authors.forename: Jocelyne
authors.initials: J
authors.lastname: Bloch
mesh_terms: D000768:Anesthesia, General / Q000379:methods; D000772:Anesthesia, Local / Q000379:methods; D046690:Deep Brain Stimulation / Q000009:adverse effects / Q000379:methods*; D004568:Electrodiagnosis / Q000379:methods; D006801:Humans; D009069:Movement Disorders / Q000628:therapy*; D019990:Perioperative Care / Q000379:methods*; D013238:Stereotaxic Techniques