title: Innovations in Functional Neurosurgery and Anesthetic Implications.
abstract: Functional neurosurgery has undergone rapid growth over the last few years fueled by advances in imaging technology and novel treatment modalities. These advances have led to new surgical treatments using minimally invasive and precise techniques for conditions such as Parkinson's disease, essential tremor, epilepsy, and psychiatric disorders. Understanding the goals and technological issues of these procedures is imperative for the anesthesiologist to ensure safe management of patients presenting for functional neurosurgical procedures. In this review, we discuss the advances in neurosurgical techniques for deep brain stimulation, focused ultrasound and minimally invasive laser-based treatment of refractory epilepsy and provide a guideline for anesthesiologists caring for patients undergoing these procedures.
authors.affiliation: Departments of Anesthesiology.
authors.forename: Lauren K
authors.initials: LK
authors.lastname: Dunn
authors.affiliation: Departments of Anesthesiology.|Neurosurgery, University of Virginia, Charlottesville, VA.
authors.forename: Marcel E
authors.initials: ME
authors.lastname: Durieux
authors.affiliation: Neurosurgery, University of Virginia, Charlottesville, VA.
authors.forename: W Jeffrey
authors.initials: WJ
authors.lastname: Elias
authors.affiliation: Departments of Anesthesiology.|Neurosurgery, University of Virginia, Charlottesville, VA.
authors.forename: Edward C
authors.initials: EC
authors.lastname: Nemergut
authors.affiliation: Departments of Anesthesiology.|Neurosurgery, University of Virginia, Charlottesville, VA.
authors.forename: Bhiken I
authors.initials: BI
authors.lastname: Naik
mesh_terms: D000758:Anesthesia / Q000639:trends*; D046690:Deep Brain Stimulation; D006801:Humans; D009422:Nervous System Diseases / Q000601:surgery; D009493:Neurosurgery / Q000639:trends*; D019635:Neurosurgical Procedures / Q000379:methods*; D018084:Ultrasonography, Interventional