By Jin Woo Chang, Yoichi Katayama, Takamitsu Yamamoto
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Additional resources for Advances in Functional and Reparative Neurosurgery (Acta Neurochirurgica Supplementum)
Kasai1 , H. Oshima1 , C. Fukaya1;2 , and T. Yamamoto1;2 1 2 Department of Neurological Surgery, Nihon University School of Medicine, Tokyo, Japan Division of Applied System Neuroscience, Nihon University Graduate School of Medical Science, Tokyo, Japan Summary When microelectrode recording of single cell activity is employed for targeting the subthalamic nucleus (STN), multiple sampling of single cells is needed to determine whether the electrode has passed through the ventral boundaries of the STN.
His cognitive function was completely normal. He had no motor palsy and no obvious sensory deﬁcit. His trunk was severely bent forward and continuous dystonic movements occurred mainly in the neck. When he walked, action-induced bending Postoperative course A dramatic reduction in the abnormal muscular tone of the trunk and neck was noted immediately after the initiation of a high frequency stimulation to GPi (Fig. 1). Within several months after surgery, additional progressive improvements were noted.
The anatomical boundary of STN was easily distinguishable on the T2 and 44 J. G. Zhang et al. Flair weighted images and the coordinates were calculated automatically by Surgiplan system. The patient was operated on under local anesthesia. Intraoperative microelectrode recording was used to verify the ﬁring pattern of STN. , electrode 3389) were implanted bilaterally in STN. Intraoperative physiological test ensured the appropriate response of the patient and no obvious adverse effect. , Kinetra) was implanted subcutaneously in the subclavicular region.