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Updated: Feb 7, 2026
06:18
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
9.6K
Frameless stereotactic dual lead placement through single burr hole: A technical report
Samuel C D Cartmell1, Kai J Miller1, Allen L Ho1
1Department of Neurosurgery, Stanford School of Medicine, Stanford, CA, USA.
Summary
Dual ipsilateral leads for Deep Brain Stimulation (DBS) can be safely placed through a single burr hole using a frameless stereotactic system. This technique simplifies the neurosurgical procedure for patients requiring bilateral stimulation.
Area of Science:
- Neurosurgery
- Neuromodulation
- Stereotactic Surgery
Background:
- Deep Brain Stimulation (DBS) involves implanting leads in subcortical brain structures.
- Placement of dual ipsilateral leads through a single burr hole is rarely required.
- Traditional stereotactic frames have been used for this procedure.
Observation:
- This study explores using a frameless stereotactic DBS system (NexFrame®).
- Simple modifications to existing equipment were utilized.
- The focus is on the feasibility of single-burr-hole placement for dual leads.
Findings:
- Dual ipsilateral leads were safely and effectively placed.
- The procedure was performed through a single burr hole.
- The frameless stereotactic system proved advantageous.
Implications:
- This technique may offer a less invasive approach for DBS lead placement.
- It could simplify surgical procedures for bilateral brain stimulation.
- Potential for improved patient outcomes and reduced surgical complexity.
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