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Updated: Jul 26, 2025
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Controlling Parkinson's Disease With Adaptive Deep Brain Stimulation
Published on: July 16, 2014
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How I do it - asleep DBS placement for Parkinson's disease
Pedro Roldan1,2, Alejandra Mosteiro3,4, Francesc Valldeoriola5
1Department of Neurosurgery, Hospital Clínic de Barcelona, Barcelona, Spain.
Acta Neurochirurgica
|June 15, 2023
Summary
This study details a new method for Parkinson's disease treatment using asleep deep brain stimulation (DBS) surgery. This approach improves accuracy and patient comfort by utilizing advanced imaging and preoperative planning.
Area of Science:
- Neurosurgery
- Neurology
- Medical Imaging
Background:
- Traditional Parkinson's disease functional neurosurgery relied on awake patients and stereotactic atlases.
- Advances in MRI and intraoperative imaging allow for precise preoperative planning.
Purpose of the Study:
- To describe the transition to asleep deep brain stimulation (DBS) surgery for Parkinson's disease.
- To outline methods for accurate electrode placement under general anesthesia.
Main Methods:
- Emphasizes stepwise description of preoperative planning.
- Highlights intraoperative imaging verification for asleep-DBS surgery.
- Utilizes MRI anatomic landmarks for direct targeting, accounting for variability.
Main Results:
- Accurate preoperative planning and implementation are now possible with patients under general anesthesia.
- The asleep procedure eliminates patient distress during surgery.
Conclusions:
- Asleep DBS surgery offers a more comfortable alternative to traditional awake procedures.
- Careful planning and imaging are crucial to avoid complications like pneumocephalus and brain shift.
