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  The first evaluation of brain shift during functional neurosurgery by deformation field analysis

Winkler, D., Tittgemeyer, M., Schwarz, J., Preul, C., Strecker, K., & Meixensberger, J. (2005). The first evaluation of brain shift during functional neurosurgery by deformation field analysis. Journal of Neurology, Neurosurgery & Psychiatry, 76, 1161-1163. doi:10.1136/jnnp.2004.047373.

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Item Permalink: http://hdl.handle.net/11858/00-001M-0000-0010-E09A-B Version Permalink: http://hdl.handle.net/11858/00-001M-0000-002C-5C16-4
Genre: Journal Article

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 Creators:
Winkler, Dirk, Author
Tittgemeyer, Marc1, Author              
Schwarz, J., Author
Preul, Christoph1, Author              
Strecker, K., Author
Meixensberger, Jürgen, Author
Affiliations:
1Department Cognitive Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society, ou_634563              

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 Abstract: Stereotactic surgery is based on a high degree of accuracy in defining and localising intracranial targets and placing surgical tools. Brain shift can influence its accuracy significantly. Deep brain stimulation of the subthalamic nucleus can markedly change the quality of life of patients with advanced Parkinson's disease, but the outcome depends on the quality of electrode placement. A patient is reported in whom the placement of the second electrode was not successful. Deformation field analysis of pre- and postoperative three dimensional magnetic resonance images showed an intraoperative brain movement of 2 mm in the region of the subthalamic nucleus (the target point). Electrode repositioning resulted in efficient stimulation effects. This case report shows the need to reduce risk factors for intraoperative brain movement and demonstrates the ability of deformation field analysis to quantify this complication.

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Language(s): eng - English
 Dates: 2005
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Method: -
 Identifiers: eDoc: 238080
DOI: 10.1136/jnnp.2004.047373
Other: P6518
 Degree: -

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Title: Journal of Neurology, Neurosurgery & Psychiatry
Source Genre: Journal
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Publ. Info: London : British Medical Association
Pages: - Volume / Issue: 76 Sequence Number: - Start / End Page: 1161 - 1163 Identifier: ISSN: 0022-3050
CoNE: https://pure.mpg.de/cone/journals/resource/111085522793000