Authors
Myriam Lafreniere-Roula, William D Hutchison, Andres M Lozano, Mojgan Hodaie, Jonathan O Dostrovsky
Publication date
2009/10/1
Journal
Journal of neurosurgery
Volume
111
Issue
4
Pages
724-728
Publisher
American Association of Neurological Surgeons
Description
Object
The aim of the current study was to examine and compare the aftereffects of local high-frequency microstimulation through the recording electrode on the firing of neurons in the subthalamic nucleus (STN) and the substantia nigra pars reticulata (SNr) in patients undergoing surgery for deep brain stimulation. Deep brain stimulation has been playing an increasing role in the treatment of Parkinson disease, with the subthalamic nucleus (STN) being the preferred implantation target. Changes in cellular activity indicative of the borders of the STN are typically used during surgery to determine the extent of the STN and locate the optimal target, but in some cases borders may be difficult to identify. In this study the authors compared the effects of microstimulation in the SNr and STN. In previous studies they have shown that microstimulation in the internal globus pallidus, which is functionally similar to …
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