Paper Info
Title
Intra-operative identification of the subthalamic nucleus motor zone using goniometers
Abstract
The current state of the art for identification of motor related neural activity during deep brain stimulation (DBS) surgery utilizes manual movements of the patient's joints while observing the recorded raw data of a single electrode. Here we describe an intra-operative method for detection of the motor territory of the subthalamic nucleus (STN) during DBS surgery. The method incorporates eight goniometers that continuously monitor and measure the angles of the wrist, elbow, knee and ankle, bilaterally. The joint movement data and microelectrode recordings from the STN are synchronized thus enabling objective intra-operative assessment of movement-related STN activity. This method is now used routinely in DBS surgery at our institute. Advantages include objective identification of motor areas, simultaneous detection of movement for all joints, detection of movement at a joint that is not under examination, shorter surgery time, and continuous monitoring of STN activity for patients with tremor.
Year
DOI
Venue
2013
10.1007/978-3-642-38568-1_3
IPCAI
Keywords
Field
DocType
manual movement,stn activity,dbs surgery,subthalamic nucleus motor zone,neural activity,motor territory,intra-operative method,joint movement data,shorter surgery time,intra-operative identification,motor area,movement-related stn activity
Deep brain stimulation,Elbow,Wrist,Physical therapy,Neural activity,Motor Areas,Physical medicine and rehabilitation,Subthalamic nucleus,Medicine,Ankle,Goniometer
Conference
Citations 
PageRank 
References 
1
0.36
0
Authors
9
Name
Order
Citations
PageRank
Reuben R Shamir1787.47
Renana Eitan210.36
Sivan Sheffer310.36
Odeya Marmor-Levin410.36
Dan Valsky510.36
Shay Moshel610.70
Adam Zaidel710.36
Hagai Bergman8254.20
Zvi Israel920.72