Intraoperative Neurophysiological Monitoring for Deep Brain StimulationPrinciples, Practice and Cases

Intraoperative Neurophysiological Monitoring for Deep Brain StimulationPrinciples, Practice and Cases

Erwin B Montgomery, Jr

Print publication date: Jul 2014

ISBN: 9780199351008

Publisher: Oxford University Press

Abstract

This online resource integrates a thorough understanding of electricity, electronics, biophysics, neurophysiology, and neuroanatomy in a single resource, and helps to make otherwise complex electrophysiologically-based targeting more tractable. It begins with fundamental discussions of electrons, the forces moving electrons, and the electrical circuits controlling these forces, and also covers interference, such as noise and artifact and the measures to avoid or suppress them. It also covers interpretive principles and methods for translating electrophysiological information collected along a trajectory into an understanding of the trajectory's functional-anatomical location, as well as its optimal location and direction. Forms included allow one to document observations, consult algorithms, and interpret data. Other discussions cover safe brain stimulation, correct interpretation of patient responses, procedures of targeted neurological examinations to assess patients' condition in response to stimulation and any surgical consequences, various aspects and limitations of image-based surgical planning, and principles governing use of electrode-guiding mechanical devices.

Table of Contents