H. Journée, D. J. Hamoen, M. Staal, R. Sclabassi, R. Haaxma, A. Elands, J.J.J. Hummel
{"title":"Tremor recording and analysis as a tool for target localisation in thalamotomy and DBS for tremor","authors":"H. Journée, D. J. Hamoen, M. Staal, R. Sclabassi, R. Haaxma, A. Elands, J.J.J. Hummel","doi":"10.1109/IEMBS.1996.656893","DOIUrl":null,"url":null,"abstract":"The objective of this work was to design and use a tremor recording and analysis system for stereotactic thalamotomy and thalamus stimulation (DBS). A notebook PC based system was developed. The tremor was measured by accelero-transducers or EMG. The method was used to confirm the definitive localization of the coagulation or stimulation target. Intra-operatively recorded effects of stimulation on the tremor were reproducible. Thermocoagulation and electrode implantation were done only after a significant reduction of the tremor was recorded on thalamic stimulation between 75 and 125 Hz. This method has been used on 9 patients: 2 underwent DBS implantation. It is concluded that intra-operative monitoring of the tremor during ventrolateral thalamotomy or stimulation is useful for identifying the final target for coagulation or electrode implantation.","PeriodicalId":20427,"journal":{"name":"Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"1996-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1109/IEMBS.1996.656893","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The objective of this work was to design and use a tremor recording and analysis system for stereotactic thalamotomy and thalamus stimulation (DBS). A notebook PC based system was developed. The tremor was measured by accelero-transducers or EMG. The method was used to confirm the definitive localization of the coagulation or stimulation target. Intra-operatively recorded effects of stimulation on the tremor were reproducible. Thermocoagulation and electrode implantation were done only after a significant reduction of the tremor was recorded on thalamic stimulation between 75 and 125 Hz. This method has been used on 9 patients: 2 underwent DBS implantation. It is concluded that intra-operative monitoring of the tremor during ventrolateral thalamotomy or stimulation is useful for identifying the final target for coagulation or electrode implantation.
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