Neurosurgical precision at its peak: deep brain stimulation - patient selection strategy and surgical technique – a video article

Abstract

Deep Brain Stimulation (DBS) has emerged as a promising therapeutic approach for various neurological disorders. This video article elucidates the intricacies of DBS surgery and patient selection criteria. The article comprehensively discusses the indications for DBS across diverse conditions including Parkinson’s disease, primary generalized dystonia, essential tremor, obsessive-compulsive disorder, Tourette’s syndrome, drug-resistant major depression, drug-resistant epilepsy, minimally conscious state, and certain addictive disorders. The article ensure optimal outcomes and patient safety. The surgical procedure is meticulously detailed, encompassing the pre-operative planning phase involving Magnetic Resonance Imaging (MRI) and stereotactic coordinates determination. The step-by-step surgical process is elucidated, from frame application and Computed Tomography (CT) fusion to electrode implantation and confirmation of placement. Post-operative management, including programming of the Implantable Pulse Generator (IPG) and addressing complications, is also discussed. By providing insights into the surgical nuances of DBS and patient selection criteria, this video article serves as a valuable resource for neurosurgeons and healthcare professionals involved in the management of neurological disorders amenable to DBS therapy.