Intraoperative Neurophysiological Monitoring for Deep Brain Stimulation: Principles, Practice and…

Hardcover | July 16, 2014

byErwin B. Montgomery

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Thorough understanding of electricity, electronics, biophysics, neurophysiology, and neuroanatomy renders more tractable otherwise complex electrophysiologically-based targeting. The textbook integrates these subjects in a single resource. Ultimately, electrophysiological monitoring requiredcontrolling the movement of electrons in electronic circuits. Thus, the textbook begins with fundamental discussions of electrons, the forces moving electrons, and the electrical circuits controlling these forces. The forces that allow recording and analysis also permeate the environment producinginterference, such as noise and artifact. The textbook discusses noise and artifact and the measures to avoid or suppress them. The textbook discusses 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 documentobservations, 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, andprinciples governing use of electrode-guiding mechanical devices.

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Thorough understanding of electricity, electronics, biophysics, neurophysiology, and neuroanatomy renders more tractable otherwise complex electrophysiologically-based targeting. The textbook integrates these subjects in a single resource. Ultimately, electrophysiological monitoring requiredcontrolling the movement of electrons in ele...

Erwin B. Montgomery, Jr., M.D, is Medical Director, Greenville Neuromodulation Center, The Greenville Neuromodulation Scholar in Neuroscience and Philosophy, Thiel College

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Format:HardcoverDimensions:368 pages, 10 × 7 × 0.98 inPublished:July 16, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199351007

ISBN - 13:9780199351008

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Table of Contents

Preface1. Importance of intraoperative neurophysiological monitoring2. Preparations for Intraoperative Neurophysiological Monitoring3. Basic Concepts of Electricity and Electronics4. Electrode Recordings - Neurophysiology5. Microelectrode and Semi-Microelectrode Recordings - Electronics6. Noise and Artifact7. Microelectrode Recordings - Neuronal Characteristics and Behavioral Correlations8. Microstimulation and Macrostimulation9. The Subthalamic Nucleus10. The Globus Pallidus Interna Nucleus11. The Ventral Intermediate Nucleus of the Thalamus12. Clinical Assessments During Intraoperative Neurophysiological Monitoring13. Cases14. Future Intraoperative Neurophysiological MonitoringAppendix A - Subthalamic Nucleus DBS AlgorithmAppendix B - Ventral Intermediate Thalamus DBS AlgorithmAppendix C - Globus Pallidus Interna DBS AlgorithmAppendix D - Microelectrode Recording Form for Subthalamic Nucleus DBSAppendix E - Microelectrode Recording Form for Globus Pallidus InternaAppendix F - Microelectrode Recording Form for Ventral Intermediate ThalamusAppendix G - Intraoperative macrostimulation for clinical effect in Parkinson's diseaseAppendix H - Intraoperative macrostimulation for clinical effect in Tremor DisordersAppendix I - Intraoperative Macrostimulation for Clinical Effect on DystoniaAppendix J - Intraoperative Macrostimulation for Clinical effect on TicsAppendix K - Intraoperative Macrostimulation for Clinical Effect on Dyskinesia