Intraoperative microelectrode recording under general anesthesia guided subthalamic nucleus deep brain stimulation for Parkinson's disease: One institution's experience Article Swipe
Kang Qian
,
Jiajing Wang
,
Jing Rao
,
Peng Zhang
,
Yaqiang Sun
,
Wenqing Hu
,
Jie Hao
,
Xiaobing Jiang
,
Peng Fu
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1117681
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/fneur.2023.1117681
Objective Microelectrode recording (MER) guided subthalamic nucleus deep brain stimulation (STN-DBS) under local anesthesia (LA) is widely applied in the management of advanced Parkinson's disease (PD). Whereas, awake DBS under LA is painful and burdensome for PD patients. We analyzed the influence of general anesthesia (GA) on intraoperative MER, to assess the feasibility and effectiveness of GA in MER guided STN-DBS. Methods Retrospective analysis was performed on the PD patients, who underwent bilateral MER guided STN-DBS in Wuhan Union Hospital from July 2019 to December 2021. The patients were assigned to LA or GA group according to the anesthetic methods implemented. Multidimensional parameters, including MER signals, electrode implantation accuracy, clinical outcome and adverse events, were analyzed. Results A total of 40 PD patients were enrolled in this study, including 18 in LA group and 22 in GA group. There were no statistically significant differences in patient demographics and baseline characteristics between two groups. Although, the parameters of MER signal, including frequency, inter-spike interval (ISI) and amplitude, were obviously interfered under GA, the waveforms of MER signals were recognizable and shared similar characteristics with LA group. Both LA and GA could achieve effective electrode implantation accuracy and clinical outcome. They also shared similar adverse events postoperatively. Conclusion GA is viable and comparable to LA in MER guided STN-DBS for PD, regarding electrode implantation accuracy, clinical outcome and adverse events. Notably, GA is more friendly and acceptable to the patients who are incapable of enduring intraoperative MER under LA.
Related Topics
Concepts
Deep brain stimulation
Subthalamic nucleus
Medicine
Parkinson's disease
Adverse effect
Anesthesia
Neurostimulation
Surgery
Stimulation
Disease
Internal medicine
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fneur.2023.1117681
- OA Status
- gold
- Cited By
- 10
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4321614746
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4321614746Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fneur.2023.1117681Digital Object Identifier
- Title
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Intraoperative microelectrode recording under general anesthesia guided subthalamic nucleus deep brain stimulation for Parkinson's disease: One institution's experienceWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-02-23Full publication date if available
- Authors
-
Kang Qian, Jiajing Wang, Jing Rao, Peng Zhang, Yaqiang Sun, Wenqing Hu, Jie Hao, Xiaobing Jiang, Peng FuList of authors in order
- Landing page
-
https://doi.org/10.3389/fneur.2023.1117681Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3389/fneur.2023.1117681Direct OA link when available
- Concepts
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Deep brain stimulation, Subthalamic nucleus, Medicine, Parkinson's disease, Adverse effect, Anesthesia, Neurostimulation, Surgery, Stimulation, Disease, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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10Total citation count in OpenAlex
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2025: 3, 2024: 7Per-year citation counts (last 5 years)
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41Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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