medigraphic.com
Academia Mexicana de Neurología, A.C.

2005, Number 5

<< Back Next >>

Rev Mex Neuroci 2005; 6 (5)

Deep brain signal recording and processing computarizad system as neurosurgical guide in movement disorders

Teijeiro AJ, Macías GRJ, López FG, Álvarez GL, Maragoto RC

Language: Spanish
References: 19
Page: 393-398
PDF size: 94.96 Kb.


ABSTRACT

Objective: This paper describes the software designed to use a personal computer for deep brain signal recording and processing, as a guide for the stereotactic and functional neurosurgery. Method: This system can simulate an on-line digital oscilloscope and perform different kinds of signal processing. The recorded information can be saved for retrospective analysis, too. This system also allows 3D-graphic possibilities for the anatomic-physiological correlation analysis in each patient. The spatial behavior of the brain signals general amplitude and others physiological findings can be automatically shown over the corresponding sagital, coronal y axial plaques of an anatomic brain atlas, scaled for each patient. Finally, the therapeutic lesions can also be planned over these graphic representations or the simulator location spotted. Results: This system has already been used successfully in Cuba, Spain, and Chile, in more than 700 neurosurgical procedures for Parkinson’s disease, dystonia and other movement disorders. Conclusions: The automatic and graphic representations made by this software, make easier the spatial analysis of the anatomic-physiological information contributing to increase the accuracy and safety in the selection of the surgical targets for this kind of neurosurgery.


REFERENCES

  1. Macías R, Teigeiro J, Torres A, Álvarez L. Electrophysiological targeting in stereotaxic surgery for Parkinson’s disease. In Obeso JA, DeLong MR (Eds.). The basal ganglia and new surgical approaches for Parkinson’s disease. Advances in Neurology. Philadelphia: Lippincott-Raven 1997; 175-82.

  2. Starr PA, Vitek JL, Bakay AE. Ablative surgery and deep brain stimulation for Parkinson’s disease. Neurosurgery 1998; 43: 989-1013.

  3. Ondo WG, Desaloms M, Jankovic J, Grossman RG. Pallidotomy for generalized dystonia. Mov Disord 1998; 13: 693-8.

  4. Lozano AM, Hutchison WD, Tasker RR, Lang AE, Junn F, Dosctrovsky JO. Microelectrode recordings define the ventral posteromedial pallidotomy target. Stereotact Funt Neurosurg 1998; 71: 153-63.

  5. Zonenshayn M, Rezai AR, Mogilner AY, Beric A, Sterio D, Kelly PK. Comparison of anatomic and Neurophysiological methods for subthalamic nucleus targeting. Neurosurgery 2000; 47: 282-92.

  6. Teijeiro J, Ohye C, Macías R, Ortega I, Alaminos A, Alvarez L. Deep recording and digital processing system for brain electrical activity evaluation. Stereotact Funct Neurosurg 1994; 62: 198. Abstract.

  7. Teijeiro J, Macías RJ, Ohye C, et al. Sistema automatizado de registro de la actividad eléctrica de estructuras profundas del sistema nervioso central. Neurocirugía 1996; 7: 171-80.

  8. Teijeiro J, Macías RJ, Ohye C, et al. Automatización de la correlación anatomofisiológica de las estructuras profundas del sistema nervioso central en la neurocirugía funcional estereotáctica. Neurología 1996; 11: 320-31.

  9. Teijeiro J, Macías RJ, Morales JM, et al. Personal-Computer-Based System for Theree-Dimensional Anatomic-Physiological Correlation during Stereotactic and Functional Neurosurgery. Stereotact Funct Neurosurg 2000; 75: 176-87.

  10. Teijeiro J, Macías RJ, Morales JM, et al. Sistema automático para la correlación anatomofisiológica en tres planos simultáneos durante la neurocirugía funcional. Rev Neurol 2001; 32 (11): 1005-12.

  11. Aubert E. Sigmagraphics: módulo de aplicaciones gráficas en microcomputadores, Revista CENIC 1998; 19: 168-70.

  12. Yeo TT, Nowinski WL Functional neurosurgery aided by use of an electronic brin atlas. Acta Neurochir 1997; 68: 93-9.

  13. Quiñones-Molina R, Molina H, Ohye C, et al. CT-oriented microrecording guided selective thalamotomy. Stereotact Funct Neurosurg 1994; 62: 200-3.

  14. Fernández-González F, Seijo F, Teijeiro J. Setereotactic monitoring of the basal ganglia: methodological considerations. Rev Neurol 1997; 25: 629.

  15. Álvarez L, Macías R, López G, et al. Bilateral subthalamotomy in Parkinson’s disease. Mov Disord 2000; 15 (Suppl 3): 65.

  16. Álvarez L, Macías R, Guridi J, et al. Dorsal subthalamotomy for Parkinson’s disease. Mov disord 2001; 16: 72-8.

  17. Álvarez L, Macías R, López G, et al. Palidtomía posteroventral selectiva guiada por semimicrorregistro en el tratamiento de los estadíos avanzados de la enfermedad de Parkinson idiomática. Neurociencia 2001; 2(2): 87-96.

  18. López-Flores G, Morales JM, Teijeiro-Amador J, et al. Anatomic and neurophysiological methods for the targeting and lesioning of the subthalamic nucleus: Cuban experience and review. Neurosurgery 2002; 52: 817-29.

  19. Álvarez L, Macías R, López G, et al. Bilateral subthalamotomy in Parkinson’s disease: initial and Long-term response. Brain 2005; 128(3): 570-83.




2020     |     www.medigraphic.com