Precisión en implantación de electrodos para estimulación cerebral profunda para manejo de trastornos del movimiento.

Precision in implantation of electrodes for deep brain stimulation for management of movement disorders.

Contenido principal del artículo

Jorge Alberto Ordoñez Castillo
Oscar Andrés Escobar Vidarte
Javier Orozco Mera

Resumen

En la implantación de electrodos cerebrales profundos el gran reto del cirujano es la más precisa implantación de electrodos en el lugar seleccionado, presentamos el análisis de la técnica quirúrgica estándar internacional y análisis de una cohorte de pacientes implantados en términos de precisión lograda en un estudio observacional descriptivo retrospectivo de doce pacientes, se analizó la precisión en implantación de electrodos con la técnica quirúrgica estándar internacional, comparando la posición de los electrodos en el post operatorio inmediato con la posición de los electrodos planeada antes del procedimiento quirúrgico. El estudio incluye doce pacientes con Enfermedad de Parkinson (9), distonía cervical (1), síndrome tardío (1) y Enfermedad de Gilles de la Tourette (1), implantados con técnica quirúrgica estándar internacional. Todos los pacientes fueron implantados bilateralmente, para un total de 24 electrodos implantados. En la medición de la distancia entre el blanco quirúrgico planeado en el preoperatorio y la localización final del electrodo, encontramos una distancia promedio de 0.89 milímetros, con un rango entre 0 y 2.5 milímetros. Encontramos que la implantación de electrodos cerebrales por estereotaxia, imágenes, software y microregistro, en paciente despierto, con micro y macro estimulación, es un procedimiento preciso y seguro con diferencia promedio 0,89 milímetros.

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Detalles del artículo

Biografía del autor/a (VER)

Jorge Alberto Ordoñez Castillo, Universidad del Valle

Neurocirujano, Especialista en Cirugía Funcional y de epilepsia. Universidad del Valle, Cali, Colombia. Servicio de Neurocirugía Clínica Nuestra Señora de los Remedios, Cali, Colombia

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