الفهرس | Only 14 pages are availabe for public view |
Abstract We revealed that intraoperative EMG monitoring during ablative stereotactic surgery for PD treatment provides useful information for characterizing motor symptoms and detecting acute macrostimulation effects including capsular responses that help in assisting functional target localization and confirm accurate electrode placement. EMG recordings during stereotactic lesioning surgeries have elevated the level of confidence in the safety of the site of electrode and so the motor outcomes after surgery, without increase in postoperative complications or surgical time. We revealed that continuous neuromonitoring may facilitate intraoperative identification of impending injury, which may affect changing the surgical technique or tactics in order to decrease or prevent postoperative complications. Our observations showed that percentage of EMG amplitude change can be used as a tool to predict the postoperative UPDRS III and rigidity scores and the percentage in improvement of rigidity postoperative. |