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Correlation of Tractography and Motor Evoked Potentials in Deep Brain Stimulation

Correlation of Tractography and Motor Evoked Potentials in Deep Brain Stimulation

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Overview

The goal is to establish another anatomical referencing system in order to achieve an even higher accuracy when implanting stimulation electrodes.

Description

The main goal is to find out what are the optimal distances to these reference fiber tracts when stimulating and to find the optimal target. This has to be evaluated for each target, such as globus pallidus (Gpi), subthalamic nucleus (STN) and ventral intermediate nucleus of the thalamus (VIM) separately. This is of special importance as the investigators can demonstrate the internal capsule, which is often a generator of stimulation-induced side effects: tetanic muscle contractions, dysarthria and gaze deviations.

Eligibility

Inclusion Criteria:

  • Patient qualifying for deep brain stimulation on the basis of a movement disorder (Parkinson's Disease, tremor, dystonia) or chronic pain disease.
  • Informed consent

Exclusion Criteria:

  • Lack of consent
  • Electrical or other devices that preclude the performance of an MRI

Study details
    Improving Accuracy of Implanting Stimulation Electrodes

NCT03136302

Nova Scotia Health Authority

27 January 2024

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