Subscribe to RSS
DOI: 10.1055/s-2001-17123
Is Microelectrode Recording Necessary?
Publication History
Publication Date:
13 September 2001 (online)
ABSTRACT
Microelectrode recording has been used for the past fifty years to perform surgery for movement disorders. At the present time, however, there is still debate about whether it is necessary to perform these surgeries.
In this article we describe the methods most commonly used for microrecording. The results of surgeries performed with and without microelectrode recording (MER) are compared. Several questions remain unanswered at present. These include but are not limited to the following: Does MER improve outcome? Is MER associated with increased overall risk to the patient? Is the information provided by MER more crucial for ablative or deep brain stimulation procedures? Recent interest in pooling neurosurgical data may provide additional insights in this debate.
KEYWORD
Microelectrode - recording - stereotactic - Parkinson's disease - subthalmic nucleus
REFERENCES
- 1 Wetzel N, Snider R S. Neurophysiological correlates in human stereotaxis. Q Bull Northwest Univ Med School . 1958; 32 386
- 2 Albe-Fessard D. Derivation d'activités spontanées et évoquées dans des structures cérébrales profondes de l'homme. Rev Neurol (Paris) . 1962; 106 89-105
- 3 Jasper H, Bertrand G. Thalamic units involved in somatic sensation and voluntary and involuntary movements in man. In: Purpura D, Yahr M, eds. The Thalamus New York, NY: Columbia University Press 1966: 365-390
- 4 Laitinen, L V, Bergenheim A T, Hariz M I. Ventroposterolateral pallidotomy can abolish all parkinsonian symptoms. Stereotact Funct Neurosurg . 1992; 58(1-4) 14-21
- 5 Benabid A L. Acute and long-term effects of subthalamic nucleus stimulation in Parkinson's disease. Stereotact Funct Neurosurg . 1994; 62(1-4) 76-84
- 6 Starr P A. Magnetic resonance imaging-based stereotactic localization of the globus pallidus and subthalamic nucleus. Neurosurgery . 1999; 44(2) 303-314
- 7 Vayssiere N. Magnetic resonance imaging stereotactic target localization for deep brain stimulation in dystonic children. J Neurosurg . 2000; 93(5) 784-790
- 8 Reich C A. A high-resolution fast spin-echo inversion-recovery sequence for preoperative localization of the internal globus pallidus. Am J Neuroradiol . 2000; 21(5) 928-931
- 9 Slavin K V, Anderson G J, Burchiel K J. Comparison of three techniques for calculation of target coordinates in functional stereotactic procedures. Stereotact Funct Neurosurg . 1999; 72(2-4) 192-195
- 10 Slavin K, Burchiel K. Thalamotomy without microrecording: technique and results. In: Lozano A, ed. Movement Disorder Surgery Basel: Karger AG; 2000: 172-180
- 11 Carlson J D, Iacono R P. Electrophysiological versus image-based targeting in the posteroventral pallidotomy. Comput Aided Surg . 1999; 4(2) 93-100
- 12 Favre J. Pallidotomy: a survey of current practice in North America. Neurosurgery . 1996; 39(4) 883-892
- 13 Iacono R P. Electrophysiologic target localization in posteroventral pallidotomy. Acta Neurochir . 1997; 139(5) 433-441
- 14 Giller C A. Stereotactic pallidotomy and thalamotomy using individual variations of anatomic landmarks for localization. Neurosurgery . 1998; 42(1) 56-65
- 15 Samii A. Reassessment of unilateral pallidotomy in Parkinson's disease. A 2-year follow-up study [see comments]. Brain . 1999; 122(Pt 3) 417-425
- 16 Kondziolka D. Outcomes after stereotactically guided pallidotomy for advanced Parkinson's disease. J Neurosurg . 1999; 90(2) 197-202
- 17 Burchiel K, Israel Z. Intraoperative Neurophysiology Special Interest Group. Available at: www.ohsu.neurosurgery.som/ insig/insig. 2000
- 18 Jimenez F. Subthalamic prelemniscal radiation stimulation for the treatment of Parkinson's disease. Electrophysiological characterization of the area. Arch Med Res . 2000; 31(3) 270-281
- 19 Tsao K. Pallidotomy lesion locations: significance of microelectrode refinement. Neurosurgery . 1998; 43(3) 506-513
- 20 Hoover J E, Strick P L. Multiple output channels in the basal ganglia. Science . 1993; 259 819-821
- 21 Burchiel K J. MRI distortion and stereotactic neurosurgery using the Cosman-Roberts-Wells and Leksell frames. Stereotact Funct Neurosurg . 1996; 66(1-3) 123-136
- 22 diPierro C G. Optimizing accuracy in magnetic resonance imaging-guided stereotaxis: a technique with validation based on the anterior commissure-posterior commissure line. J Neurosurg . 1999; 90(1) 94-100
- 23 Guridi J. Stereotactic targeting of the globus pallidus internus in Parkinson's disease: imaging versus electrophysiological mapping [see comments]. Neurosurgery . 1999; 45(2) 278-289
- 24 Vitek J L. Microelectrode-guided pallidotomy: technical approach and its application in medically intractable Parkinson's disease [see comments]. J Neurosurg . 1998; 88(6) 1027-1043
- 25 Bejjani B P. Bilateral subthalamic stimulation for Parkinson's disease by using three-dimensional stereotactic magnetic resonance imaging and electrophysiological guidance. J Neurosurg . 2000; 92(4) 615-625
- 26 Gross R E. Variability in lesion location after microelectrode-guided pallidotomy for Parkinson's disease: anatomical, physiological, and technical factors that determine lesion distribution. J Neurosurg . 1999; 90(3) 468-477
- 27 Zonenshayn M. Comparison of anatomic and neurophysiological methods for subthalamic nucleus targeting. Neurosurgery . 2000; 47(2) 282-294
- 28 Krauss J, Grossman R. Operative techniques for pallidal surgery. In: Krauss J, Grossman R, Jankovicz J, eds. Pallidal Surgery for the Treatment of Parkinson's Disease and Movement Disorders Philadelphia, PA: Lippincott-Raven 1998: 121-133
- 29 Forster A. Audit of neurophysiological recording during movement disorder surgery. Stereotact Funct Neurosurg . 1999; 72(2-4) 154-156
- 30 Linhares M N, Tasker R R. Microelectrode-guided thalamotomy for Parkinson's disease. Neurosurgery . 2000; 46(2) 390-398
- 31 Hariz M I, Bergenheim A T, Fodstad H. Crusade for microelectrode guidance in pallidotomy [letter; comment]. J Neurosurg . 1999; 90(1) 175-179
- 32 Limonadi F M. Utilization of impedance measurements in pallidotomy using a monopolar electrode. Stereotact Funct Neurosurg . 1999; 72(1) 3-21
- 33 Krack P. Opposite motor effects of pallidal stimulation in Parkinson's disease. Ann Neurol . 1998; 43(2) 180-192
- 34 Krauss J K. Microelectrode-guided posteroventral pallidotomy for treatment of Parkinson's disease: postoperative magnetic resonance imaging analysis [see comments]. J Neurosurg . 1997; 87(3) 358-367
- 35 Gross R E. Relationship of lesion location to clinical outcome following microelectrode-guided pallidotomy for Parkinson's disease [see comments]. Brain . 1999; 122(Pt 3) 405-416
- 36 Kopyov O. Microelectrode-guided posteroventral medial radiofrequency pallidotomy for Parkinson's disease. J Neurosurg . 1997; 87(1) 52-59
- 37 Lozano A. Methods for microelectrode-guided posteroventral pallidotomy [see comments]. J Neurosurg . 1996; 84(2) 194-202
- 38 Kirschman D L. Pallidotomy microelectrode targeting: neurophysiology-based target refinement. Neurosurgery . 2000; 46(3) 613-624
- 39 Yokoyama T. Visual evoked potentials during posteroventral pallidotomy for Parkinson's disease. Neurosurgery . 1999; 44(4) 815-824
- 40 Hariz M I, Fodstad H. Do microelectrode techniques increase accuracy or decrease risks in pallidotomy and deep brain stimulation?. <~>A critical review of the literature. Stereotact Funct Neurosurg . 1999; 72(2-4) 157-169
- 41 Alkhani A, Lozano A M. Pallidotomy for parkinson disease: a review of contemporary literature. J Neurosurg . 2001; 94(1) 43-49
- 42 Carroll C B. The pallidotomy debate. Br J Neurosurg . 1998; 12(2) 146-150
- 43 Friehs G M. Lesion size following Gamma Knife treatment for functional disorders. Stereotact Funct Neurosurg . 1996 (suppl 1); 66 (320-328)
- 44 Niranjan A. Functional outcomes after gamma knife thalamotomy for essential tremor and MS-related tremor. Neurology . 2000; 55(3) 443-446
- 45 Ohye C. Evaluation of gamma thalamotomy for parkinsonian and other tremors: survival of neurons adjacent to the thalamic lesion after gamma thalamotomy. J Neurosurg . 2000 (suppl 3); 93 (120-127)
- 46 Young R F. Gamma knife radiosurgery as a lesioning technique in movement disorder surgery. J Neurosurg . 1998; 89(2) 183-193
- 47 Young R F. Electrophysiological target localization is not required for the treatment of functional disorders. Stereotact Funct Neurosurg . 1996 (suppl 1); 66 (309-319)
- 48 Bonnen J G. Gamma knife pallidotomy: case report. Acta Neurochir . 1997; 139(5) 442-445