DBS operation for Parkinson's disease performed inside iMRI
September 19, 2011 in Parkinson's & Movement disorders
Henry Ford Hospital became the third hospital in the United States to perform a Deep Brain Stimulation (DBS) procedure inside an Intraoperative Magnetic Resonance Imaging scanner, or iMRI.
"This is a great addition to the neurosurgical toolbox," says Jason M. Schwalb, M.D., Director of Movement Disorder and Behavioral Neurosurgery at Henry Ford Health System.
"Although awake surgery with brain mapping is still the standard of care for DBS, some patients can not tolerate awake surgery because of anxiety or the severity of their disease. The iMRI allows us to place DBS electrodes accurately for an asleep patient. We can also use it to confirm accurate electrode placement before closing the skin."
DBS is an effective surgical procedure that uses mild electrical pulses to ease or control the most debilitating effects of Parkinson's disease, including tremor, extra movements, walking difficulty, stiffness and slowness.
DBS was approved by the U.S. Food and Drug Administration in 2002 for Parkinson's disease.
The procedure is a great advancement over previous surgical treatments including "ablative" or "lesioning" surgeries, in which heat is used to damage or destroy parts of the brain known to cause tremor and other symptoms of the disease. Over 60,000 DBS procedures have been performed worldwide.
DBS is fully approved by the FDA for essential tremor and Parkinson's disease. It is approved by the FDA under a Humanitarian Device Exemption for primary Dystonia and Obsessive-Compulsive Disorder.
Gerhard Schubert, a teacher from White Lake, Mich., who suffers from Parkinson's disease, recently underwent DBS using the iMRI at Henry Ford. He opted for DBS because his medication had lost its effectiveness for controlling his symptoms of the disease, including tremors.
Henry Ford is one of a relative handful of medical institutions worldwide and the only one in Michigan to acquire an iMRI, technology that takes brain surgery far beyond any previous advances. The iMRI also aids in the surgical treatment of brain tumors.
By combining the DBS procedure with the iMRI, surgeons are able to vividly see the affected area of the brain in real time as they work, with GPS-like mapping to guide them through its intricacies and perform surgical procedures with an accuracy that was previously unattainable. During surgery, the living brain moves, sometimes as much as three-fourths of an inch, adding to the difficulty of the procedure. With iMRI, this problem is also eliminated because it provides a steady stream of real-time images.
Henry Ford Hospital has performed more than 40 operations in 2011 mostly for brain tumors using the iMRI.
For the DBS procedure, the ClearPoint system from MRI Interventions, Inc. was utilized.
Provided by
Henry Ford Health System
-
New approach simplifies Parkinson's surgery
May 25, 2011 |
not rated yet |
0
-
Consensus reached on use of Parkinson's treatment
Oct 13, 2010 |
not rated yet |
0
-
Researchers studying 'deep brain stimulation' for Parkinson's disease
Jan 26, 2010 |
not rated yet |
0
-
Most patients stop drugs for essential tremor after deep brain stimulation surgery
Apr 07, 2011 |
not rated yet |
0
-
Scientists review deep brain stimulation to treat psychiatric diseases
Jun 29, 2009 |
not rated yet |
0
-
Motion perception revisited: High Phi effect challenges established motion perception assumptions
Apr 23, 2013 |
3 / 5 (2) |
2
-
Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update)
Apr 02, 2013 |
4.5 / 5 (11) |
5
-
The visual system as economist: Neural resource allocation in visual adaptation
Mar 30, 2013 |
5 / 5 (2) |
9
-
Separate lives: Neuronal and organismal lifespans decoupled
Mar 27, 2013 |
4.9 / 5 (8) |
0
-
Sizing things up: The evolutionary neurobiology of scale invariance
Feb 28, 2013 |
4.8 / 5 (10) |
14
-
Change in momentum when a body is thrown up and falls back down.
7 hours ago
-
change in speed and wavelength of light while travelling from one med
7 hours ago
-
Calculus of Variation - Classical Mechanics
10 hours ago
-
Frictional Force Equation Doesn't Make Sense
10 hours ago
-
Calculating Steam Pressure in Closed Container
15 hours ago
-
Learning curve of Electromagnetism?
20 hours ago
- More from Physics Forums - Classical Physics
More news stories
Faulty energy production in brain cells leads to disorders ranging from Parkinson's to intellectual disability
Neuroscientist Patrik Verstreken of VIB (Flanders Institute for Biotechnology) and KU Leuven has shown for the first time that dysfunctional mitochondria in brain cells can lead to learning disabilities. The link between ...
Parkinson's & Movement disorders
May 17, 2013 |
4 / 5 (2) |
0
Unleashing the watchdog protein
McGill University researchers have unlocked a new door to developing drugs to slow the progression of Parkinson's disease. Collaborating teams led by Dr. Edward A. Fon at the Montreal Neurological Institute and Hospital -The ...
Parkinson's & Movement disorders
May 09, 2013 |
5 / 5 (1) |
0
|
Could eating peppers prevent Parkinson's? Dietary nicotine may hold protective key
New research reveals that Solanaceae—a flowering plant family with some species producing foods that are edible sources of nicotine—may provide a protective effect against Parkinson's disease. The study appearing today ...
Parkinson's & Movement disorders
May 09, 2013 |
not rated yet |
0
Study reveals probable role of Parkinson's protein in healthy brain
(Medical Xpress)—Researchers at the Stanford University School of Medicine have exposed the possible function, in the healthy brain, of a mysterious molecule that has been strongly implicated in Parkinson's ...
Parkinson's & Movement disorders
May 01, 2013 |
5 / 5 (3) |
0
|
Study shows how Parkinson's disease protein acts like a virus
A protein known to be a key player in the development of Parkinson's disease is able to enter and harm cells in the same way that viruses do, according to a Loyola University Chicago Stritch School of Medicine study.
Parkinson's & Movement disorders
Apr 25, 2013 |
5 / 5 (5) |
0
|
Alzheimer's leaves bilingual victims stranded in Canada
The devastating effect of Alzheimer's disease on bilingual people has been thrown into focus in Canada, where the sudden loss of a second language can leave sufferers feeling like strangers in their own country.
'Gap' for HIV vaccine efforts after latest setback
The hunt for an HIV vaccine has gobbled up $8 billion in the past decade, and the failure of the most recent efficacy trial has delivered yet another setback to 26 years of efforts.
Consuming coffee linked to lower risk of detrimental liver disease, study finds
Regular consumption of coffee is associated with a reduced risk of primary sclerosing cholangitis (PSC), an autoimmune liver disease, Mayo Clinic research shows. The findings were being presented at the Digestive Disease ...
Ketamine shows significant therapeutic benefit in people with treatment-resistant depression
Patients with treatment-resistant major depression saw dramatic improvement in their illness after treatment with ketamine, an anesthetic, according to the largest ketamine clinical trial to-date led by researchers from the ...
Research examines new methods for managing digestive health
Research presented at Digestive Disease Week (DDW) explores new methods for managing digestive health through diet and lifestyle.
New smartphone application improves colonoscopy preparation
The use of a smartphone application significantly improves patients' preparation for a colonoscopy, according to new research presented today at Digestive Disease Week (DDW). The preparation process, which begins days in ...