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To sleep or not to sleep during deep brain stimulation surgery for Parkinson disease?

Aziz, TZ; Hariz, M; (2017) To sleep or not to sleep during deep brain stimulation surgery for Parkinson disease? [Editorial comment]. Neurology , 89 pp. 1-2. 10.1212/WNL.0000000000004635. Green open access

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Abstract

In functional stereotactic neurosurgery, precise placement of lesions or deep brain stimulation (DBS) electrodes is paramount. From the beginning of the specialty, electrical stimulation of the brain target prior to lesioning, and confirmation of accuracy of targeting by postoperative imaging, have been critical.1 Two schools subsequently evolved: one using macroelectrode stimulation in the awake patient with careful on-table assessment and one using microelectrode recording (MER) to map out boundaries of the target followed by microstimulation to assess efficacy and avoid side effects. For many, the latter technique was adopted as the gold standard, but the evidence to support the superior efficacy or better safety of this stance was lacking.2

Type: Article
Title: To sleep or not to sleep during deep brain stimulation surgery for Parkinson disease?
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1212/WNL.0000000000004635
Publisher version: http://doi.org/10.1212/WNL.0000000000004635
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Department of Neuromuscular Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10027855
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