Neurological Surgery 脳神経外科49巻4号

2021年07月発行

特集 定位・機能神経外科の基礎と臨床 Ⅲ　定位・機能神経外科の外科的治療手技 脳深部刺激療法（DBS）

視床刺激療法（Vim-DBS）—振戦に対する視床中間腹側核刺激電極植え込み手術手技

著者： 森下登史¹ 田中秀明¹ 井上亨¹

所属機関： ¹福岡大学医学部脳神経外科

ページ範囲：P.810 - P.819

Point
・通常，視床神経核の可視化は困難であるため，典型的な電極留置部位の座標決定方法を学ぶことが大切である．
・微小電極記録では，somatotopyと運動誘発電位・感覚誘発電位から電極位置を推測することができる．
・治療用電極留置時の試験刺激は，振戦制御効果と刺激誘発性副作用出現閾値を確認する上で非常に有用な手技である．

参考文献

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