Technical case report of deep brain stimulation: Is it possible single electrode reach to both of subthalamic nucleus and ventral intermediate nucleus in one stage?

Abstract

BACKGROUND: The primary target of this operation is Ventral Intermediate Nucleus (VIM); however VIM -Subthalamic Nucleus (STN) were tried to be reached with one electrode, adjusting the angle well, the coronal section; medial of VIM can partially reach the STN. Using the properties of the electrode; we believe we could act on a wide area. METHODS: An analysis was performed on one patient who underwent VIM Deep Brain Stimulation (DBS) in 3 periods (pre – peri - post-operation). RESULTS: A 53 – year - old woman diagnosed with Parkinson’s disease 8 years earlier including symptoms of severe tremor on the right than left underwent bilateral DBS VIM. Obtaining a satisfactory improvement of tremor, the patient did well, and postoperative complications were not observed. The patient was discharged from hospital on postoperative thirty day CONCLUSIONS: It is certain that more research and experience are needed. However, we believe that the two targets can reach the same point and the second operations for another target can be avoided.We believe that this initiative is advantageous and promising regarding patient and cost.