Intracerebral Hemorrhage during Multi-track Microrecording of Deep Brain Stimulation Surgery: A Report of Three Cases Yasushi MIYAGI 1,2 , Takato MORIOKA 2 , Kimiaki HASHIGUCHI 2 , Nobuya MURAKAMI 3 , Kazuhiro SAMURA 2 , Fumiaki YOSHIDA 2 , Tadahisa SHONO 2 , Tomio SASAKI 2 , Ryo YAMASAKI 4 , Minako KAWAGUCHI 5 1Division of Digital Patient,Digital Medicine Initiative,Kyushu University 2Department of Neurosurgery,Graduate School of Medical Sciences,Kyushu University 3Department of Neurosurgery,Kaizuka Hospital 4Department of Neurology,Graduate School of Medical Sciences,Kyushu University 5Department of Rehabilitation,Kyushu University Hospital Keyword: intracerebral hemorrhage , multi-track , deep brain stimulation , subthalamic nucleus , Parkinson's disease pp.559-564
Published Date 2009/6/10
DOI https://doi.org/10.11477/mf.1436100956
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 We described three cases with hemorrhagic complication during simultaneous multi-track microelectrode recording (MER) for stereotactic implantation of a subthalamic nucleus electrode. Although preoperative planning with gadolinium-enhanced T1-weighted MR images is recommended to prevent the occurrence of intracerebral hemorrhage, it should be noted that the danger from cerebral vasculatures is still underestimated. Multiple nonspecific white matter hyperintensities and asymptomatic lacunar infarcts may be suspected as potential risk factors, so, it is suggested that the number of MER penetrations should be restricted in such cases.

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