Recommended electrode angle of subthalamic nucleus deep brain simulation for Parkinson's disease patients and its correlation with lateral ventricle volume and age
10.3760/cma.j.issn.1671-8925.2016.06.009
- VernacularTitle:帕金森病患者年龄及侧脑室体积与STN-DBS针道角度的相关性研究
- Author:
Weizhong ZHANG
1
;
Fengfei LU
;
Shan XUE
;
Haoyuan WANG
;
Chen YAO
;
Xiaozheng HE
;
Shizhong ZHANG
Author Information
1. 510282广州,国家临床重点专科,教育部工程技术研究中心,广东省脑功能修复与再生重点实验室,南方医科大学珠江医院神经外科
- Keywords:
Parkinson's disease;
Deep brain stimulation;
Subthalamic nucleus;
Lateral ventricle;
Three-D reconstruction;
Electrode angle
- From:
Chinese Journal of Neuromedicine
2016;15(6):585-591
- CountryChina
- Language:Chinese
-
Abstract:
Objective The inadvertent lateral ventricle puncture is still a problem in subthalamic nucleus deep brain stimulation (STN-DBS) surgery,to which a solution is found in this study with a better choice of electrode angle in STN-DBS by reconstruction of the lateral ventricle and STN.Methods Forty patients with Parkinson's disease,admitted to our hospital from January 2009 to December 2015,were chosen in our study.According to the MRI data of the patients,the lateral ventricle and STN were reconstructed with mimics software;Evans indexes were measured,and the volume of lateral ventricle was reconstructed.Different lateral ventricle and STN planes were captured by using different Ring angles (50-60°,n=11),and the Slide angles of these planes were measured.The patients were divided into two groups according to their age:Group A (60-79-year-old) and Group B (40-59-year-old);their volume of lateral ventricle was measured and compared between the two groups;the correlation between age and volume of lateral ventricle was analyzed;the difference of electrode angle was compared between the two groups and the right and left side of the same group;according to the Evans indexes,these patients were then divided into three groups,the Slide angle and Ring angles were measured and the different angles between left and right brain and among the Evans groups were analyzed so as to give a recommended angle in the STN-DBS.Results Age was positively related to the volume of lateral ventricle,and left one and right volume of lateral ventricle (Pearson correlation index:0.364,0.384 and 0.362),which had statistical significance (P＜0.05).No significant difference on electrode angle was noted between group A and B of different Ring angles (P＞0.05),while significant difference was noted on right and left electrode angle between the two groups (P＜0.05).Positive correlations were noted between volume of lateral ventricle and both Evans indexes and electrode angle,and difference was noted on electrode angle in different Evans indexes groups (P＜0.05).The recommended angle was listed according to the difference of side and Evans' index.Conclusions Age is positively related to volume of lateral ventricle,however,the correlation between age and angle is not clear.Considering the difference of sides and Evans' index,we make a list of Ring and Slide angles as recommendation for deep brain stimulation.
