My Journey With Parkinson's – David Zanghi

DBS SURGERY – Stage 2

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DBS ELECTRODE PLACEMENT

  • 3-D printed frame placed
  • Arch incision made in skin on top of head
  • 1/2 inch hole drilled on each side
    (like a dentist drill, not painful, but can feel vibrations)
  • Three recording electrodes inserted – improves targeting
  • Neuromonitoring team assist for recording neural activity with
    and without movement (kinetic cells, tremor cells)
  • May test stimulation with these micro electrodes
  • Evaluate tremor, rigidity, and side effects
  • Once trajectory chosen, permanent electrode placed
  • Repeated for right side (left body)
  • Once completed, electrodes are tucked under the scalp just above the ear
  • CT scan obtained in the OR to confirm position
  • Then transferred to ICU
  • Surgery duration 3-4 hours

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