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Slide 14

Original lecture slide

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Original lecture slide 14 showing a schematic MER track through the STN

MICROELECTRODE RECORDING

  • Physiological confirmation — not a substitute for anatomical planning
  • DEPTH
  • CORTEX
  • WHITE MATTER
  • STN ENTRY
  • STN
  • STN EXIT
  • SCHEMATIC MER TRACE
  • Higher / denser neuronal activity in the STN segment
  • WHAT MER ADDS
  • Physiology
  • Nuclear boundaries
  • Confidence in target
  • WHAT MER DOESN'T
  • It does not guarantee that the final implanted lead is optimal.
  • Replace schematic with your institutional MER trace for the live lecture.
  • MER literature and contemporary awake/asleep DBS workflows.
  • Dr Vikas Kathuria | MCh Neurosurgery

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14A AUTHENTIC INSTITUTIONAL MER TRACE — INSERT AUTHENTIC IMAGE

Real clinical image required

Image typeMER trace
DescriptionAuthentic institutional MER trace
Clinical purposeRelate physiological sampling to anatomy and final lead geometry.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 14

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14B SCHEMATIC STN ENTRY / EXIT — INSERT AUTHENTIC IMAGE

Real clinical image required

Image typeIntraoperative physiology
DescriptionSchematic STN entry / exit
Clinical purposeRelate physiological sampling to anatomy and final lead geometry.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 14

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14C MULTIPLE MER TRACKS — INSERT AUTHENTIC IMAGE

Real clinical image required

Image typeIntraoperative physiology
DescriptionMultiple MER tracks
Clinical purposeRelate physiological sampling to anatomy and final lead geometry.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 14

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14D MER + MRI FUSION — INSERT AUTHENTIC IMAGE

Real clinical image required

Image typeMRI-CT fusion
DescriptionMER + MRI fusion
Clinical purposeRelate physiological sampling to anatomy and final lead geometry.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 14

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14E MICROELECTRODE SETUP PHOTOGRAPH — INSERT AUTHENTIC IMAGE

Real clinical image required

Image typeIntraoperative physiology
DescriptionMicroelectrode setup photograph
Clinical purposeRelate physiological sampling to anatomy and final lead geometry.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 14

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14F FINAL DBS LEAD RELATIVE TO MER TRAJECTORY — INSERT AUTHENTIC IMAGE

Real clinical image required

Image typePostoperative lead reconstruction
DescriptionFinal DBS lead relative to MER trajectory
Clinical purposeRelate physiological sampling to anatomy and final lead geometry.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE
Copyright statusSource and publication rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 03 · Slide 14