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CASE 1 — “THE PERFECT LEAD THAT DIDN'T WORK”
- A troubleshooting exercise for the audience
- CASE
- PD
- • 62 years
- • STN DBS
- • excellent initial imaging
- • minimal benefit
- WHAT DO YOU CHECK FIRST?
- A — Programming settings?
- B — Lead reconstruction?
- C — Diagnosis / phenotype?
- D — Medication response?
- E — Hardware integrity?
- DISCUSSION — Do not assume “good postoperative coordinates” = “good therapeutic lead.” Reconstruct, localize and troubleshoot before revision.
- Dr Vikas Kathuria | MCh Neurosurgery
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46A CASE 1 POSTOPERATIVE CT / MRI WITH RECONSTRUCTED LEAD — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typePostoperative lead reconstruction
DescriptionAuthentic postoperative imaging with a reconstructed lead, or a published figure reproduced with permission.
Clinical purposeSupport fellowship-level case and evidence discussion without fabricating patient imaging, published trial figures or lead-localization results.
Suggested sourceINSERT AUTHENTIC PUBLISHED / INSTITUTIONAL IMAGE HERE (licensing and consent confirmed)
Copyright statusSource, consent and reproduction rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 10 · Slide 46
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46B LEAD LOCALIZATION AND VTA — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeVTA visualization
DescriptionAuthentic lead localization with a modelled volume of tissue activated; never fabricate reconstruction output.
Clinical purposeSupport fellowship-level case and evidence discussion without fabricating patient imaging, published trial figures or lead-localization results.
Suggested sourceINSERT AUTHENTIC PUBLISHED / INSTITUTIONAL IMAGE HERE (licensing and consent confirmed)
Copyright statusSource, consent and reproduction rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 10 · Slide 46