Document Detail


Direct anatomical localization of the subthalamic nucleus on CT with comparison to Schaltenbrand-Wahren atlas.
MedLine Citation:
PMID:  17077649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Stimulation of the subthalamic nucleus (STN) has become an accepted treatment for motor symptoms of Parkinson's disease. Generally, localization of the target is based on stereotactic atlas coordinates and magnetic resonance (MR) images. In this paper a method of direct anatomical localization of the STN on computed tomography (CT) images is described and compared with the Schaltenbrand-Wahren atlas. Serial CT scans were obtained at 1.5-mm interval and scan thickness of 3 mm, with the CT gantry and glabella-inion plane of the patient's head vertical. The STN was identified as a dense structure medial to the inner semicircular border of the internal capsule in the subthalamic region. Its visibility was increased by changing the window and level settings on the CT workstation computer. The center of the STN in relationship to the intercommissural line, determined by this technique, was similar to those found on standard atlases.
Authors:
Michael D Sather; Arun Angelo Patil
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2006-10-30
Journal Detail:
Title:  Stereotactic and functional neurosurgery     Volume:  85     ISSN:  1011-6125     ISO Abbreviation:  Stereotact Funct Neurosurg     Publication Date:  2007  
Date Detail:
Created Date:  2006-12-27     Completed Date:  2007-02-06     Revised Date:  2009-12-07    
Medline Journal Info:
Nlm Unique ID:  8902881     Medline TA:  Stereotact Funct Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  1-5     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2007 S. Karger AG, Basel.
Affiliation:
Section of Neurosurgery, University of Nebraska Medical Center, Omaha 68198-2035, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anatomy, Artistic
Deep Brain Stimulation / methods
Female
Humans
Magnetic Resonance Imaging*
Male
Medical Illustration
Middle Aged
Neuronavigation*
Parkinson Disease / therapy
Subthalamic Nucleus / anatomy & histology*,  radiography*
Tomography, X-Ray Computed*
Comments/Corrections
Comment In:
Stereotact Funct Neurosurg. 2009;87(6):399   [PMID:  19907204 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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