Indications • Peripheral nerve stimulation (PNS) is indicated for patients with chronic, medically refractory, severe neuropathic pain that involves distribution of the nerve to be stimulated. • Occipital nerve stimulation…
Indications • Motor cortex stimulation (MCS) may be considered for patients with medically refractory deafferentation or neuropathic pain, including central pain syndromes related to stroke or, rarely, trauma or multiple…
Indications • Medically refractory, dopamine-responsive Parkinson disease • Medically refractory essential tremors • Medically refractory dystonia • Rare, off-label uses include treatment of chronic pain and of epilepsy Contraindications •…
Indications • Pallidotomy • Parkinson disease : Complications of advancing disease and medical therapy including tremor, wearing off, motor fluctuations, and dyskinesia, in patients with a good response to levodopa…
This procedure describes subdural and depth electrode implantation for long-term invasive recording of electroencephalography (EEG). Indications • Invasive monitoring of EEG in patients with medically refractory, focal-onset epilepsy can provide…
Indications • Medial temporal lobe epilepsy associated with mesial temporal sclerosis pathology consisting of neuronal cell loss, gliosis, and synaptic reorganization • Presumed mesial temporal sclerosis can be determined preoperatively…
Indications • Medically intractable, generalized atonic seizures • Secondarily generalized seizures without identifiable focus • Medically intractable, Lennox-Gastaut syndrome with multiple seizure types • Severe myoclonic absence seizures Contraindications •…
Indications • Spontaneous intracerebral hemorrhage (ICH) • Deep-seated and lobar hematomas with suspected underlying hypertension or cerebral amyloid angiopathy • Moderate-sized and large hematomas (>20 mL) • Normal coagulation parameters…
Indications • Mesial temporal lobe epilepsy without evidence of neocortical involvement is an indication for selective amygdalohippocampectomy. • The decision to proceed with surgery is usually made after medical intractability…
Indications • Despite advances in endovascular neurosurgery, cerebral bypass operations remain essential components in the management of giant aneurysms and some skull base tumors involving the carotid artery. Sacrifice of…
