Approach for tunneling the lead in deep brain stimulation

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The implantation of a deep brain stimulator (DBS) is often a staged procedure that involves stereotactic placement of the neurostimulator electrode, followed by connection of the electrode to a pulse generator during a separate operation. The authors describe a practical technique for the retrograde tunneling of the stimulator lead during the initial electrode implantation procedure. After DBS electrode placement and securing of the lead, the lead is covered with a protective cap and boot, which are then folded back to tunnel a redundant loop of the lead in a retrograde fashion into a subgaleal pocket. This technique facilitates connection of the lead to the pulse generator connecting wire at the subsequent operation and may reduce lead damage.

Abbreviation used in this paper: DBS = deep brain stimulator.
Article Information

Contributor Notes

Address correspondence to: Robert J. Plunkett, M.D., Buffalo General Hospital, 100 High Street, Buffalo, New York 14203. email: rjplunkett@ubns.com.Please include this information when citing this paper: published online July 24, 2009; DOI: 10.3171/2009.6.JNS09554.

© AANS, except where prohibited by US copyright law.

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    Lead Kit for Deep Brain Stimulation Implant Manual Minneapolis, MNMedtronic, Inc2008

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