Figure 1 - uploaded by Alfredo Conti
Content may be subject to copyright.
Deep brain stimulation surgery performed on a patient with Holmes tremor using local anesthesia and remifentanil awake analgosedation . The patient is positioned in a semi-sitting position with a Leskill stereotactic frame applied on the head.
Source publication
Holmes tremor is characterized by irregular resting, postural and intention tremors. Deep brain stimulation (DBS) is an effective treatment. A 34-year-old man with Holmes tremor, secondary to head trauma , became agitated during DBS performed under local anesthesia. Remifentanil 0.03 µg/kg/min provided effective sedation and DBS was safety and succ...
Context in source publication
Context 1
... 7.5% and mepivacaine 2%. Approximately 10 min before intraop- erative microelectrode recording (MER), remifentanil infusion was stopped. This allows the surgeon to map the target area precisely. During MER, the patient was asked to move arms, hands, feet and/or legs, to target precise electrode insertion. DBS procedure was successfully performed (Fig. 1).The pa- tient did not evidence pain, and vital signs remained stable; no airway obstruction or complications occurred. Patient's post- operative course was uncomplicated, and he was discharged home on postoperative day ...
