Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences

<p>Neurosurgical therapy of movement disorders experienced a renaissance with the introduction of deep brain stimulation (DBS) in the 1980s. DBS aimed to improve symptoms in Parkinson&rsquo;s disease, tremor, and dystonia, which are among the most important indications. With advances in brain MRI an...

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Autores principales: Drucks, Bea, Mehdorn, Hubertus Maximilian, Luebbing, Isabel
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Lenguaje:inglés
Publicado: IntechOpen 2026
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Acceso en línea:https://www.intechopen.com/chapters/1246521
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author Drucks, Bea
Mehdorn, Hubertus Maximilian
Luebbing, Isabel
author_browse Drucks, Bea
Luebbing, Isabel
Mehdorn, Hubertus Maximilian
author_facet Drucks, Bea
Mehdorn, Hubertus Maximilian
Luebbing, Isabel
author_sort Drucks, Bea
building IntechOpen
collection Acceso abierto
description <p>Neurosurgical therapy of movement disorders experienced a renaissance with the introduction of deep brain stimulation (DBS) in the 1980s. DBS aimed to improve symptoms in Parkinson&rsquo;s disease, tremor, and dystonia, which are among the most important indications. With advances in brain MRI and the implementation of real-time intracerebral temperature monitoring, focused ultrasound has again expanded treatment options by broadening the neurosurgical therapeutic armamentarium. Having started DBS in 1999 and having contributed extensively to the scientific literature together with our neurological colleagues, we have, since 2020, also used MR-guided focused ultrasound (MRgFUS) to treat patients with tremor by targeting the ventral intermediate nucleus (VIM; nucleus ventralis intermedius) and patients with Parkinson&rsquo;s disease by targeting the subthalamic nucleus (STN; nucleus subthalamicus). Differential indications for DBS and MRgFUS will be reviewed, and experiences from a high-volume center with more than 1,500 patients treated by either method will be described.</p>
doi_str_mv 10.5772/intechopen.1015010
first_indexed 2026-10-15T21:41:35Z
format Book Chapter
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spelling intech-12465212026-04-09 Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences Bea Drucks Hubertus Maximilian Mehdorn Isabel Luebbing Health Sciences <p>Neurosurgical therapy of movement disorders experienced a renaissance with the introduction of deep brain stimulation (DBS) in the 1980s. DBS aimed to improve symptoms in Parkinson&rsquo;s disease, tremor, and dystonia, which are among the most important indications. With advances in brain MRI and the implementation of real-time intracerebral temperature monitoring, focused ultrasound has again expanded treatment options by broadening the neurosurgical therapeutic armamentarium. Having started DBS in 1999 and having contributed extensively to the scientific literature together with our neurological colleagues, we have, since 2020, also used MR-guided focused ultrasound (MRgFUS) to treat patients with tremor by targeting the ventral intermediate nucleus (VIM; nucleus ventralis intermedius) and patients with Parkinson&rsquo;s disease by targeting the subthalamic nucleus (STN; nucleus subthalamicus). Differential indications for DBS and MRgFUS will be reviewed, and experiences from a high-volume center with more than 1,500 patients treated by either method will be described.</p> IntechOpen 2026-04-09 Chapter, Part Of Book https://www.intechopen.com/chapters/1246521 doi:10.5772/intechopen.1015010 en ISBN:978-1-80631-853-7 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/1005063 ; Neurosurgical Procedures - Understanding and Advancements
spellingShingle Health Sciences
Drucks, Bea
Mehdorn, Hubertus Maximilian
Luebbing, Isabel
Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences
title Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences
title_full Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences
title_fullStr Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences
title_full_unstemmed Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences
title_short Deep brain stimulation and MRI-guided focused ultrasound for movement disorders – neurosurgical considerations and institutional experiences
title_sort deep brain stimulation and mri guided focused ultrasound for movement disorders neurosurgical considerations and institutional experiences
topic Health Sciences
url https://www.intechopen.com/chapters/1246521
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