Because it looks good that way.
Because they need to be out of the way of the
trajectory for the stimulation probe.
trajectory for the stimulation probe.
You don’t have to shave as much hair with these
positions.
positions.
You can put them wherever you want.
Please turn on speakers or plug in headphones.
You may turn off audio using the
button in the bottom right corner.
Use the "Menu" button below to skip
around to different parts of the surgery.
Pick up the syringe from the tool bar.
Trajectory 1
Trajectory 2
Trajectory 3
Grab the hair clippers from the toolbar.
Q: Why do you think I used a saline solution during drilling?
To sterilize the drill.
To dissolve the plastic covering the skin away from the incision area.
To wash small bits of bone out of the surgical incision, and cool the drill hole.
To give me something to do with my hands and keep the surgical tech on her toes.
Q: Why are we going to so much effort to measure and re-measure the location of the fiducials and the base of the tower?
Because the technology is kind of cool to play with.
Because the fiducials and base can shift around during surgery.
Because the patient might turn her head.
Because the location of the stimulation probe being inserted into the brain has to be exactly on target.
thalamus sound
quiet zone
STN sound
Grab the scalpel from the toolbar.
She is part of the sterile field and cannot touch the
patient or anything that is not inside the sterile field.
patient or anything that is not inside the sterile field.
It’s better to have someone that is not a physician
do this, as it is less intimidating for the patient.
do this, as it is less intimidating for the patient.
These steps require advanced training that is different
from what the surgeon has.
from what the surgeon has.
It is better to get a second opinion on this step from
other members of the surgical team.
other members of the surgical team.
Pick up the syringe from the tool bar.
Pick up the syringe from the tool bar.
Q: Why wait two weeks before setting the system?
Any procedure produces swelling and inflammation. As
the swelling and inflammation changes, the settings of
the stimulator also will change. It would be frustrating for
patient to come in daily for this.
the swelling and inflammation changes, the settings of
the stimulator also will change. It would be frustrating for
patient to come in daily for this.
The patient might get frustrated or intimidated from too
much being done at one time.
much being done at one time.
So the hospital doesn't have to schedule a neurosurgeon
and a neurologist at the same time.
and a neurologist at the same time.
Insurance companies like to separate the procedures for
billing reasons.
billing reasons.
Grab the scalpel from the toolbar.
Given the scale below, how
severe do you think
Ellen’s tremors are?
Ellen’s tremors are?
0 = none
1 = mild, non-impairing
2 = obvious, minimal impairment
3 = moderate with functional
impairment
impairment
4 = severe impairment
2.8V
3.0V
3.2V
3.4V
3.6V
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16