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26 November 17 « 2011
Hours: 8am — 10pm
Intraoperative
Magnetic
Resonance
Imaging scanner,
or IMRI
Aid For Parkinson's
Doctors at Henry Ford use deep brain
stimulation to ease tremors.
H
enry Ford Hospital became
the third hospital in the
United States to perform
a Deep Brain Stimulation (DBS)
procedure inside an Intraoperative
Magnetic Resonance Imaging scanner,
or iMRI.
"This is a great
addition to the neu-
rosurgical toolbox:'
says Dr. Jason M.
Schwalb, director of
movement disorder
and behavioral neu-
rosurgery at Henry
Ford Health System.
"Although awake
surgery with brain
mapping is still the standard of care
for DBS, some patients cannot tolerate
awake surgery because of anxiety or
the severity of their disease. The iMRI
allows us to place DBS electrodes
accurately for an asleep patient. We
can also use it to confirm accurate
electrode placement before closing the
skin."
DBS is an effective surgical proce-
dure that uses mild electrical pulses to
ease or control the most debilitating
effects of Parkinson's disease, includ-
ing tremors, extra movements, walk-
ing difficulty, stiffness and slowness.
DBS was approved by the U.S. Food
and Drug Administration in 2002 for
Parkinson's disease.
The procedure is a great advance-
ment over previous surgical treat-
ments, including "ablative" or "lesion-
ing" surgeries in which heat is used to
damage or destroy parts of the brain
known to cause tremor and other
symptoms of the disease. More than
60,000 DBS procedures have been per-
formed worldwide.
DBS is fully approved by the FDA
for essential tremor and Parkinson's
disease. It is approved by the FDA
under a Humanitarian Device
Exemption for primary dystonia (a
disorder where sustained muscle con-
tractions cause twisting and repetitive
movements or abnormal postures)
and obsessive-compulsive disorder.
Gerhard Schubert, a teacher
from White Lake, who suffers from
Parkinson's disease, recently under-
went DBS using the iMRI at Henry
Ford. He opted for DBS because his
medication had lost its effectiveness
for controlling his symptoms of the
disease, including tremors.
Henry Ford is one of a relative
handful of medical institutions world-
wide — and the only one in Michigan
— to acquire an iMRI, technology
that takes brain surgery beyond any
previous advances. The iMRI also
aids in the surgical treatment of brain
tumors.
By combining the DBS procedure
with the iMRI, surgeons are able to
vividly see the affected area of the
brain in real time as they work, with
GPS-like mapping to guide them
through its intricacies and perform
surgical procedures with an accu-
racy that was previously unattain-
able. During surgery, the living brain
moves, sometimes as much as three-
fourths of an inch, adding to the diffi-
culty of the procedure. With iMRI, this
problem is also eliminated because it
provides a steady stream of real-time
images.
Henry Ford Hospital has performed
more than 40 operations in 2011 —
mostly for brain tumors — using the
iMRI. I
For the DBS procedure, the ClearPoint sys-
tem from MRI Interventions Inc. was used.