Patients can sleep during deep brain stimulation procedure using intraoperative tools
IRVINE, CA, and MINNEAPOLIS, MN /CNW/ - IMRIS Inc. (NASDAQ: IMRS; TSX: IM) ("IMRIS") and MRI Interventions, Inc. (OTCQB: MRIC) today announced that Cook Children's Medical Center in Fort Worth, Texas, is the first U.S. pediatric hospital to offer asleep deep brain stimulation (DBS) surgery to children suffering from dystonia by utilizing the combination of MRI Interventions' ClearPoint® Neuro Intervention System and an IMRIS VISIUS® Surgical Theatre for real-time intraoperative image guidance and procedure visualization.
"The VISIUS iMRI and ClearPoint guidance platform make DBS surgery an option for these children," said Dr. John Honeycutt, Medical Director of the Cook Children's Department of Neurosurgery, who led the first two pediatric asleep DBS procedures in early November. "It is very difficult for children to remain awake during surgery, and the real-time intraoperative visualization and guidance we use with these technologies means they do not have to."

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DBS surgery is usually performed on patients who are awake so the surgeon can assess the placement of leads (wires) by observing the effect of stimulation in an area of the brain. This is very difficult for children to manage, and children with dystonia have a lot of involuntary movement. However, the combination of ClearPoint and VISIUS iMRI technologies enables Dr. Honeycutt to observe the surgical instruments and exact target location in the patient's brain throughout the operation in real time, allowing these young patients to sleep through surgery and reduce the anxiety associated with it.
Using these technologies, Dr. Honeycutt is able to see and select the desired neurological target area, establish a trajectory, and visualize the target on MR images as the electrode is inserted to the desired location.
Dystonia is a debilitating neurological movement disorder that causes involuntary muscle contractions and twisting and repetitive movements. DBS is an important therapeutic option for patients for whom medication is not adequate treatment. The therapy involves the implantation of a brain "pacemaker" device system, usually below the shoulder which sends electrical impulses through wires to specific parts of the brain. The electrical impulses are intended to interfere with the neural activity that causes the involuntary movement and painful muscle contractions. Unfortunately, children with dystonia often do not make good candidates for conventional DBS surgery due to the awake nature of the lead placement procedure.