G20 G24 G25.0 F33 F33 F42
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All patients who undergo or have undergone since January 1, 2013, a cerebral neuromodulation procedure (DBS implantation or lesioning procedure) at the University Medical Center Freiburg in collaboration with the Department of Stereotactic and Functional Neurosurgery 2. Written informed consent
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Baseline/descriptive data (all patients): (1) General data (demographic data, duration of illness, handedness). (2) Recording of pre-existing conditions and medications prior to the procedure. (3) Recording of procedure-related bleeding in routine imaging during the post-procedure period. (4) For surgical procedures, recording of data from the intraoperative procedure: type of anesthesia, temporary test electrodes used and their number, results of intraoperative test measurements, implanted stimulation system (type, manufacturer), and date of implantation (electrodes and stimulator), as well as any subsequent surgeries on the stimulation system and their indications. (5) High-resolution magnetic resonance imaging of the skull (3T) including structural anatomical data, as well as diffusion tensor magnetic resonance imaging (DTI) and subsequent fiber tracking to visualize the respective target structure (depending on the implantation site and the indication). (6) Postoperative evaluation of the achieved electrode position relative to the respective target structure using spiral CT or 1.5T MRI (routine). (These pre- and postoperative imaging studies are performed routinely.) (7) Recording of stimulation settings during routine follow-up visits (documentation of primary stimulation after testing individual contacts and all modifications). (8) Calculation/simulation of the electric fields around the stimulation electrode and its position relative to the target structure (EFS = electric field simulation). Measurement of the distance between the field and the target structure as a parameter in the context of field simulations. (9) For lesion-based neuromodulatory procedures without the implantation of a medical device, documentation of the lesion and its connectivity in routine follow-up imaging. (10) Recording of functional disease-specific diagnostics collected as part of routine clinical practice (e.g., neuropsychological testing, PET scans, and gait laboratory examin | — |
Secondary
| Measure | Time frame |
|---|---|
| A distinction between primary and secondary endpoints will not be made in this registry. Rather, a list of equivalent outcome parameters is defined. | — |
Countries
Germany
Contacts
Universitätsklinikum Freiburg Klinik für Neurochirurgie Abteilung Stereotaktische und Funktionelle Neurochirurgie