The MGH Stereotactic and
Functional Neurosurgery Center continues to expand. Functional
neurosurgery is one of the most rapidly growing areas of
neurosurgery both at MGH and across the Nation and the Center
has been an important part of this growth. The success of
the center depends upon close cooperation between the department
of Neurosurgery and the departments of Neurology and Psychiatry.
There are regular multidisciplinary meetings for each of
the main parts of the program - epilepsy, movement disorders,
and psychiatric neurosurgery. These meetings are critical
for the program to remain on the cutting edge of science
and for ensuring the best possible patient care.
There is a weekly epilepsy
conference during which cases are presented and the management
strategies are discussed. Many of these cases are complex
and require invasive monitoring for seizure localization.
Over the past year we have introduced a number of new minimally-invasive
technologies for localization. One such approach is the
use of foramen-ovale electrodes to localize temporal lobe
seizures. This is a much less invasive approach than depth
electrodes, and can be very helpful in select cases. Another
innovation has been the use of frameless stereotactic guidance
combined with PET or SPECT scans to optimize resections.
The Center is also quite active
in Deep Brain Stimulation (DBS) for movement disorders. We
have a biweekly movement disorders conference where we review
new patients. We continue to treat patients with Parkinson's
Disease and Essential Tremor using DBS. In addition, we have
been treating an ......