The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience
Ablative incisionless neurosurgery has become possible through advances in focused ultrasound and magnetic resonance imaging (MRI). The great advantage of MRI-guided focused ultrasound (MRgFUS) is that the ablation is performed through an intact skull without surgery. Here, we review the new modalit...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2018/9764807 |
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| author | Alon Sinai Yeshayahu Katz Menashe Zaaroor Olga Sandler Ilana Schlesinger |
| author_facet | Alon Sinai Yeshayahu Katz Menashe Zaaroor Olga Sandler Ilana Schlesinger |
| author_sort | Alon Sinai |
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| description | Ablative incisionless neurosurgery has become possible through advances in focused ultrasound and magnetic resonance imaging (MRI). The great advantage of MRI-guided focused ultrasound (MRgFUS) is that the ablation is performed through an intact skull without surgery. Here, we review the new modality of MRgFUS for treating tremor and enlighten the role of the anesthesiologist in the unique procedural setting of the MRI suite. During the MRgFUS process, the patients should be awake and are required to cooperate with the medical staff to allow assessment of tremor reduction and potential occurrence of adverse effects. In addition, the patient’s head is immobilized inside the MRI tunnel for hours. This combination presents major challenges for the attending anesthesiologist, who is required to try to prevent pain and nausea and when present, to treat these symptoms. Anxiety, vertigo, and vomiting may occur during treatment and require urgent treatment. Here, we review the literature available on anesthetic management during the procedure and our own experience and provide recommendations based on our collected knowledge. |
| format | Article |
| id | doaj-art-0fa6615572e443ff97b6ebcc0bfc96b8 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-0fa6615572e443ff97b6ebcc0bfc96b82025-02-03T01:24:14ZengWileyParkinson's Disease2090-80832042-00802018-01-01201810.1155/2018/97648079764807The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center ExperienceAlon Sinai0Yeshayahu Katz1Menashe Zaaroor2Olga Sandler3Ilana Schlesinger4Department of Neurosurgery, Rambam Health Care Campus, Haifa, IsraelDepartment of Anesthesiology, Rambam Health Care Campus, Haifa, IsraelDepartment of Neurosurgery, Rambam Health Care Campus, Haifa, IsraelDepartment of Anesthesiology, Rambam Health Care Campus, Haifa, IsraelThe Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, IsraelAblative incisionless neurosurgery has become possible through advances in focused ultrasound and magnetic resonance imaging (MRI). The great advantage of MRI-guided focused ultrasound (MRgFUS) is that the ablation is performed through an intact skull without surgery. Here, we review the new modality of MRgFUS for treating tremor and enlighten the role of the anesthesiologist in the unique procedural setting of the MRI suite. During the MRgFUS process, the patients should be awake and are required to cooperate with the medical staff to allow assessment of tremor reduction and potential occurrence of adverse effects. In addition, the patient’s head is immobilized inside the MRI tunnel for hours. This combination presents major challenges for the attending anesthesiologist, who is required to try to prevent pain and nausea and when present, to treat these symptoms. Anxiety, vertigo, and vomiting may occur during treatment and require urgent treatment. Here, we review the literature available on anesthetic management during the procedure and our own experience and provide recommendations based on our collected knowledge.http://dx.doi.org/10.1155/2018/9764807 |
| spellingShingle | Alon Sinai Yeshayahu Katz Menashe Zaaroor Olga Sandler Ilana Schlesinger The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience Parkinson's Disease |
| title | The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience |
| title_full | The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience |
| title_fullStr | The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience |
| title_full_unstemmed | The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience |
| title_short | The Role of the Anesthesiologist during Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Tremor: A Single-Center Experience |
| title_sort | role of the anesthesiologist during magnetic resonance guided focused ultrasound thalamotomy for tremor a single center experience |
| url | http://dx.doi.org/10.1155/2018/9764807 |
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