Surgical Technique for Leksell Frame Based Deep Brain Stimulation of the Subthalamic Nucleus

With 3000 deep brain stimulation procedures performed annually in the United

States alone, technique for the procedure will clearly have some variability.

In this chapter, we will describe our technique using the Leksell frame and

Medtronics Stealth Station image guidance systems for implantation of unilateral

or bilateral subthalamic deep brain stimulator leads. We will also describe how

we perform placement and connection of the internal pulse generator. This pro-

tocol can be adapted for use with other frames and systems.