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Innovations in Functional Neurosurgery and Anesthetic Implications

Dunn, Lauren K. MD, PhD*; Durieux, Marcel E. MD, PhD*,†; Elias, W. Jeffrey MD; Nemergut, Edward C.*,†; Naik, Bhiken I. MBBCh*,†

Journal of Neurosurgical Anesthesiology: January 2018 - Volume 30 - Issue 1 - p 18–25
doi: 10.1097/ANA.0000000000000398
Review Articles

Functional neurosurgery has undergone rapid growth over the last few years fueled by advances in imaging technology and novel treatment modalities. These advances have led to new surgical treatments using minimally invasive and precise techniques for conditions such as Parkinson’s disease, essential tremor, epilepsy, and psychiatric disorders. Understanding the goals and technological issues of these procedures is imperative for the anesthesiologist to ensure safe management of patients presenting for functional neurosurgical procedures. In this review, we discuss the advances in neurosurgical techniques for deep brain stimulation, focused ultrasound and minimally invasive laser-based treatment of refractory epilepsy and provide a guideline for anesthesiologists caring for patients undergoing these procedures.

Departments of *Anesthesiology

Neurosurgery, University of Virginia, Charlottesville, VA

W.J.E.: Research funding from Insightec and Focused Ultrasound Foundation. The other authors have no funding or conflicts of interest to disclose.

Address correspondence to: Lauren K. Dunn, MD, PhD, Department of Anesthesiology, University of Virginia, PO Box 800710, Charlottesville, VA 22908 (e-mail:

Received July 13, 2016

Accepted November 9, 2016

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