The Open Magnetic Resonance Journal

2008, 1 : 1-8
Published online 2008 June 19. DOI: 10.2174/1874769800801010001
Publisher ID: TOMRJ-1-1

Cerebral Magnetic Resonance Imaging Feasibility in Patients with Implanted Neurostimulation System for Deep Brain Stimulation

X.A. Vasques , C. Tancu , L. Cif , B. Biolsi , I. Maldonado , A. Bonafe , E. Le Bars and P. Coubes
Unité de Recherche sur les Mouvements Anormaux, Hôpital Gui de Chauliac, Service de Neurochirurgie, 80 Avenue Augustin Fliche, 34295 Montpellier cedex 05, France.

ABSTRACT

The goal of this study was to discuss the guidelines that permit patients with implanted deep brain stimulation (DBS) system to undergo Magnetic Resonance imaging (MRI) safely. We reported our experience of 226 MRI performed on 161 patients (134 dystono-dyskinetic syndromes and 27 Parkinson’s disease) of which 32 reimplantations.

The stereotactic protocol used for the anatomical target localization in our center involves a pre- and postoperative MRI under general anaesthesia. The postoperative MRI allows measuring the possible error, checking the electrode position and the absence of surgical complication. No complications, no haemorrhages, no electrode displacement or fracture, no images similar to pallidotomy, and no neurological deficit were found related to MRI. We recorded only two minor hardware related complications occurring after MRI: (1) a stimulator damage after spinal MRI and (2) a parameter reset after cerebral MRI.

Clinical data confirm MRI feasibility in patients with implanted deep brain stimulation system.