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The four-contact electrode (model 3389 DBS, Medtronic) was implanted stereotactically (deepest contact on the target), ipsilateral to the pain side, under local anesthesia, without intraoperative micro-recording (Fig. 2).
Offline re-referencing of thalamic voltages to the next deepest contact rendered six bipolar channels.
For GPi-DBS, we position the deepest contact point at the inferior border of the nucleus as determined by MER.
This is due to the fact that the deepest contact point is always situated one contact point (2 mm) below the optimal position.
With respect to depth of implantation of the electrodes in STN-DBS, it is our custom to implant contact number 1 at the point with best stimulation parameters, with the deepest contact 2 mm below this optimal point.
By placing the tip of the electrode in the NAc the deepest contact will stimulate the ventral striatal region, whereas the most dorsal contact, towards the top of the electrode might affect also the ALIC [ 28].
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Mean stereotactic coordinates (SD) of the deeper contact of the electrode relative to the mid-commissural point were x = 2.20 (0.83), y = −3.24 (1.83) and z = −3.69 (1.71).
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