Abstract
The effectiveness of deep brain stimulation (DBS) therapy is highly dependent on the accurate and precise implantation of electrodes. Numerous potential sources of targeting error exist, including poor planning image quality, failure of accurate fusion between computed tomography (CT) and magnetic resonance imaging (MRI), brain shift from loss of cerebrospinal fluid (CSF) or pneumocephalus, equipment malfunction, and operator error. The use of detailed checklists to minimize error and prevent adverse events has become commonplace in high-risk professions such as surgery and aviation (1). We report our department’s use of a 58-point intraoperative checklist to improve DBS accuracy and mitigate potential sources of error.
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