Electrode tip positions and stimulation profiles were as follows
Lesion position | Stimulation profile | ||
---|---|---|---|
Lesion 1: | |||
(a) 11 mm posterior to FM | 2 Hz | Motor response hand, face | 5.5 V |
13 mm lateral to midline | 50 Hz | Sensory response cheek, hand | 5 V |
Driving dystonia hand and torticollis | 7 V | ||
(b) 14mm posterior to FM | 2 Hz | Motor response | |
13mm lateral | Hand | 5 V | |
Neck | 6 V | ||
50 Hz | Driving dystonia hand | 4 V | |
Sensory response hand | 4.5 V | ||
Inhibiting motor foot | 5 V | ||
Lesion 2: | |||
(a) 14 mm posterior to FM | 2 Hz | Motor response hand, face | 5.6 V |
7 mm lateral | 50 Hz | Sensory response hand, face, foot | 3.8 V |
Driving dystonia hand | 5.0 V | ||
(b) 17 mm posterior to FM | 2 Hz | Motor response hand | 3.5 V |
10 mm lateral | Driving head movement | 4.0 V | |
Motor response face | 5.0 V | ||
50 Hz | Sensory response | ||
Hand | 1.0 V | ||
Face | 2.4 V | ||
Driving head movement and hand | 3.4 V |
Lesion 1 was mainly in Vim. Lesion 2 was mainly in VPM (and VPL?) but probably included part of the centromedianum-parafasicular complex.5 All lesions were made on the foramina of Monro-posterior commissure (FMPC) plane. FM-PC distance measured 27.5 mm and the macrostimulation profile showed the thalamus to be relatively narrow. Each lesion was double; two adjacent lesions were made on each occasion.