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Successful implementation of the first 3.0T MRI compatible brain pacemaker implementation in Guangxi
2023/09/30

Recently, under the guidance of Professor Zhang Jianguo from the Department of Functional Neurosurgery at the Affiliated Temple of Heaven Hospital of Capital Medical University, Professor Zhou Zhiyu from the Department of Neurosurgery and a multidisciplinary team from the Ethnic Hospital of Guangxi Zhuang Autonomous Region successfully implanted the first 3.0T MRI compatible deep brain electrical stimulation system for a Parkinson's disease patient in Guangxi.

Mr. Ma, a 68 year old patient, has been suffering from Parkinson's disease for over 7 years. He has experienced significant limb tremors, muscle rigidity, bradykinesia, gait abnormalities, and other symptoms. His daily activities are very strenuous. Although taking anti Parkinson's drugs can improve the symptoms, the duration of the drug effect is short, the dosage is large, and the fluctuation of symptoms makes it difficult for him to take medication frequently, resulting in difficulties in self-care..

Finally, Mr. Ma came to Guangxi Ethnic Hospital for further treatment. After completing clinical related examinations such as drug evaluation, cranial MR, brain PET-CT, and genetic testing, a comprehensive and detailed evaluation by a multidisciplinary team including Professor Zhou Zhiyu from neurosurgery and Professor Li Binru from neurology, it was determined that the patient can be diagnosed with primary Parkinson's disease, and there are obvious motor complications such as residual drug effects, which are in line with the indications for deep brain stimulation (DBS) surgery.

Professor Zhou Zhiyu from the Neurosurgery Department of Guangxi Ethnic Hospital introduced that deep brain stimulation (DBS) can effectively improve clinical symptoms of movement disorders such as Parkinson's disease, muscle tone disorders, and primary tremors, greatly improving the quality of life. Previous deep brain stimulation systems were unable to tolerate high field MRI scans and could only perform 1.5T MRI scans when turned off, making it impossible for DBS patients to undergo 3.0T MRI scans again. This application is currently the only 3.0T MRI compatible deep brain electrical stimulation system in China, allowing patients to perform high field strength and high-resolution 3.0T MRI scans at any time, even when the pacemaker is turned on, bringing great convenience to patients. We generally recommend patients who are younger, have a longer estimated time for symptom control, and want to explore the functional connections or neural circuits of this type of disease. They may also have an expected high incidence of other comorbidities such as tumors, cardiovascular and cerebrovascular diseases, and bone and joint diseases. Implanting a brain pacemaker at an age that may affect the diagnosis of this type of disease. Patients with MRI needs can use 3.0T MRI compatible brain pacemakers.