Biomechanical Simulation of Electrode Migration for Deep Brain Stimulation

International audienceDeep Brain Stimulation is a modern surgical technique for treating patients who suffer from affective or motion disorders such as Parkinson's disease. The efficiency of the procedure relies heavily on the accuracy of the placement of a micro-electrode which sends electrical pulses to a specific part of the brain that controls motion and affective symptoms. However, targeting this small anatomical structure is rendered difficult due to a series of brain shifts that take place during and after the procedure. This paper introduces a biomechanical simulation of the intra and postoperative stages of the procedure in order to determine lead deformation and electrode migration due to brain shift. To achieve this goal, we propose a global approach, which accounts for brain deformation but also for the numerous interactions that take place during the procedure (contacts between the brain and the inner part of the skull and falx cerebri, effect of the cerebro-spinal fluid, and biomechanical interactions between the brain and the electrodes and cannula used during the procedure). Preliminary results show a good correlation between our simulations and various results reported in the literature

Low occurrence of equine herpesvirus 1 (EHV-1) as cause of abortion and perinatal mortality in Brazil

ABSTRACT: Equine herpesvirus type 1 (EHV-1) is an important pathogen that causes abortion, neonatal disease, respiratory disorders, and neurological syndrome in equine populations worldwide. To evaluate EHV-1 as a cause of abortion and perinatal mortality in Brazil, tissue samples from 105 aborted equine fetuses, stillbirths, and foals up to one month of age were examined using virus isolation, immunohistochemistry (IHC), histopathology, and nested polymerase chain reaction (PCR). Two fetuses were positive for EHV-1 by PCR, one of which showed syncytia and eosinophilic intranuclear inclusion bodies in bronchial epithelia, but it was negative by virus isolation. The other showed no characteristic histological lesions, but it was positive by viral isolation. No sample was positive by IHC. The results presented low occurrence of EHV-1 in the studied population and suggested that the use of a combination of techniques increases the likelihood of an accurate diagnosis of EHV-1