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Abstract #0885

Pre-surgical structural and functional MRI to optimize cerebellar stimulation electrode placement for chronic stroke therapy

Jacqueline Chen1, Ajay Nemani1, Julio Cesar de Almeida2,3, Xuemei Huang1, Leonardo Favi Bocca4, Kenneth B Baker1, Mark J Lowe1, Stephen E Jones1, and Andre G Machado1
1Cleveland Clinic, Cleveland, OH, United States, 2Santa Casa de Belo Horizonte Hospital, Belo Horizonte, Brazil, 3Universidade Federal de Minas Gerais, Belo Horizonte, Brazil, 4Universidade Federal de Sao Paulo, Sao Paulo, Brazil

Synopsis

Keywords: Stroke, fMRI (resting state), deep brain stimulationTo improve reproducibility of positive outcomes from cerebellar dentate stimulation for chronic stroke, we hypothesized that the volume of tissue activated (VTA) (dentateVTA) proximity to the volume functionally connected to ipsilesional motor-associated cortices (dentateFC-ipsi-motor) would be associated with improved arm impairment/function metrics. DentateVTA was estimated using computed tomography and T1-weighted MRI. DentateFC-ipsi-motor was estimated from fMRI (resting state). Significant correlations with arm metric improvement were not found for dentateVTA proximity to dentateFC-ipsi-motor, but were found for dentateVTA size, distance from center, and percentage VTA in the inferior-lateral-posterior region. These findings suggest stimulating a small target at the inferior-posterior-lateral dentate edge.

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