CORRESPONDENCE 10. Mavridis I, Anagnostopoulou S. The safest electrode trajectory for deep brain In addition, anatomic studies of the safest electrode trajectory for stimulation of the human nucleus accumbens: a stereotactic anatomic study. NA DBS support a trajectory from the cerebral cortex to the NA, Minim Invasive Neurosurg. 2011;54(1):16-20. which traverses the ALIC without passing through either the 11. Mavridis IN. Stereotactic neurosurgical anatomy of the nucleus accumbens [in 10,11 caudate nucleus or putamen. The anatomic parameters of this Greek]. PhD Thesis, National and Kapodistrian University of Athens (School of Medicine), Athens, Greece, 2012. trajectory have been identified and described as the safe navigation 10,11 model or “port” model (Figure). According to this model, the cortical entrance point lies on the middle frontal gyrus, and the 10.1227/NEU.0000000000001423 10,11 cerebral sulci should be avoided. Anatomic studies have also supported the feasibility of combined NA-ALIC DBS. It is now clear that the available clinical and anatomic data, as well as the relevant literature used by Baydin et al, robustly support a trajectory to the NA through the ALIC and not through the head In Reply: Microsurgical and Fiber Tract of the caudate nucleus. Consequently, it seems unclear why these Anatomy of
Operative Neurosurgery – Oxford University Press
Published: Dec 1, 2016
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