Biomedical Engineering Reference
In-Depth Information
applications of neurostimulation, the leads may be placed in the brain parenchyma,
in the spinal column over the dura mater covering the dorsal aspect of the spinal
cord, or in close proximity to a peripheral nerve. The electronics package, or
implanted neurostmulator (INS), may be located in a subcutaneous pocket just
inferior to the clavicle for deep brain stimulation (DBS) therapy (Fig. 4.11). The
INS may be located in a subcutaneous pocket in the abdomen, the flank, or the
buttocks for SCS therapy involving the thoracic spine or sacral nerve stimulation
(Fig. 4.12).
4.12 Spinal cord stimulation (SCS). Leads are inserted into the epidural space
at a spinal segment appropriate for the location of the presenting pain (courtesy
of Medtronic, Inc.).
