Awake vs Asleep Deep Brain Stimulator Surgery for Movement Disorders

Learning Objectives:

1. Understand that deep brain stimulation (DBS) procedures can be safely performed under both awake and asleep conditions.
2. Describe surgeon, patient, technology, and facility-associated factors that guide decision making for performing functional procedures under awake and asleep conditions.
3. Surgeon and anesthesia comfort with awake procedures, application of frameless technology and intraoperative modiifications in order to reduce patient psychologic trauma, and use precision advanced pre-operative and intraoperative imaging.