**Warning**: graphic images in sources.
Sources:
- https://pubmed.ncbi.nlm.nih.gov/33074294/
- https://thejns.org/focus/view/journals/neurosurg-focus/25/3/article-pE12.xml
- https://www.jove.com/v/3565/surgical-implantation-chronic-neural-electrodes-for-recording-single
#### Broad steps
- Brain scans are done to plan for surgery beforehand
- General or local anesthesia is done to the patient
- Incisions are made on the scalp to expose skull
- A hole in the skull is made to expose the brain
- Electrodes are inserted at precise locations
- The microelectronics / reciever for those electrodes is placed in the hole and drilled to rest of the skull
- Scalp is restitched
##### Challenges with this surgery
- Brain pulsates (like heart) so the surgeon has to be very careful during insertion of electrodes, otherwise it will be placed at the wrong location
![[brain-wobble-gif.gif]]
[Source](https://www.iflscience.com/brain/you-can-see-your-brain-wobble-with-every-heartbeat-with-this-new-mri-technique/)
- Risk of (bacterial) infection
- Antibiotics are usually administered at the site of surgery to prevent infections (which causes swelling)
- Risk of blood vessel puncturing / hemorrhage
- If blood vessels get pierced during surgery, you get a tiny stroke. The region of brain that uses energy supplied by that vessel subsequently dies
- Risk of brain tissue damage
- If electrodes are big or insertion technique is not precise, during insertion a small volume of brain tissue can get damaged
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