By Marwan I. Hariz M.D., Ph.D. (auth.), C. B. Ostertag, D. G. T. Thomas, A. Bosch, B. Linderoth, G. Broggi (eds.)
Neurosurgery o/the destiny: pcs and Robots in medical Neurosurgical perform and in education - a Philosophical trip into the longer term Many modern-day neurosurgeons think that they already receive strong leads to operative surgical procedure with the advantage of the working microscope and different aids that have develop into to be had within the final 3 many years and that the creation of desktops and robots to the working theatre is superfluous. even if, it really is transparent from analogy with the functionality of the airline pilot, one other occupation the place there are nice calls for on handbook ability and on spatial understanding, that those units do have a lot to provide neurosurgery. Classical neurosurgery, during Cushing, Dandy and Scarff, used to be according to a 3 dimensional photograph of the patient's mind shaped within the surgeon's brain and infrequently illustrated in stylish drawings. Such photos have been in line with neuroradiological experiences via pneumoencephalography, ventriculography or by means of angiography. in general those stud ies confirmed the presence and place of a lesion by way of displacement of standard mind buildings and the image used to be outfitted up by means of interference. This was once then switched over via the skilled neurosurgeon right into a plan for the craniotomy web site and the trajectory of the surgical procedure. as soon as the mind was once uncovered extra pre-operative info was once acquired via visible inspection and through palpation with the mind needle. those classical types ofneuroradiology have principally been outdated through computerised tomography and through magnetic resonance imaging.
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Additional info for Advances in Stereotactic and Functional Neurosurgery 12: Proceedings of the 12th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Milan 1996
This type of study design should enable many of the outstanding issues related to pallidotomy indications, procedures and outcomes to be addressed. Keywords: Parkinson's disease; pallidotomy; movement disorders; stereotaxy. Introduction Since the resurgence of pallidotomy with the landmark paper of Laitinen et al. , reports have shown variable results for this procedure in medicallyrefractory Parkinson's disease (PD). There may be multiple sources for this variability. First, patient selection criteria may differ between centres.
1). Two patients exhibited a dyspraxia of the foot upon walking.
Each lesion was made by heating the target area with 75-85°C for 60 sec. Ifuntoward effects appeared upon electrical stimulation, the electrode was repositioned, or the lesion was made smaller than initially intended. The stimulation and coagulation through the target area were performed from ventral to dorsal in some patients, and from dorsal to ventral in the other patients. Assessment Procedure The patients were assessed up to 36 months after surgery (mean 12 months). , side-effects and complications, will be reported.