By Michael Schulder
ISBN-10: 0824707206
ISBN-13: 9780824707200
This quantity bargains a accomplished dialogue of the stereotactic frames, frameless platforms, and radiosurgical systems used in the remedy and regulate of circulation and neurological problems, Parkinson's illness, persistent soreness, spasticity, tumours, epilepsy, and arteriovenous malformations.
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Additional info for Handbook of stereotactic and functional neurosurgery
Sample text
An emerging modality is cortical stimulation, whereby primary motor cortex is chronically stimulated by implanted strip electrodes placed with stereotactic guidance and electrophysiologic localization [34]. These technologies hold hope for a late recourse for patients with chronic localized upper limb and facial pain. Other modalities used in chronic pain have included cingulotomy and thalamic ablative procedures with mixed success. 1 OTHER INDICATIONS Hematoma Stereotactic aspiration on intracerebral hemorrhage is a method practiced in some centers for removal of both acute and subacute lesions.
Fischer label on the fixation rail points in this direction. By loosening one screw (D) on the stereotactic ring, the neurosurgeon can bring the localizer arc in and out of the surgical field to check the localization and the depth of the resection (‘‘nonfixed’’ open stereotaxis). This feature is especially useful for craniotomies to treat superficial lesions located in eloquent areas of the brain. The nonfixed approach is also helpful for craniotomies of deep lesions using a microsurgical approach, allowing the neurosurgeon to operate using standard neurosurgical techniques while evaluating the intraoperative target localization.
For stereotactic surgery, the arc can be moved in the x, y, and z directions to allow for any entry point above the head ring, and the titanium frame is both CT and MRI compatible. Additionally, there is a localizer that can determine coordinates for angiographically obtained targets. Finally, there is no phantom frame with this system. 4 BRW/CRW Frames In 1977, Theodore Roberts and a third-year medical student, Russel Brown, were responsible for developing the Brown-Roberts-Wells System (BRW) at the University of Utah [6].