Neurorehabilitation together with functional neurosurgery are steadily growing fields. In order to encapsulate such concepts, the fourth official scientific meeting of the Neurorehabilitation and Reconstructive Neurosurgery Committee of the World Federation of Neurosurgical Societies (WFNS) was held in Seoul. This volume is the fourth in a new series of proceedings covering the most important advancements in this field.
Neurosurgery o/the Future: Computers and Robots in Clinical Neurosurgical Practice and in Training - a Philosophical Journey into the Future Many present day neurosurgeons believe that they already obtain good results in operative surgery with the benefit of the operating microscope and other aids which have become available in the last three decades and that the introduction of computers and robots to the operating theatre is superfluous. However, it is clear from analogy with the function of the airline pilot, another profession where there are great demands on manual skill and on spatial awareness, that these devices do have much to offer neurosurgery. Classical neurosurgery, in the time of Cushing, Dandy and Scarff, was based on a three dimensional picture of the patient's brain formed in the surgeon's mind and often illustrated in elegant drawings. Such pictures were based on neuroradiological studies by pneumoencephalography, ventriculography or by angiography. Generally these stud ies showed the presence and position of a lesion by displacement of normal brain structures and the picture was built up by interference. This was then converted by the experienced neurosurgeon into a plan for the craniotomy site and the trajectory of the surgical approach. Once the brain was exposed further pre-operative information was obtained by visual inspection and by palpation with the brain needle. These classical forms ofneuroradiology have largely been superseded by computerised tomography and by magnetic resonance imaging.
This text presents a comprehensive and state-of the-art approach to stereotactic and functional neurosurgery. Overarching sections include achieving stereotactic precision, defining trajectories and targets, the biophysics of stereotactic therapies, diseases and targets, and the future of functional neurosurgery. Each section is designed to be inclusive of all relevant topics, serving as an unbiased resource to new clinicians in this field or established clinicians that are aiming to better understand complementary methods. Importantly, each section and the associated chapters can be used by basic and translational scientists as well as engineers and industry to better understand and deliver innovation to the field. Chapters within each section methodically analyze traditional and recently emerging concepts and techniques; address underlying principles with examples drawn from specific diseases and applications; and cover patient selection, target selection, available stereotactic methods, nuanced surgical methods, and clinical evidence across treatment options. Written by experts in each area, Stereotactic and Functional Neurosurgery is a definitive guide to the latest developments in stereotactic targeting, electrode implantation, surgical treatment of neurological and psychiatric disorders, the renaissance of stereotactic lesions, and the frontier of restorative neurosurgery for a variety of disorders that have no other therapeutic options.
This issue of Neurosurgery Clinics of North America is devoted to "Advances in Neuromodulation." Editors Won Kim, MD, Antonio De Salles, MD, and Nader Pouratian, MD have assembled the top experts to review topics such as: peripheral nerve stimulation; spinal cord stimulation for gait reanimation and vascular pathology; deep brain stimulation for Tourettes, OCD, depression, Parkinson’s disease, eating disorders, dystonia, and headache; and techniques for image-guided deep brain stimulation, advanced imaging for targeting, and closed loop neuromodulation.
These proceedings from the Xth Congress of the European Society for Stereotactic and Functional Neurosurgery in Stockholm reflect the growing interest in these fields of neurosurgery. It is the most extensive volume in this series of publications and it contains a large number of original articles pertaining to the most recent advances in stereotactic and functional neurosurgery. Not long ago stereotactic neurosurgery was considered an esoteric sub speciality practised only by those involved in treating movement disorders and pain. In the last decade we have witnessed the incorporation of stereotactic methodology in the management of common neurosurgical diseases, and the stereotactic technique is now practised in all major neurosurgical centers. As with other surgical techniques and tools, however, the utilization of stereotactic methods requires special knowledge and training. This book comprises articles which give insight into new stereotactic applications and technology. For example, the usage of stereotaxis without a frame and the so-called navigator systems in open tumor surgery is dealt with in two papers. The introduction and development of radiosurgery is closely linked to the advancement of stereotactic technique. Radiosurgical treatment of tumors and cerebrovascular diseases has been one of major achievements in modern neurosurgery. This publication contains several original reports illustrating the efficacy of radiosurgery in problematic neurosurgical diseases.
A state-of-the-art guide to evolving functional neurosurgery approaches from world-renowned innovators Functional neurosurgery focuses on improving the lives of patients with epilepsy, movement disorders, pain, and psychiatric illnesses. In recent years, approaches ranging from open surgery to minimally invasive techniques have been leveraged to improve daily functioning and quality of life in people struggling with painful, highly disruptive, and/or treatment-resistant symptoms. These approaches focus on reducing or eliminating seizures, alleviating pain, decreasing abnormal movements or lessening debilitating symptoms associated with specific psychiatric disorders. Neurosurgical Operative Atlas: Functional Neurosurgery, Third Edition, by renowned functional neurosurgeons Robert Gross, Nicholas Boulis, and esteemed contributors reflects the latest advances in functional and stereotactic neurosurgical approaches. The entire atlas has been streamlined and updated with new content, including the use of stereotactic surgery to treat obsessive compulsive disorder, Tourette syndrome, and major depression. Key Highlights A full spectrum of epilepsy treatment techniques, including intracranial monitoring with stereo-electroencephalography, selective amygdalohippocampectomy, MRI-guided stereotactic laser ablation, vagus nerve stimulation, and more Deep brain stimulation (DBS) for Parkinson's disease, tremor, dystonia, epilepsy and medically intractable pain syndromes, with in-depth implantation guidance The use of neurosurgical and interventional techniques to treat pain including percutaneous ablation, peripheral nerve stimulation, spinal cord and motor cortex stimulators, and pumps More than 300 high quality color illustrations detail anatomy and surgical procedures This is the ultimate guide on functional neurosurgery for managing a wide range of incapacitating neurological conditions. Neurosurgical residents, fellows, and veteran neurosurgeons specializing in this rapidly evolving subspecialty will find this state-of-the-art book invaluable — reading it cover to cover will ultimately benefit patients. Series description The American Association of Neurological Surgeons and Thieme have collaborated to produce the third edition of the acclaimed Neurosurgical Operative Atlas series. Edited by leading experts in the field, the series covers the entire spectrum of neurosurgery in five volumes. In addition to Functional Neurosurgery, the series also features: Spine and Peripheral Nerves, edited by Christopher E. Wolfa and Daniel K. Resnick Vascular Neurosurgery, edited by R. Loch Macdonald Neuro-Oncology, edited by Behnam Badie and Mike Y. Chen Pediatric Neurosurgery, edited by James Tait Goodrich and Robert F. Keating
Local interstitial radiation therapy of intrinsic and inaccessible brain tumors is confronted with two major problems: 1. The tolerance of normal brain tissue, which is usually involved in local tumor irradiation, i.e. perifocal white matter edema and demyelinating effects, is crucial. 2. Data on radiation effects of implanted radioactive sources on neoplastic tissue, i.e. data on the radiosensitivity and on the biology of tumors, are still widely unavailable. In clinical practice the dose with which to achieve a given volume of tumor necrosis is roughly estimated. This report deals with the experimental findings of Iodine-125 and Iridium-I92 permanent implants in healthy and neoplastic brain tissue. Our own experimental findings are correlated with experimental data on Yttnul11-l)O irradiation from the literature. The study is directed to collect data on the tolerance non-tumoral brain tissue and to attempt to establish a dose-response relationship. Morphologic Changes in the Dog Brain Following Interstitial Iodine-125 Irradiation Iodine-I25 seeds (manufactured by 3 M Company, St. Paul, M. N.) with an activity of 3.55 mCi were permanently implanted under stereotactic conditions into the subcortical white matter of the gyrus coronalis of the left hemisphere in 6 beagle dogs. One animal with a non-radioactive seed implanted under similar operative conditions served as a control. The animals were allowed to survive 25, 46, 71, 94, 248, 368 days, respectively, after the implantation. The control animal survived 46 days. A detailed description of the experimental procedure is given elsewhere 16. 17.
This volume contains selected contributions from the XIth Meeting of the European Society for Stereotactic and Functional Neurosurgery held in September 1994 in Antalyaffurkey. Most of the papers deal with the many therapeutic and technical advancements made in this field of neurosurgery. The emergence of new stereotactic methodologies such as frameless stereotaxy and other forms of neuronavigation have become an indispensable tool for all types of neurosurgical operations. An increasing number of young neurosurgeons takes an interest in the neurosurgical approaches to the treatment of movement disorders, chronic pain and epilepsy. This is a clear sign ofthe growing awareness of the long neglected fact that these neurosurgical treatments can be offered to large patient populations. Neurotransplantation as a novel treatment of Parkinson's disease has paved the way for the application of this technology for other indications. The pioneering work performed by the late Edward Hitchcock is reviewed here. There is a renewed interest in pallidotomy for dealing with certain forms of Parkinson's disease and certain aspects of this operation are discussed in another paper. Progress in the neurosurgical treatment of pain is dealt with by contributions on refined techniques of percutaneous cordotomy, DREZ operations and critical evaluations of spinal cord stimulation. A novel approach is a report on the experiences of treating cancer pain by intraspinal implantation of chromaffin cells. Several contributions cover the important issues of novel techniques for the study of neural dysfunction, peroperative monitoring with PET, microrecording, magneto-encephalography and other techniques.
Offers expert guidance on functional neurosurgery and neuromodulation, lists of requirements, and the instruments needed to perform these procedures. Answers practical questions such as "What do I need when performing a thermal procedure?", "What do I need to bear in mind when assembling a device?", and "What do I need to remember with regards to voltages, electrodes, percutaneous leads, RF generators, imaging, and micro instruments?" Consolidates today’s available information and guidance in this timely area into one convenient resource. Functional Neurosurgery and Neuromodulation provides comprehensive coverage of this emerging, minimally invasive area of health care. Recent advances in these areas have proven effective for pain relief, memory loss, addiction, and much more. This practical resource by Drs. Kim J. Burchiel and Ahmed Raslan brings you up to date with what’s new in the field and how it can benefit your patients.
