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 scientific Neurosurgical perform and in education - a Philosophical trip into the longer term Many cutting-edge neurosurgeons think that they already receive strong leads to operative surgical procedure with the good thing about the working microscope and different aids that have develop into on hand within the final 3 a long time and that the advent of pcs and robots to the working theatre is superfluous. even though, it's transparent from analogy with the functionality of the airline pilot, one other career the place there are nice calls for on handbook ability and on spatial understanding, that those units do have a lot to supply neurosurgery. Classical neurosurgery, for the period of Cushing, Dandy and Scarff, used to be in keeping with a 3 dimensional photograph of the patient's mind shaped within the surgeon's brain and sometimes illustrated in based drawings. Such photos have been in keeping with neuroradiological reports via pneumoencephalography, ventriculography or by means of angiography. more often than not those stud­ ies confirmed the presence and place of a lesion through displacement of ordinary mind buildings and the image used to be equipped up through interference. This used to be then switched over by way of the skilled neurosurgeon right into a plan for the craniotomy website and the trajectory of the surgical procedure. as soon as the mind was once uncovered extra pre-operative info was once bought by means of visible inspection and via palpation with the mind needle. those classical types ofneuroradiology have principally been outdated by way of computerised tomography and by way of magnetic resonance imaging.

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Additional resources for Advances in Stereotactic and Functional Neurosurgery 12: Proceedings of the 12th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Milan 1996

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A. Meyer, FRACS, Queen Elizabeth Neuroscience Centre, Queen Elizabeth Hospital, Edgbaston, Birmingham B 15 2TH, UK. Acta Neurochir (1997) [Suppl) 68: 42-48 © Springer-Verlag 1997 The Side-Effects and Complications of Posteroventral Pallidotomy M. I. Hariz! and A. A. F. De SaUes 2 1 Department of Neurosurgery, University ofUmea, Sweden and 2Division of Neurosurgery, University of California at Los Angeles (UCLA), CA,USA Summary The side-effects and complications of posteroventral pallidotomy are analysed in 138 consecutive patients who underwent 152 pallidotomies.

GJ boW • buUoao • board 150 = • stand III I L·_ .... _I_---I ,-------, 1. Fazzini E, Dogali M, Beric A et at (1995) The effects of unilateral ventral posterior medial pallidotomy in patients with • root taps COllin 2. •root taps Ipsi ftDaertaps 2po1Dtmar '_board Ipsi References ·_board dotboIpep 200 I: To Mrs Cheryl Bickerton for preparing the manuscript. Contra Two Hands Logs (trunk) Trunk &Limb. 3. 4. One Hand Fig. 3. e. (preop - postop)/preop. "T' and "A" signify movement towards or away from side of pallidotomy.

As assessed using these instruments, the effect of unilateral GP i on postural stability and gait is more modest than on akinesia and dyskinesia. The results reported in the current study, and other recent studies [1, 3, 5], reveal a statistically-significant 28 improvement in drug-induced dyskinesia, bradykinesia, rigidity and tremor on the side contralateral to posteroventral pallidotomy at 6 months to one year. The authors have found more modest effects on postural stability and gait using blinded assessments, in contrast to the results using non-blinded techniques, to evaluate these signs.

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