By Dr. Hans-Gerd Lipinski, A. Struppler, P. Birk (auth.), Professor Jan Gybels, Professor Edward R. Hitchcock, Professor Björn Meyerson, Professor Christoph Ostertag, Professor Gian Franco Rossi (eds.)

The expanding value of stereotactic surgical procedure within the administration of universal neurological stipulations is illustrated by means of the huge functions of stereotactic options defined during this e-book. foreign gurus current their most recent adventure within the fields of flow affliction, tumours, epilepsy, and ache and spasticity. the combination of contemporary imaging recommendations with stereotactic instrumentation is a selected characteristic. The booklet presents the main smooth description of the thoughts and purposes of an increasing box of neurosurgery.

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Additional resources for Advances in Stereotactic and Functional Neurosurgery 7: Proceedings of the 7th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Birmingham 1986

Example text

Brain stem biopsies were carried out via a transfrontal approach. Histological examination was performed by immediate smear and paraffin sections of multiple biopsies from one or more targets. 26 R. : MRI-Directed Stereotactic Biopsy of Cerebral Lesions Table I. MRI-Directed Stereotactic Biopsy Case Age, sex Symptoms CT findings MRI findings Pathological diagnosis 59, male left pontine syndrome reported as normal malignant lesions in L. pons low grade astrocytoma 2 24, female left facial weakness ataxia isodense mass in pons pontine tumour clearly shown low grade astrocytoma 3 38, male righ t VI nerve palsy diplopia irregular high density in pons?

Postoperative follow-up study in 46 patients showed good recovery of neurological deficits both in putaminal and thalamic group. Criteria of surgical indication of CTguided stereotactic evacuation of intracerebral haematoma were advocated based on the author's clinical experience. Ninety patients with ICH were treated with the Iseki frame and Archimedes type of haem atoma drill from January 1982 to May 1986. The patients were composed of61 males and 29 females aged between 42 and 87 years (Tables 1-3).

The possible beneficial effect of open surgery, stereotactic evacuation, urokinase infusion and both latter techniques combined was tested in different groups of 4 dogs, having subcortical or basal 46 L. : Stereotactic Evacuation and Local Urokinase Administration in Intracerebral Haematomas ganglia haematomas, and were compared with a control group of untreated animals, 10 in each location, to observe the natural history of the process. Neurological condition and intracranial pressure were checked daily.

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