Advances in Stereotactic and Functional Neurosurgery 11

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.

Inhalt

Hitchcock's Experimental Series of Foetal Implants for Parkinson's Disease: Co-Grafting Ventral Mesencephalon and Striatum.- Parkinsonian Rigidity, Dopa-Induced Dyskinesia and Chorea - Dynamic Studies on the Basal Ganglia-Thalamocortical Motor Circuit Using PET Scan and Depth Microrecording.- Anatomic and Physiological Considerations in Pallidotomy for Parkinson's Disease.- CT Guided Thalamotomy for Movement Disorders in Multiple Sclerosis: Problems and Paradoxes.- Long-Term Clinical, Electrophysiological and Urodynamic Effects of Chronic Intrathecal Baclofen Infusion for Treatment of Spinal Spasticity.- A Neurophysiological Method for the Evaluation of Motor Performance in Spastic Walking Patients.- Microelectrode Monitoring of Cortical and Subcortical Structures During Stereotactic Surgery.- Neurophysiological Monitoring of Cranial Nerves During Posterior Fossa Surgery.- A Frameless Stereotaxic Localisation System Using MRI, CT and DSA.- 3D Laser Scanning for Image Guided Stereotactic Neurosurgery.- Frameless Stereotaxy and Interactive Neurosurgery with the ISG Viewing Wand.- The Impact of Interactive Image Guided Surgery: The Bristol Experience with the ISG/Elekta Viewing Wand.- Stereotactic Endoscopic Interventions in Cystic Brain Lesions.- Neurosurgery for Affective Disorders at Atkinson Morley's Hospital 1948-1994.- Frontal Cingulotomy Reconsidered from a WGA-HRP and c-Fos Study in Cat.- Localisation of Epileptic Foci with Multichannel Magnetoencephalography, MEG.- Partial Seizures with Onset in Central Area: Use of the Callosal Grid System for Localization.- Pain - Old and New Methods of Study and Treatment.- CT-Guided Pain Procedures for Intractable Pain in Malignancy.- Electrophysiological Monitoring During CT-Guided Percutaneous Cordotomy.- Transplantation of Human Chromaffin Cells for Control of Intractable Cancer Pain.- Severe Peripheral Ischemia After Vasospasm May Be Prevented by Spinal Cord Stimulation. A Preliminary Report of a Study in a Free-Flap Animal Model.- Spinal Cord Stimulation Versus Reoperation for Failed Back Surgery Syndrome: a Prospective, Randomized Study Design.- Spinal Cord Stimulation Versus Spinal Infusion for Low Back and Leg Pain.- Treatment of the Failed Back Surgery Syndrome Due to Lumbo-Sacral Epidural Fibrosis.- Significance of the Spinal Cord Position in Spinal Cord Stimulation.- Anatomical Findings in Microsurgical Vascular Decompression for Trigeminal Neuralgia. Correlations Between Topography of Pain and Site of the Neuro-Vascular Conflict.- The Duke Experience with the Nucleus Caudalis DREZ Operation.- Cortical Stimulation for Central Neuropathic Pain: 3-D Surface MRI for Easy Determination of the Motor Cortex.- A New Approach to the Control of Central Deafferentation Pain - Spinal Intrathecal Baclofen.- Index of Keywords.