By C. H. A. Meyer, A. Detta, C. Kudoh (auth.), Assoc. Professor Dr. Björn A. Meyerson, Professor Dr. Christoph Ostertag (eds.)
This quantity comprises chosen contributions from the XIth assembly of the eu Society for Stereotactic and useful Neurosurgery held in September 1994 in Antalyaffurkey. lots of the papers take care of the numerous healing and technical developments made during this box of neurosurgery. The emergence of latest stereotactic methodologies corresponding to frameless stereotaxy and different kinds of neuronavigation became an quintessential instrument for every type of neurosurgical operations. more and more younger neurosurgeons takes an curiosity within the neurosurgical ways to the remedy of stream issues, power ache and epilepsy. this can be a transparent signal ofthe growing to be knowledge of the lengthy missed indisputable fact that those neurosurgical remedies will be provided to massive sufferer populations. Neurotransplantation as a singular remedy of Parkinson's illness has lead the way for the applying of this know-how for different symptoms. The pioneering paintings played by means of the past due Edward Hitchcock is reviewed the following. there's a renewed curiosity in pallidotomy for facing sure sorts of Parkinson's disorder and likely features of this operation are mentioned in one other paper. development within the neurosurgical therapy of discomfort is handled by way of contributions on sophisticated recommendations of percutaneous cordotomy, DREZ operations and demanding reviews of spinal twine stimulation. a singular procedure is a document at the reviews of treating melanoma discomfort by means of intraspinal implantation of chromaffin cells. numerous contributions conceal the real problems with novel strategies for the research of neural disorder, peroperative tracking with puppy, microrecording, magneto-encephalography and different techniques.
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Additional resources for Advances in Stereotactic and Functional Neurosurgery 11: Proceedings of the 11th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Antalya 1994
ScaiolP, S. Brockt, and I. Dones! Departments of 1 Neurosurgery and 2Neurophysiology, Istituto Nazionale Neurologico "C. Besta", Milano Italy Summary Intraoperative neurophysiological monitoring of cranial nerve functions in surgery for microvascular decompression and tumors of the posterior fossa is important for minimizing risk of permanent damage to the nerves. In particular, intraoperative BAEP and the EMG function of muscle innervated by trigeminal and facial muscle have been found useful.
The frequency and intensity of the discharge are probably directly related to the extent of nerve damage and functional loss . Direct nerve stimulation is of value because it makes it possible: - to distinguish nevers from other structures; - and to check their axonal integrity. A reduction in CMAP amplitude probably indicates a partial nerve conduction block and suggests the presence of neurapraxia or structural damage (axonotmesis or neuronotmesis). During MVD surgery, only a few of our patients (with mild and transitory facial deficits) have shown changes in CMAP, none of which was significant; however, a reduction in amplitude or the complete suppression of CMAP has frequently been observed in patients undergoing acoustic neurinoma surgery, and this has invariably been associated with facial paresis or paralysis.
1. Records of movements and muscle activation in a normal subject (3) the EMG activity of the rectus femoris and hamstring muscles were filtered and rectified and analyzed in relation to the recorded torques. Results recorded torques and the EMG activity produced during muscular lengthening allowed the assessment of the velocity-dependent stretch reflexes of the flexor and extensor muscles. In second phase of the procedure three sessions of three repetitive voluntary knee flexion-extension movements with maximal effort were performed.
Advances in Stereotactic and Functional Neurosurgery 11: Proceedings of the 11th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Antalya 1994 by C. H. A. Meyer, A. Detta, C. Kudoh (auth.), Assoc. Professor Dr. Björn A. Meyerson, Professor Dr. Christoph Ostertag (eds.)