By Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)
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Extra info for Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979
2 B). CRE process of standardization by anamorphosis (Peeker and Scarabin) 4. Obviously, the most accurate localization of a structure is its direct localization in the individual patient. Some structures can be delimited by an adjacent subarachnoidal space, others by characteristic details of the ventriculogram. Gyri and sulci of the cortex can be localized with precision by the tortuous course of arteries running on their surfaces, as has been shown by one of us 7, 8. This localization by three-dimensional angiography is based on the simultaneous study of lateral and frontal projections and greatly facilitated by stereoscopy 5, 8.
B. 3 m), yielding un distorted, natural size radiographs. 05 A o· -l V> ~ '0 n;- 'E. i:l1 ~ o..... <1> (fQ "... (J) <1> g. fi:<1> (J) o..... 'g.. 38 J. Talairach and G. Szikla: of brain structures, including the central gray nuclei and the cerebral cortex. The latter is obviously essential for the full definition of the epileptic phenomenon. This report consists of two parts. The first is a brief description of "global" stereotactic neuroradiological localization techniques. In the surgery of epilepsy, their aIm IS to localize brain structure in space, to demonstrate lesions possibly related to the symptoms, and to allow for intracerebral placement of electrodes within the radiologically localized brain structures (stereo-EEG) 1.
A Electrode implantation points. C. Exposed cortex: Transpial and subpial incision (broken lines), respecting the branches of the middle cerebral artery running on the surface of the insula. Localization of the insula underlying the surgical field with the help of the visible landmarks such as superficial veins and arteries, electrode implantation points (dotted line). D. Localization of the temporal horn by the same landmarks Fig. 5 B, C, D 48 J. Talairach and G. Szikla: These data reasonably indicate the need for removal of the temporal lobe with the rhinencephalic structures as well as of the lower part of the central gyri.
Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979 by Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)