By C. H. A. Meyer, A. Detta, C. Kudoh (auth.), Assoc. Professor Dr. Björn A. Meyerson, Professor Dr. Christoph Ostertag (eds.)
This quantity includes chosen contributions from the XIth assembly of the eu Society for Stereotactic and practical Neurosurgery held in September 1994 in Antalyaffurkey. lots of the papers take care of the various healing and technical developments made during this box of neurosurgery. The emergence of latest stereotactic methodologies reminiscent of frameless stereotaxy and different kinds of neuronavigation became an necessary instrument for all sorts of neurosurgical operations. increasingly more younger neurosurgeons takes an curiosity within the neurosurgical techniques to the remedy of circulate problems, continual soreness and epilepsy. it is a transparent signal ofthe growing to be wisdom of the lengthy missed incontrovertible fact that those neurosurgical remedies should be provided to massive sufferer populations. Neurotransplantation as a unique therapy of Parkinson's disorder has cleared the path for the appliance of this expertise for different symptoms. The pioneering paintings played via the overdue Edward Hitchcock is reviewed the following. there's a renewed curiosity in pallidotomy for facing definite different types of Parkinson's ailment and sure features of this operation are mentioned in one other paper. development within the neurosurgical remedy of soreness is handled through contributions on subtle ideas of percutaneous cordotomy, DREZ operations and demanding reviews of spinal wire stimulation. a unique method is a file at the reviews of treating melanoma ache by way of intraspinal implantation of chromaffin cells. numerous contributions disguise the real problems with novel innovations for the research of neural disorder, peroperative tracking with puppy, microrecording, magneto-encephalography and different techniques.
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This quantity includes chosen contributions from the XIth assembly of the ecu Society for Stereotactic and sensible Neurosurgery held in September 1994 in Antalyaffurkey. lots of the papers care for the numerous healing and technical developments made during this box of neurosurgery. The emergence of recent stereotactic methodologies comparable to frameless stereotaxy and different kinds of neuronavigation became an necessary software for every type of neurosurgical operations.
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Additional info for Advances in Stereotactic and Functional Neurosurgery 11: Proceedings of the 11th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Antalya 1994
Broggi Department of Neurosurgery, Istituto Nazionale Neurologico "e. Besta", Milano, Italy, and 1 Department of Motor Rehabilitation, Ospedale Valduce, Como, Italy Summary Intrathecal baclofen is at present the best treatment for severe spasticity of various etiologies. In walking patients affected by severe spasticity a careful evaluation of the motor performance is needed for a correct indication for this treatment. The examination should focus on the delicate balance between spasticity and voluntary muscle activation which is crucial for an improvement of motor performance during gait.
Fourth type: mixture of the above mentioned disturbances. The different types of spasticity-related disturbances are exemplified by the following three patients. Table 2. Patients Selected for the Neurophysiological Evaluation Before and After Intrathecal Baclofen. Walking spastic patients selected for passive and active neurophysiological assessment before and after intrathecal baclofen Pt. Age Disease Ashworth Condition 1 2 3 4 5 6 7 50 34 50 32 24 45 47 FSP FSP FSP FSP ALS FSP FSP 5 5 3 5 4 4 5 ambulation with two canes by swinging movements poor walking with two canes walking but not climbing stairs moving with great difficulty with two canes walking with one cane, not climbing stairs walking with difficulty on flat surfaces walking with two canes FPSfamilial spastic paraplegia; ALS amyotrophic lateral sclerosis.
Surgical manreuvres performed near, or directly on the acoustic nerve produced significant BAEP changes in all of our acoustic neurinoma patients, and in many undergoing MVD; however, no clear correlation was found between the increase in latency, the reduction in amplitude and the degree of hearing loss. The improvement in BAEPs following transient changes has recently been investigated by Moeller et al. [7J, who simultaneously recorded BAEPs and acoustic nerve action potentials [6,7,13]. 2. Wave Suppression Complete BAEP wave suppression has been observed in all of our patients undergoing surgery for acoustic neurinomas, and in some operated on for MVD (Table 3).