Advances in Stereotactic and Functional Neurosurgery 6

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53,49 

Proceedings of the 6. Meeting of the European Society for Stereotactic and Functional Neurosurgery, Rome 1983, Acta Neurochirurgica Supplement 33 – Advances in Stereotactic and Functional Neurosurgery

ISBN: 3211817735
ISBN 13: 9783211817735
Herausgeber: J Gybels/E R Hitchcock/C Ostertag et al
Verlag: Springer Verlag GmbH
Umfang: xiii, 587 S.
Erscheinungsdatum: 30.04.1984
Auflage: 1/1984
Produktform: Kartoniert
Einband: Kartoniert

InhaltsangabeSection I. Epilepsy.- 1. Diagnosis.- A. Introduction.- Progress in Diagnosis in View of Surgical Treatment of the Epileptic Patient.- B. Reports.- Localizing Value of the Clinical Manifestations of the Partial Seizures.- Automatic Analysis of Electrocerebral Activity.- Changes of Energy Metabolism and Regional Cerebral Blood Flow Studied by Positron Emission Tomography in the Interictal Phase of Partial Epilepsy.- C. Communications.- Eye Movements and Occipital Seizures in Man.- The Epileptic Seizure with Origin in Frontal Lobe: A Complex Problem for Surgery.- Techniques for the Analysis of Spike Trains in the Human Central Nervous System.- Shape Factor Intensity (SFI) Analysis of EEG of Patients Treated Surgically for Epilepsy.- Stability of Interictal Spike Rate as an Index of Local Epileptogenicity. A Study Based on Computer Analysis.- Computerized Analytic Study of Stability of Interictal Spike Rate.- Chronic Burr-Hole ECoG and SEEG in the Assessment of Surgical Treatment for Epilepsy.- Tridimensional Biomagnetic Localization of Epileptic Foci.- Stereotactic Methodology in Epileptic Patients with Hemispheric Astrocytoma.- Depth Recording and Neuropathological Aspects in Symptomatic Tumoral and Non Tumoral Epilepsy.- Positron Emission Tomographie Studies in Focal Epilepsy.- Influence of Pregnane Derivates on Metabolism of the Brain and Epileptic Activity in Man.- Correlations Between rCBF and Computerized EEG in Temporal Lobe Epilepsy.- Study of the Role of Defence Mechanisms in Patients with Epilepsy to the Purpose of Neurosurgical Treatment and Rehabilitation.- 2. Surgical Treatment.- A. Introduction.- Indications, Advantages and Limits of the Different Rationales of Surgical Treatment of Epilepsy.- B. Communications.- Temporal Lobectomy for Epilepsy in the Patients with Ipsilateral Extratemporal Brain Lesion.- Surgical Management of Partial Epilepsies: A Critical Evaluation of Electrical, CT Scan, and Pharmacological Studies of the Milan Series.- Excision of Two and Three Independent and Separate Ipsilateral Potentially Epileptogenic Cortical Areas.- Additional New Approach in Treatment of Temporal Lobe Epilepsy.- Caudate Nucleus Stimulation Düring Epilepsy Treatment.- The Reduction of Seizures in Cerebral Palsy and Epileptic Patients Using Chronic Cerebellar Stimulation.- Section II. Cerebral Tumours.- Introductory Lecture.- Morphologie Evaluation of Stereotactic Brain Tumour Biopsies.- 1. Stereotactic Biopsy.- Some Correlations Between Histological and CT Aspects of Cerebral Gliomas Contributing to the Choice of Significant Trajectories for Stereotactic Biopsies.- Stereotactic Sampling Biopsies in a Series of 268 Consecutive Cases-Validity and Technical Aspects.- The Reliability of Stereotactic Biopsy.- Intra-Encephalic Stereotactic Biopsies (309 Patients/318 Biopsies).- Diagnostic Accuracy and Multimodal Approach in Stereotactic Biopsies of Deep Brain Tumours.- Stereotactic Biopsy of Brainstem Tumors.- Stereotactic Biopsy of Intracranial Processes.- A Global 3-D Image of the Blood Vessels, Tumour and Simulated Electrode.- Computer Assisted Stereotactic Biopsies Utilizing CT and Digitized Arteriographic Data.- Stereo-EEG Contribution to the Three-Dimensional Definition of the Hemispheric Astrocytomas.- Depth-EEG in Stereotactic Biopsy.- A Simple Method for the Growth of Cell Cultures from Small Biopsies of Brain Tumours Taken Düring CT-directed Stereotactic Procedures.- Tissue Mechanical Resistance Measurements and Records in Stereotactic Biopsy Procedures.- Preliminary Experiences with Intraoperative Ultrasonography in Cerebral Tumour Biopsy.- CT Assisted Stereotactic Biopsy of Deep Cerebral Lesions and the Results.- Observations with the Utilization of the Brown-Roberts-Wells Stereotactic System in the Management of Intracranial Mass Lesions.- CAT Scan-directed Stereotactic Brain Biopsy: With Template Produced by Computer Graphics.- 2. Stereotactic Focal Irradiation.- I. Effects on Tumour and Brain.- Experimental Dat

Artikelnummer: 5744412 Kategorie:

Beschreibung

Local interstitial radiation therapy of intrinsic and inaccessible brain tumors is confronted with two major problems: 1. The tolerance of normal brain tissue, which is usually involved in local tumor irradiation, i.e. perifocal white matter edema and demyelinating effects, is crucial. 2. Data on radiation effects of implanted radioactive sources on neoplastic tissue, i.e. data on the radiosensitivity and on the biology of tumors, are still widely unavailable. In clinical practice the dose with which to achieve a given volume of tumor necrosis is roughly estimated. This report deals with the experimental findings of Iodine-125 and Iridium-I92 permanent implants in healthy and neoplastic brain tissue. Our own experimental findings are correlated with experimental data on Yttnul11-l)O irradiation from the literature. The study is directed to collect data on the tolerance non-tumoral brain tissue and to attempt to establish a dose-response relationship. Morphologic Changes in the Dog Brain Following Interstitial Iodine-125 Irradiation Iodine-I25 seeds (manufactured by 3 M Company, St. Paul, M. N.) with an activity of 3.55 mCi were permanently implanted under stereotactic conditions into the subcortical white matter of the gyrus coronalis of the left hemisphere in 6 beagle dogs. One animal with a non-radioactive seed implanted under similar operative conditions served as a control. The animals were allowed to survive 25, 46, 71, 94, 248, 368 days, respectively, after the implantation. The control animal survived 46 days. A detailed description of the experimental procedure is given elsewhere 16. 17.

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E-Mail: juergen.hartmann@springer.com

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