Stereotactic And Functional Neurosurgery

This text presents a comprehensive and state-of the-art approach to stereotactic and functional neurosurgery. Overarching sections include achieving stereotactic precision, defining trajectories and targets, the biophysics of stereotactic therapies, diseases and targets, and the future of functional neurosurgery. Each section is designed to be inclusive of all relevant topics, serving as an unbiased resource to new clinicians in this field or established clinicians that are aiming to better understand complementary methods. Importantly, each section and the associated chapters can be used by basic and translational scientists as well as engineers and industry to better understand and deliver innovation to the field. Chapters within each section methodically analyze traditional and recently emerging concepts and techniques; address underlying principles with examples drawn from specific diseases and applications; and cover patient selection, target selection, available stereotactic methods, nuanced surgical methods, and clinical evidence across treatment options. Written by experts in each area, Stereotactic and Functional Neurosurgery is a definitive guide to the latest developments in stereotactic targeting, electrode implantation, surgical treatment of neurological and psychiatric disorders, the renaissance of stereotactic lesions, and the frontier of restorative neurosurgery for a variety of disorders that have no other therapeutic options.

This book covers stereotactic principles as well as functional stereotaxis, covering the history and uses of the techniques, treatments for specific conditions, and future developments. Includes a DVD demonstrating surgical procedures.

Since its introduction about sixty years ago, stereotactic and functional neurosurgery has evolved into a fascinating and interdisciplinary endeavor that combines modern neurosurgery, neurobiology, and neuroimaging with innovative diagnostic and treatment strategies. In this collection, acknowledged experts from Europe and North and South America present their scientific and clinical experience in stereotactic and functional neurosurgery for movement disorders and brain tumors. The contributions present a wide range from the beginnings of human stereotactic neurosurgery to the most modern molecular and restorative strategies to treat diseases of the human nervous system. They clearly demonstrate that the discipline is still young and dynamic with alternative and sometimes competing strategies whose evaluation is underway. They also document that operative lesioning techniques such as thalamotomies, though still chosen under certain circumstances, have been succeeded by novel neuromodulation techniques such as deep brain stimulation in the great majority of clinical cases.

This volume offers a comprehensive discussion of the stereotactic frames, frameless systems, and radiosurgical procedures utilized in the treatment and control of movement and neurological disorders, Parkinson's disease, chronic pain, spasticity, tumours, epilepsy, and arteriovenous malformations.

This volume offers a comprehensive discussion of the stereotactic frames, frameless systems, and radiosurgical procedures utilized in the treatment and control of movement and neurological disorders, Parkinson's disease, chronic pain, spasticity, tumours, epilepsy, and arteriovenous malformations.

Functional neurosurgery resource features state-of-the-art approaches from renowned experts! For patients with inadequately treated epilepsy, tremor, dystonia, spasticity, depression, obsessive-compulsive disorder, Parkinson's and Alzheimer's disease, functional neurosurgery offers hope. Functional Neurosurgery: The Essentials is a reader-friendly introduction to this fascinating and rapidly evolving field. The text is edited by internationally prominent functional neurosurgeons Jeffrey A. Brown, Julie G. Pilitsis, and Michael Schulder. It features contributions from authors with expertise spanning the disciplines of neurosurgery, neurology, rehabilitation and physical medicine, neurophysiology, bioengineering, psychiatry and ophthalmology. Opening with a brief history of stereotaxy/functional neurosurgery and brain stereotactic frames, 41 concise and coherent chapters explore cutting-edge approaches to a broad range of functionally treatable conditions. The chapters yield a solid foundation of understanding of the field, with insightful commentary, pearls, and nuances from the editors. The starting question in the neuroprosthetics chapter, "Can a computer infer human intention or perception?" brings to life the exciting, inquisitive, and pioneering spirit of this subspecialty. The robust reference list provides a guide to deeper study that should continue throughout training and practice. Highlights Imaging: MRI and CT for stereotactic neurosurgery, fMRI and resting state MRI Movement disorders: A comparative analysis of the risks and benefits of deep brain stimulation versus lesioning Epilepsy: Temporal lobectomy and extra-temporal surgery; invasive monitoring, neuromodulation, laser interstitial thermal therapy, and vagus nerve stimulation Dystonia: Etiology to diagnosis, medical and surgical options Future innovations: Exoskeletons, intention controlled, and visual neuroprosthetics The text is a fundamental resource for neurosurgical residents during their functional neurosurgery rotations and for general neurosurgeons and functional subspecialists on procedures they may not routinely perform in clinical practice.

The increasing importance of stereotactic surgery in the management of common neurological conditions is illustrated by the broad applications of stereotactic techniques described in this book. International authorities present their most up-to-date experience in the fields of movement disorder, tumours, epilepsy, and pain and spasticity. The integration of modern imaging techniques with stereotactic instrumentation is a particular feature. The book provides the most modern description of the techniques and applications of an expanding field of neurosurgery.

Neurosurgery o/the Future: Computers and Robots in Clinical Neurosurgical Practice and in Training - a Philosophical Journey into the Future Many present day neurosurgeons believe that they already obtain good results in operative surgery with the benefit of the operating microscope and other aids which have become available in the last three decades and that the introduction of computers and robots to the operating theatre is superfluous. However, it is clear from analogy with the function of the airline pilot, another profession where there are great demands on manual skill and on spatial awareness, that these devices do have much to offer neurosurgery. Classical neurosurgery, in the time of Cushing, Dandy and Scarff, was based on a three dimensional picture of the patient's brain formed in the surgeon's mind and often illustrated in elegant drawings. Such pictures were based on neuroradiological studies by pneumoencephalography, ventriculography or by angiography. Generally these stud ies showed the presence and position of a lesion by displacement of normal brain structures and the picture was built up by interference. This was then converted by the experienced neurosurgeon into a plan for the craniotomy site and the trajectory of the surgical approach. Once the brain was exposed further pre-operative information was obtained by visual inspection and by palpation with the brain needle. These classical forms ofneuroradiology have largely been superseded by computerised tomography and by magnetic resonance imaging.