By Marwan I. Hariz M.D., Ph.D. (auth.), C. B. Ostertag, D. G. T. Thomas, A. Bosch, B. Linderoth, G. Broggi (eds.)
Neurosurgery o/the destiny: pcs and Robots in medical Neurosurgical perform and in education - a Philosophical trip into the longer term Many modern neurosurgeons think that they already receive reliable leads to operative surgical procedure with the advantage of the working microscope and different aids that have develop into on hand within the final 3 many years and that the advent of desktops and robots to the working theatre is superfluous. in spite of the fact that, it really is transparent from analogy with the functionality of the airline pilot, one other career the place there are nice calls for on handbook ability and on spatial expertise, that those units do have a lot to provide neurosurgery. Classical neurosurgery, during Cushing, Dandy and Scarff, used to be in response to a 3 dimensional photo of the patient's mind shaped within the surgeon's brain and infrequently illustrated in stylish drawings. Such images have been in accordance with neuroradiological reports via pneumoencephalography, ventriculography or by means of angiography. typically those stud ies confirmed the presence and place of a lesion by way of displacement of ordinary mind buildings and the image was once equipped up through interference. This was once then switched over via the skilled neurosurgeon right into a plan for the craniotomy web site and the trajectory of the surgical strategy. as soon as the mind used to be uncovered extra pre-operative info used to be bought by way of visible inspection and via palpation with the mind needle. those classical varieties ofneuroradiology have principally been outmoded by means of computerised tomography and via magnetic resonance imaging.
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Additional info for Advances in Stereotactic and Functional Neurosurgery 12: Proceedings of the 12th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Milan 1996
Mov Disord 7: 2-13 26. Lezak MD (1995) Neuropsychological assessment, 3rd ed. Oxford University Press, New York, NY Selection Criteria for Unilateral Posteroventral Pallidotomy 27. Lozano AM, Lang AE, Galvez-Jimenez N, Miyasaki J, Duff J, Hutchinson WD, Dostrovsky JO (1995) Effect of GPi pallidotomy on motor function in Parkinson's disease. Lancet 346: 1383-1387 28. Reitan RM, Wolfson D (1985) The Halstead-Reitan neuropsychological test battery: theory and interpretation. Neuropsychology Press, Tucson, AZ 29.
T. • ~ - ..... Warped MR fli· . '. til:',. t . '. A B Spliced CT & MR Spliced CT & MR .. ' ... ~ I _ Slice 105 Original CT Warped MR Spliced C T& MR c Fig. I (A-C). Multiple steps: Edgebased registration and warping of 3D MR data. (B) Axial view; (C) sagittal view 31 FrameJess 3D Volume Registration A B Fig. 2. (A, B) Axial images parallel to AC-PC line. Coronal acquisition perpendicular to AC-PC line Discussion Volume registration techniques involve a geometric transformation model, match measure and search or matching method .
Age Sex Duration Drug dose: L-dopa Drug dose: L-dopa equiv. 5- 5 The techniques used for the pre- and post-operative assessment of GPj pallidotomy will be the focus of this report. Patients and Surgical Procedures The authors have previously reported 14 patients with Parkinson's disease treated with GP j pallidotomy . 9) (Table 1). 5-5). 9 while"on") but suffered from disabling drug-induced dyskinesias. Patients gave informed consent for the study, which was approved by the Toronto Hospital Committee for Research on Human Subjects.