By Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)
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Additional resources for Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979
Nevertheless, as far as long-term results are concerned, even this type of surgery gives sometimes surprisingly good results. The transfer of gathered data to the surgical field is an essential feature of the method. The main point is to transpose without deformation radiological and stereo-electroencephalographic data to the brain itself 10, 20, 21. At first sight, this approach might seem theoretical. A practical example might be helpful to explain this procedure: Patient B. , 27 years. A. Clinical Data, Stereotactic Localization, Stereo-EEG, Preoperative Diagram First generalized tonic/clonic seizure at 7 months of age, without hyperthermia.
Rf'l il '"''''"' .... 1"J ,. fte r intervention ,, ~ R o E Fig. 6. A. The limits of the planned excision are indicated on the exposed cortex corresponding to the preceding informations. 1 Trans- and subsial external cortical excision, 2 simple external cortical excision, 3 complete lobectomy. B. Photograph taken at the end of the procedure, showing the execution of the plan. 1 Sub- and transpial excision, 2 external excision, 3 total lobectomy: the brain stem and the tentorium cerebelli are visible.
The proportional grid localization system based on the bicommissural line, allows for indirect localization of cortical structures (here, outlines of some major sulci: 1 inferior frontal. 2 insula, 3 Sylvian fissure (surface), 4-5 superior and middle temporal, 6 central, 7 parietO-occipital, 8 calcarine; Talairach, Szikla 1967) 40 J. Talairach and G. Szikla: is facilitated 18 (Fig. 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.