Advances in Stereotactic and Functional Neurosurgery 7: by Dr. Hans-Gerd Lipinski, A. Struppler, P. Birk (auth.),

By Dr. Hans-Gerd Lipinski, A. Struppler, P. Birk (auth.), Professor Jan Gybels, Professor Edward R. Hitchcock, Professor Björn Meyerson, Professor Christoph Ostertag, Professor Gian Franco Rossi (eds.)

The expanding significance of stereotactic surgical procedure within the administration of universal neurological stipulations is illustrated through the wide functions of stereotactic innovations defined during this ebook. overseas gurus current their newest adventure within the fields of circulate ailment, tumours, epilepsy, and soreness and spasticity. the combination of contemporary imaging suggestions with stereotactic instrumentation is a selected characteristic. The publication presents the main smooth description of the strategies and purposes of an increasing box of neurosurgery.

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Extra info for Advances in Stereotactic and Functional Neurosurgery 7: Proceedings of the 7th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Birmingham 1986

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Thomas*, " and G. M. K. Summary Using a modified CT -directed stereotactic system we have performed MRI-directed biopsies in five patients whose intracerebral lesions were not clearly shown by CT. Tissue sampling from targets defined on the MR image enabled a histological diagnosis to be made in four of the five cases. Keywords: Stereotaxy; brain biopsy; MR imaging. Introduction Stereotactic biopsy of cerebral lesions under computed tomographic (CT) control is now well established and has become a routine neurosurgical procedure4,8-'0.

The frequency of cyst formation in astrocytomas has been documented by several reports. Gol reported a 25% incidence of cyst formation in low grade astrocytomas of the cerebral hemispheres 5 . In 1981 Mercuri etal. reported a 54% incidence of cyst formation in 41 low grade hemispheral astrocytomas in children II. Cyst formation in malignant astrocytomas has been re- 36 T. W. : Treatment of Cystic Astrocytomas with Intracavitary Phosphorus 32 ported to occur at an incidence of 10% or less l • 13.

I I \ \ / / / ;' .... \ \ \ \ \ ,, "" .... , "- - ' .... "- - - - 40 - - __ --""" ---- / _..... I \ The substitution of arc irradiation with a combination of fixed angular positions and linear translations allows the modification of the shape ofisodoses. This solution has been tested and found to be effective. We are now studying a computer driven movable stereotactic head frame for clinical use. This apparatus must be equipped with a complete series of safety devices which are not necessary for the experimental apparatus.

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