By H. Narabayashi M.D. (auth.), F. John Gillingham, Edward R. Hitchcock (eds.)
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Additional info for Advances in Stereotactic and Functional Neurosurgery 2: Proceedings of the 2nd Meeting of the European Society for Stereotactic and Functional Neurosurgery, Madrid 1975
1. Age of the 50 patients at the time of the operation tactically) is made with a dental drill of 2 mm diameter and the electrode introduced at an appropriate angle to penetrate the dentate nucleus in the frontal and sagittal main axis. Three to six high frequency coagulations are then performed and the lesion could be extended with adjacent directionally oriented coagulations using a side electrode. The operation was performed unilaterally only on 9 cases of hemisyndrome or in cases where symptoms were very marked on one side.
The place of stereotactic dentatotomy in the neurosurgical treat- Long-Term Assessment of Stereotactic Dentatotomy for Spasticity 47 ment of spasticity and of dyskinesias other than tremors is a limited one. For involuntary movements, a ventrolateral thalamotomy or a sub thalamotomy give much better results. The only disadvantage of this last operation is the very frequent undesirable complications when used bilaterally and thus has to be done only unilaterally. However, dentatotomy may result in more improvement of the involuntary movements of the trunk.
Sci. 18, 89-110. , Svica, 1. (1972), Experiences with dentatotomy. Confin. Neurol. (Basel) 34, 320-324. Ramamurthi, B. (1973), Central median lesions. An analysis of indications and results in 105 cases. In Sixth Symposium of the International Society for Research in Stereoencephalotomy. Vol. II, p. 16. Tokyo: Abstracts. Authors' address: MUDr. M. Galanda, Prof. MUDr. P. Nadvornik, and MUDr. M. Sramka, Department of Neurosurgery and its Research Laboratory of Clinical Stereotaxy, Medical School of Comenius University, Bratislava, CSSR.
Advances in Stereotactic and Functional Neurosurgery 2: Proceedings of the 2nd Meeting of the European Society for Stereotactic and Functional Neurosurgery, Madrid 1975 by H. Narabayashi M.D. (auth.), F. John Gillingham, Edward R. Hitchcock (eds.)