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 by means of the vast functions of stereotactic ideas defined during this e-book. overseas specialists current their newest adventure within the fields of circulate affliction, tumours, epilepsy, and ache and spasticity. the combination of contemporary imaging strategies with stereotactic instrumentation is a selected characteristic. The ebook offers the main smooth description of the innovations and purposes of an increasing box of neurosurgery.

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Extra resources 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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Scherer JH (1940) The form of growth in gliomas and their practical significance. Brain 63: 1-34 14. Schiffer 0, Fabiani A (1975) I tumori cerebrali. Pensiero Scientifico, Roma 15. Walker MD (1983) Oncology of the nervous system. Martinus Nijhoff, Hingham 16. Ziilch KJ (1979) Types histologiques des tumeurs du systeme nerveux central. Classification histologique internationale des tumeurs. OMS, Geneve 17. Ziilch KJ (1980) Principles of the new World Health Organization (WHO) classification of brain tumors.

A, 2 Division Summary Cyst formation by astrocytomas can cause progressive neurological deficit and can necessitate multiple surgical procedures. Before the advent of computed tomography (CT) preoperative diagnosis of cystic astrocytomas was difficult and stereotactic management of these lesions was limited. CT-guided stereotaxy provides a safe approach to all cystic astrocytomas including brain stem lesions. Based upon the experience of intracravitary radiation of craniopharyngioma cysts, the authors treated nine patients presenting with cystic astrocytomas utilizing colloidal chromium phosphorus 32 2 Pl.

Dead. CT scannings were performed following haematoma production and the last treatment. Brain specimens were submitted for gross examination and histological studies. preoperative clinical score 4 --0- --- -0 3 a--A A-----4 • Results Mortality Rate: Natural history showed a 70% mortality rate for subcortical blood collections and a 90% mortality for the basal ganglia ones after a lO-day period. In subcortical haematomas early open surgery carried out during the first 24 hours since haematoma occurrence did not show any benefit on mortality percentages; 72 hours delayed open surgery, early and 72 hours delayed stereotactic evacuation or solely local urokinase presented a 20% increasing in life expectancy; local urokinase infusion followed 24 hours later by stereotactic evacuation offered the best outcomes with a 45% reduction on mortality.

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