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Advances in Stereotactic and Functional Neurosurgery: by Prof. Dr. L. Leksell (auth.), F. John Gillingham, E. R.

By Prof. Dr. L. Leksell (auth.), F. John Gillingham, E. R. Hitchcock, J. W. Turner (eds.)

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Read or Download Advances in Stereotactic and Functional Neurosurgery: Proceedings of the 1st Meeting of the European Society for Stereotactic and Functional Neurosurgery, Edinburgh 1972 PDF

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Additional resources for Advances in Stereotactic and Functional Neurosurgery: Proceedings of the 1st Meeting of the European Society for Stereotactic and Functional Neurosurgery, Edinburgh 1972

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It therefore seems likely that the formations responsible for the movements of the 62 K. Nittner and I. N. Petrovici: head and those responsible for ocular movements may be different although the vertical movements of the head and eyes-as also the lateral movements-are conjugated forming part of a common neurophysiological mechanism. Thus Sano et al. (1970) obtained an amelioration in the posture of the head without reporting side-effects concerning the eye movements; in our case the complete and persisting paralysis of the vertical eye movements was merely associated with a slight improvement in the posture of the head.

Sect. I: Neurophysiology. Ed. , Magoun, H. , Hall, V. , American Physiological Society, Washington, 1960, Vol. II, 863-927. 11. Laitinen, L. , Ohno, Y. (1970), Effects of thalamic stimulation and thalamotomy on the H-reflex. J. EEG and din. Neurophysiol. 28, 586-591. 12. , Narabayashi, H. (1964), Ventrolateral subventrolateral thalamic stimulation. Arch. Neurol. 11, 427434. 13. , Ward, A. , Jr. (1960), Inhibition of the muscle spindle discharge by ventrolateral thalamic stimulation. Arch. 3, 193-204.

It does not appear that recording is greatly superior to stimulation, despite the presumed inaccuracy of the latter owing to unpredictable stimulus spread. However, it is possible that the newer technique is not yet being used to full advantage. In this series, evoked responses have been taken as guides in 18 thalamotomies, while in three the amplitude of spontaneous activity was employed, and in two tremor bursts. These spontaneous bursts of firing in the tremor-frequency band occurred in only three of these 12 patients with tremor, but in 40% of 55 tremor cases studied previously, of whom only eight were non-Parkinsonian (Andrew and Rudolf 1972).

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