Stereotaxis in Parkinson Syndrome Clinical-Anatomical Contributions to Its Pathophysiology

Despite the amazing progress made by the stereotactic technique, particularly regarding the localization of the target, despite the extreme caution, which stereotactic neurosurgeons apply at every step of the procedures, despite the routine roentgenologic and physiologic controls (depth EEG, electri...

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Bibliographic Details
Main Authors: Hassler, R., Mundinger, F. (Author), Riechert, T. (Author)
Format: eBook
Language:English
Published: Berlin, Heidelberg Springer Berlin Heidelberg 1979, 1979
Edition:1st ed. 1979
Subjects:
Online Access:
Collection: Springer Book Archives -2004 - Collection details see MPG.ReNa
Table of Contents:
  • I. Introduction
  • II. Basis of the Parkinson Syndrome: Morphology, Physiology, Biochemistry, and Pathology
  • 1. Afferent Inputs of the Extrapyramidal Motor Nuclei
  • 2. Connections Within the Extrapyramidal System and the Functional Significance of Individual Nuclei
  • III. Clinical and Pathophysiologic Findings Related to Autopsy Data in Cases of Parkinsonism Operated on by Stereotaxis
  • 1. Methods
  • 2. Case Histories
  • IV. Correlations
  • 1. Remarks on the Accuracy of Reaching the Target
  • 2. Comparative, Radiologic, and Anatomical Evaluation of the Cerebral Reference Lines
  • 3. Anatomical Accuracy of Our Stereotaxic Procedure for Reaching the Target
  • 4. Correlation of the Effects of Stimulation During the Operation with the Anatomical Substrates
  • 5. Correlation of the Electrophysiologic Findings with the Anatomical Substrates
  • 6. Correlation of Coagulations of the Anatomical Structures with Functional and Therapeutic Effectiveness
  • V. Findings Regarding the Functional Anatomy of Individual Diencephalic Systems
  • 1. Lesions in Forel’s Bundle HI (Fasciculus Pallido-thalamicus)
  • 2. Change of Speed of Movement and Laughing Caused by Localized Stimulation
  • 3. Loquaciousness
  • 4. Functional Organization of the Internal Capsule Corresponding to the Neighboring Ventral Nuclei of the Thalamus
  • 5. Dependence of the Improvement of Tremor on Additional Coagulation of the Nucleus Lateropolaris and Neighboring Parts of the Internal Capsule
  • 6. Contribution to the Problem of Efferent Connections of the Substantia Nigra
  • 7. Impairment of Consciousness Due to Bilateral Lesions in Nonspecific Nuclei of the Thalamus or in the Pallidothalamic System
  • VI. Conclusions
  • 1. Determination of the Target Point in the Individual Patient
  • 2. High-Frequency Coagulations
  • 3. Check byStimulation
  • 4. Further Checks on the Accuracy with which the Target Structure is Reached
  • 5. Special Indications for Therapeutic Results
  • 6. Pathophysiology of Parkinson Syndrome
  • Atlas of the Basal Ganglia in Parkinsonism
  • 1. Architectonic Differentiation and Methods of Staining
  • 2. Arrangement of the Planes of Section
  • 3. Introduction to the Determination of Individual Target Points
  • 4. Description of the Series of Frontal Sections
  • 5. Description of Serial Sagittal Sections
  • References