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Innovations in Diagnostic Radiology pp 191–207Cite as

Toward Computed Image-Controlled Electromechanical Stereotactic Brain Surgery

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The stereotactic technique developed by Horsley and Clarke in 1908 was designed to explore deep-seated structures in the animal brain (Horsley and Clarke 1908). Later, the technique was used in man in the treatment of Parkinson’s disease. Selective destruction of subcortical structures was found to eliminate tremor and/or relieve rigidity (Narabayashi and Okuma 1953). However, the target sites for this procedure were not only deep in the brain, but also adjacent to vital structures, such as the internal capsule and hypothalamus, and occupied very small areas. The probe needed to be placed with a precision measured in millimeters. Reaching the target’s location was ensured by measuring the distance between two highly consistent structures, e.g., the anterior and posterior commissures, or from the foramen of Monro, visualized by the trapping of air within the ventricular system. The location of the target structure was estimated by using a brain atlas compiled from formalin-fixed autopsy brain specimens (Schaltenbrand and Bailey 1959).

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Authors and Affiliations

  1. Dept. of Neurosurgery, The Johns Hopkins University, School of Medicine, 600 North Wolfe Street, Baltimore, MD, 21205, USA

    Sumio Uematsu M.D., F.A.C.S.

  2. Dept. of Radiology and Radiological Science, The Johns Hopkins University, School of Medicine, 600 North Wolfe Street, Baltimore, MD, 21205, USA

    Arthur E. Rosenbaum M. D., F. A. C. R. & Ashok J. Kumar M. D.

Authors
  1. Sumio Uematsu M.D., F.A.C.S.
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  2. Arthur E. Rosenbaum M. D., F. A. C. R.
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  3. Ashok J. Kumar M. D.
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Editor information

Editors and Affiliations

  1. Dept. of Radiology and Radiological Science, The Johns Hopkins University, School of Medicine, 600 North Wolfe Street, Baltimore, MD, 21205, USA

    James H. Anderson Ph. D (Professor of Radiology) (Professor of Radiology)

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© 1989 Springer-Verlag Berlin Heidelberg

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Uematsu, S., Rosenbaum, A.E., Kumar, A.J. (1989). Toward Computed Image-Controlled Electromechanical Stereotactic Brain Surgery. In: Anderson, J.H. (eds) Innovations in Diagnostic Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83413-4_11

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  • DOI: https://doi.org/10.1007/978-3-642-83413-4_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-83415-8

  • Online ISBN: 978-3-642-83413-4

  • eBook Packages: Springer Book Archive

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