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Toward Computed Image-Controlled Electromechanical Stereotactic Brain Surgery

  • Sumio Uematsu
  • Arthur E. Rosenbaum
  • Ashok J. Kumar
Part of the Medical Radiology book series (MEDRAD)

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).

Keywords

Posterior Commissure Stereotactic Frame Interstitial Brachytherapy Colloid Cyst Stereotactic Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • Sumio Uematsu
    • 1
  • Arthur E. Rosenbaum
    • 2
  • Ashok J. Kumar
    • 2
  1. 1.Dept. of NeurosurgeryThe Johns Hopkins University, School of MedicineBaltimoreUSA
  2. 2.Dept. of Radiology and Radiological ScienceThe Johns Hopkins University, School of MedicineBaltimoreUSA

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