Integration of Stereotactics in Clinical Neurosurgery
Seen from a historical point of view stereotactic surgery has initially been developed as a tool to a better understanding of normal brain function, i.e. neurophysiology. Stereotactic instruments were built for brain research in animals and the use of the stereotactic method has in fact much contributed to a better understanding of deep brain structures (nuclear substance and conducting pathways). The logical consequence of these neurophysiological experiments was the apphcation of the stereotactic method to functional treatment of various syndromes in man. This step has been taken by Spiegel and Wycis in 1947 with the first stereotactic intervention to alleviate otherwise intractable pain. Subsequently stereotactic surgery became an accepted method of treating patients with so-called functional syndromes. Some neurosurgeons learned the technique and became known as stereotactic neurosurgeons. Not infrequently this meant, that these neurosurgeons lost their interest in general neurosurgical problems and procedures.
KeywordsTumor Boundary Normal Brain Function Stereotactic Surgery Deep Brain Structure Computer Reconstruction
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