By Dr. R. Martínez, J. Vaquero, L. V. De La Morena, F. Tendillo, P. Aragonés (auth.), Professor Edward R. Hitchcock, Prof. Dr. Giovanni Broggi, Dr. Juan Burzaco, Dr. J. Martin-Rodriguez, Dr. Björn A. Meyerson, Dr. Szabolcs Tóth (eds.)

The publication supplies the main updated info for the increasing box of stereotactic and sensible neurosurgery from eu and overseas specialists. the latest advancements in neural transplantation and stereotactic irradiation are integrated including the stories on huge trials of analgesic surgical procedure and new innovations utilized in the therapy of quite a few sensible disorders.

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The heads-up display unit on the 27 Fig. 2. Stereotactic resection of deep tumour through stereotactically directed cylindrical retractor. Computer displays on monitor and into heads-up display unit (A) tumour slices with respect to outline of retractor. (Reprinted with permission from Kelly PJ (1988) Volumetric stereotactic surgical resection of intraaxial brain mass lesions. Mayo Clinic Proc 63: 1186-1198) operating microscope is superimposed on the computer-generated slice images over the surgical field (Fig.

Thereafter, x-ray pictures are made to assure proper positioning. After removing the internal mandril and introduction of the endoscope, the target region is inspected. Visual control of the operation is possible by a connected camera. Results Up to now we have operated on 57 patients stereotactically under endoscopic control. The indications included: Brain tumour biopsy 33; Evacuation of haematomas 6; Drainages of cysts and abscesses 12; Ventriculoscopy 6. There have been no surgical complications, the postoperative mortality has been zero.

Approximately 200-300mg tissue were placed at the head of both caudate in 17 severe patients with PD. Their mean age at the time of transplantation was 57 years (range 38-74); their mean duration of PD onset was 8 years (range 5-13), their mean Webster disability scores was 23 (range 19-30). Follow-up study lasted 3 to 18 months. Clinical improvement was observed in all patients and the mean of total Webster disability score was 7 3 months after grafting. According to our clinical critical analysis, the clinical efficacy was significant downward and one of seventeen patients relapsed, and the response rate of transplantation was 93% in 6 months.

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