Advances in Stereotactic and Functional Neurosurgery 4 Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979. Advances in Stereotactic and Functional Neurosurgery

Thus instead of being synonymous with specific procedures per formed at the level of the basal ganglia, stereotaxis is in fact a general diagnostic and therapeutic concept, which has as its aim the precise three-dimensional representation of the patient's brain in its entirety. This three-dimensional representation is based on anatomical, neuro radiological and other localizing information, the spatial integration Prof. Jean Talairach with friends and coworkers at the congress dinner in the Royaumont Abbey near Paris. (From left to right: Drs.]. Bancaud, N.T. Zervas, B. Nashold,]. Talairach, G. Szikla, F. Mundinger, P. Tournoux,]. Peeker) of which allows a more precise "anatomical" approach to the human brain and to the surgical management of localized pathologic proces ses. Literally, stereotaxis means "orientation in space". Taken in this general sense, all surgical procedures obviously should be stereo tactic, at least in their principle! Two of the main themes of our meeting, namely the topic of the first day, "Surgery of Epilepsy" and that of the second "Stereotactic Cerebral Irradiation" of small brain tumours correspond to this evolution toward a global "whole brain" concept of stereotaxis. The same philosophy inspired the scientific efforts of the stereotactic group Introduction 3 of the Sainte Anne Hospital, under the leadership of its promoter, Professor Jean Talairach. This is the reason why the present Meeting is dedicated in honor of his scientific work Front Matter....Pages I-VIII Target Point, Target Volume, “Whole Brain” Stereotaxis: Remarks on Some Present Trends of Evolution in Stereotactic Neurosurgery....Pages 1-3 Front Matter....Pages 5-5 Why, When, and How Surgery of Epilepsy?....Pages 7-11 Surgical Aspects of Temporal Lobe Epilepsy Results and Problems....Pages 13-24 Surgery of Epilepsy Based on Stereotactic Investigations—the Plan of the SEEG Investigation....Pages 25-34 Application of Stereotactic Concepts to the Surgery of Epilepsy....Pages 35-54 Long Term Results of Cortical Excisions Based on Stereotactic Investigations in Severe, Drug Resistant Epilepsies....Pages 55-66 Surgical Interruption of the Conduction Pathways for the Control of Intractable Epilepsy....Pages 67-74 From Experiences of Medial Amygdalotomy on Epileptics....Pages 75-81 Neurophysiological Remarks....Pages 83-89 Burr-Hole Electrocorticography....Pages 91-96 Differential Diagnosis Between Temporal and “Perisylvian” Epilepsy in a Surgical Perspective....Pages 97-101 Clinical and Chronotopographic Psychomotor Seizure Pattems (SEEG Study with Reference to Postoperative Results)....Pages 103-112 Stereo-EEG and Surgery in Partial Epilepsy with Temporo-Parieto-Occipital Foci....Pages 113-116 Relationship Between the Location and Delimitation of the Epileptogenic Zone and Surgical Results. A Report of 24 Patients Operated on Using the Technique Described by J. Talairach et al .....Pages 117-120 Medically Intractable Epilepsies of Tumoural Aetiology. Report of 4 Cases Treated According to the Method Described J. Talairach et al .....Pages 121-126 Anterior Callosotomy in Epileptics with Multiform Seizures and Bilateral Synchronous Spike and Wave EEG Pattern....Pages 127-135 Anterior Callosotomy as a Substitute for Hemispherectomy....Pages 137-143 Late Results of Stereotactic Radiofrequency Lesions in Epilepsy....Pages 145-149 Stereotactic Lesions in Primary Epilepsy of the Limbic System....Pages 151-159 The Effect of Medial Amygdalotomy and Anterior Hippocampotomy on Behavior and Seizures in Epileptic Patients....Pages 161-167 Front Matter....Pages 5-5 Memory and Learning in Epileptic Patients Treated by Amygdalotomy and Anterior Hippocampotomy....Pages 169-175 Slowing of Scalp EEG After Electrical Stimulation of Amygdala in Man....Pages 177-181 Central Stimulation Treatment of Epilepsy....Pages 183-187 Closing Remarks....Pages 189-192 Front Matter....Pages 193-193 Some Comments on the INSERM Symposium on Stereotactic Cerebral Irradiations Held Friday, July 13, 1979....Pages 195-197 Front Matter....Pages 199-199 Analgesia Induced by Electrical Stimulation of the Brain Stem in Animals: Involvement of Serotoninergic Mechanisms....Pages 201-217 The Current Status of Analgesic Brain Stimulation....Pages 219-227 Biochemistry of Pain Relief with Intracerebral Stimulation....Pages 229-237 Control of Dyskinesias Due to Sensory Deafferentation by Means of Thalamic Stimulation....Pages 239-243 Deep Brain Stimulation in Mesencephalic Lemniscus Medialis for Chronic Pain....Pages 245-258 Electrical Stimulation of the Central Gray for Pain Relief in Human: Autopsy Data....Pages 259-268 Indications and Ethical Considerations of Deep Brain Stimulation....Pages 269-274 Septal Stimulation on Painful and Symbolic Stress. Experimental Study....Pages 275-277 A Study on the Tridimensional Distribution of Somatosensory Evoked Responses in Human Thalamus to Aid the Placement of Stimulating Electrodes for Treatment of Pain....Pages 279-287 Deep Brain Stimulation for Severe, Chronic Pain....Pages 289-293 Chronic Self-Stimulation of the Medial Posterior Inferior Thalamus for the Alleviation of Deafferentation Pain....Pages 295-301 Alleviation of Atypical Trigeminal Pain by Stimulation of the Gasserian Ganglion via an Implanted Electrode....Pages 303-309 Stimulation of Conus-Epiconus with Pisces Further Indications....Pages 311-316 Chronic Cerebellar Stimulation for Cerebral Palsy — Five-Year Study....Pages 317-332 Side Effects and Long-Term Results of Chronic Cerebellar Stimulation in Man....Pages 333-338 Front Matter....Pages 199-199 Correlation of Clinical and Physiological Effects of Cerebellar Stimulation....Pages 339-344 Stereotactic Approach to Therapeutic Stimulation of Cerebellum for Spasticity....Pages 345-349 Chronic Self-Stimulation of the Dentate Nucleus for the Relief of Spasticity....Pages 351-359 Front Matter....Pages 361-361 Experimental Percutaneous Approach to the Trigeminal Ganglion in Dogs with Histopathological Evaluation of Radiofrequency Lesions....Pages 363-366 Stereotaxic Aspects of Percutaneous Trigeminal Gangliolysis....Pages 367-370 The Effectiveness of Trigeminal Thermocoagulation for Recurrent Paroxysmal Trigeminal Neuralgia After Previous Intra-Cranial Surgery....Pages 371-376 First Results with Extralemniscal Myelotomy....Pages 377-381 Pain Relief After Dorsal Root Entry Zone Lesions....Pages 383-389 Rostral Mesencephalic Reticulotomy for Pain Relief Report of 15 Cases....Pages 391-393 Stereotactic Lesions Studied by Computer Tomography....Pages 395-400 Long Term Effects of Stereotaxic Thalamotomy on Parameters of Cognitive Functioning....Pages 401-403 Stereotaxic Clipping of Arterial and Arteriovenous Aneurysms of the Brain....Pages 405-412 Combined Approach (Stereotactic-Microsurgical) to a Paraventricular Arteriovenous Malformation Case Report....Pages 413-416 Investigations Concerning Motor Control in Patients Suffering from Various Lesions of Sensory-Motor Systems....Pages 417-421 Evoked Responses by Physiological Sensory Inputs in Human Central Motor Structures....Pages 423-428 Pisces Stimulation for Motor Neurone Disease....Pages 429-433 Long-Term Results of Posterior Functional Rhizotomy....Pages 435-439 Intraneoplastic Administration of Bleomycin in Intracerebral Gliomas: A Pilot Study....Pages 441-444