Movement Disorder Surgery
"Progress in Neurological Surgery", Vol. 15.
Published in 2000
Book
Hardback
X, 404 pages
978-3-8055-6990-3 (ISBN)
Description
Although there have been advances in medical therapy, a large number of patients with Parkinson's disease and other movement disorders continue to be faced with significant motor disabilities and medication-associated adverse effects. Novel treatment strategies need to be considered and surgical procedures to treat patients have been re-examined, aiding and encouraging improvements in neurosurgical techniques and brain imaging and developing microelectrode recording techniques, thus increasing the safety and accuracy of neurosurgical interventions. This volume examines neurosurgical procedures from the standpoint of their pathophysiological rationale, selection of patients that are candidates for surgery, a description of the technical aspects of surgery and what benefits and adverse effects can be anticipated. Emerging therapeutic strategies including neural transplant and gene therapy which may have an important future role are also covered. Stress is given to a multidisciplinary approach to these problems involving neurologists, neurosurgeons and physiologists. Recognized experts in the field present a balanced view of alternate methods and approaches to serve as a state-of-the-art compilation of surgical procedures. This book is of value to neurologists, neurosurgeons, physiologists and health care workers who are involved in the management of patients with movement disorders.
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Content
History: history of movement disorder surgery, P.L. Gildenberg. Anatomical and physiologic substrates: anatomical considerations in basal ganglia surgery, A. Parent et al; pathophysiological considerations in basal ganglia surgery - role of the basal ganglia in hypokinetic and hyperkinetic movement disorders, T. Wichmann et al; functional models of the basal ganglia - where are we? J.A. Obeso et al. Patient and technical considerations: movement disorder surgery - patient selection and evaluation of surgical results, E.K. Tan; technical considerations in movement disorder surgery -frames, imaging and intraoperative monitoring, T.P,. Thompson et al; microelectrode recordings in movement disorder surgery, W.D. Hutchison, A.M. Lozano. Procedures and techniques: rational basis for pallidotomy in the treatment of Parkinson's disease, R.A.E. Bakay, J.L. Vitek; non-microelectrode recording-guided pallidotomy, J. Bowen et al; stimulation of the globus pallidus internus, C.E. Gross; thalamotomy without microelectrode recordings, M.N. Linhares, R.R. Tasker; thalamotomy without microelectrode recording, K.V. Slavin, K.J. Burchiel; thalamic deep brain stimulation for tremor, S.B. Wilkinson, W.C. Koller; subthalamic nucleus lesions, S.S. Gill, P. Heywood; subthalamic nucleus deep brain stimulation, A.L. Benahid et al. Adverse events, controversies, emerging insights and indications: movement disorder surgery -lesions or stimulation? R.E. Clatterbuck et al; what does stimulation in the brain actually do? P. Ashby; complications of movement disorder surgery and how to avoid them, M.I. Hariz; neuropsychological considerations in movement disorder surgery, J.A. Saint-Cyr, L.L. Trepanier; the gamma knife in movement disorder surgery, R.F. Young; stereotactic neurosurgery for dystonia, D. Yoshor et al; surgery for spasmodic torticollis, A.T. Villavicencio, A.H. Friedman; neural transplantation in Parkinson's disease, T.B. Freeman et al; neurosurgical treatment of spasticity, M. Sindou, P. Mertens; functional imaging of the basal ganglia, T. Nakamura et al; CNS drug delivery for movement disorders, R.D. Penn, J.S. Kroin; gene therapy approaches to Parkinson's disease, A. Freese.