Advances in Stereotactic and Functional Neurosurgery 12: by Marwan I. Hariz M.D., Ph.D. (auth.), C. B. Ostertag, D. G.

By Marwan I. Hariz M.D., Ph.D. (auth.), C. B. Ostertag, D. G. T. Thomas, A. Bosch, B. Linderoth, G. Broggi (eds.)

Neurosurgery o/the destiny: desktops and Robots in medical Neurosurgical perform and in education - a Philosophical trip into the longer term Many brand new neurosurgeons think that they already receive stable leads to operative surgical procedure with the advantage of the working microscope and different aids that have turn into to be had within the final 3 a long time and that the advent of desktops and robots to the working theatre is superfluous. although, it's transparent from analogy with the functionality of the airline pilot, one other occupation the place there are nice calls for on handbook ability and on spatial know-how, that those units do have a lot to supply neurosurgery. Classical neurosurgery, throughout the time of Cushing, Dandy and Scarff, used to be in keeping with a 3 dimensional photograph of the patient's mind shaped within the surgeon's brain and sometimes illustrated in stylish drawings. Such photos have been in accordance with neuroradiological reviews by means of pneumoencephalography, ventriculography or through angiography. quite often those stud­ ies confirmed the presence and place of a lesion via displacement of ordinary mind buildings and the image was once outfitted up by means of interference. This was once then switched over via the skilled neurosurgeon right into a plan for the craniotomy website and the trajectory of the surgical process. as soon as the mind was once uncovered additional pre-operative details used to be received through visible inspection and via palpation with the mind needle. those classical types ofneuroradiology have mostly been outmoded by means of computerised tomography and through magnetic resonance imaging.

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Extra info for Advances in Stereotactic and Functional Neurosurgery 12: Proceedings of the 12th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Milan 1996

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13, 14 and 15), there was a statistically significant improvement in "postural stability and gait disturbance". This difference may be related to the nature of the ADL subscale, which relies on patient self-reporting. Changes in postural stability and gait disturbance may be subtly improved, below the sensitivity of the motor subscale, yet be sufficient to impart improvements in quality of life as reflected, for example, in decreased falling. Yet this type of information may be subject to patient and family bias.

A. Meyer 38 Pronation supination: (i) The number of successive cycles of forearm pronation-supination (UPDRS test) in 30 seconds, expressed as time to complete 10 cycles. (ii) Finger taps: In 30 seconds, the number of cycles in each of which index, middle, ring and little fingers tap successively against thumb - expressed as time for 10 cycles. (iii) 2-Point movement: In 30 seconds the number of cycles in each of which the hand moves from left to right and back to left between contact points 30 cm apart - expressed as time for 10 cycles.

A. Meyer 38 Pronation supination: (i) The number of successive cycles of forearm pronation-supination (UPDRS test) in 30 seconds, expressed as time to complete 10 cycles. (ii) Finger taps: In 30 seconds, the number of cycles in each of which index, middle, ring and little fingers tap successively against thumb - expressed as time for 10 cycles. (iii) 2-Point movement: In 30 seconds the number of cycles in each of which the hand moves from left to right and back to left between contact points 30 cm apart - expressed as time for 10 cycles.

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