By K. R. H. von Wild (auth.), Jin Woo Chang, Yoichi Katayama, Takamitsu Yamamoto (eds.)
Neurorehabilitation including useful neurosurgery are gradually transforming into fields, with new advances and applied sciences together with: selective interruption of assorted neural circuits, stimulation of the cerebral cortex, deep mind constructions, spinal twine and peripheral nerves with implantable stimulation structures, and mobilephone transplantation in addition to nerve grafting. fresh advances in neuroimaging options have additionally began to illustrate the involvement of in depth useful and structural reorganization of neural networks in the mind. so as to encapsulate such ideas, the fourth respectable medical assembly of the Neurorehabilitation and Reconstructive Neurosurgery Committee of the realm Federation of Neurosurgical Societies (WFNS) used to be held in Seoul. This quantity is the fourth in a brand new sequence of complaints protecting an important developments during this field.
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Extra info for Advances in Functional and Reparative Neurosurgery
It is a condition characterized by severe frontal ﬂexion of the trunk. Recently, camptocormia has been regarded as a form of abdominal segmental dystonia. Deep brain stimulation (DBS) is a promising therapeutic approach to various types of movement disorders. The authors report the neurological effects of DBS to the bilateral globus pallidum (GPi) in three cases of disabling camptocormia. Methods. Of the 36 patients with dystonia, three had symptoms similar to that of camptocormia, and all of these patients underwent GPi-DBS.
001). According to the time of follow-up, 4 groups were classiﬁed (4–12 months, 13–24 months, 25–36 months and 37–45 months group). ADL, UPDRS motor score and dyskinesia subscore improvement were compared among these groups. No signiﬁcant difference existed. No life threatening complications occurred. Main side effects included hypophonia, dyskinesia, confusion, depression. Conclusions. Bilateral STN-DBS is a satisfying surgical method for the treatment of advanced PD. It can improve the cardinal PD symptoms up to 45 months.
Task-speciﬁc focal hand dystonia is regarded as the result of oscillation of this cerebral circuit, and making a small lesion in this loop to de-sensitize the loop is the theoretical background of this treatment. So far we have treated 22 patients with writer’s cramp and four with musician’s cramp. Immediately after the operation, the effect is generally dramatic, but the problem is that recurrence rate is about 15% of patients. Such recurrence seems to be due to inadequate lesioning, because true lesioning and temporary thermal effect are difﬁcult to distinguish during surgery.