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L-dopa therapy and stereotaxic thalamotomy for parkinsonism. 左旋多巴治疗和立体定位丘脑切开术治疗帕金森病。
Pub Date : 1975-01-01 DOI: 10.1159/000102753
M Watanabe, S Kuramoto, H Aiba
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引用次数: 1
Surgical complication of posterior hypothalamotomy. 后下丘脑切开术的手术并发症。
Pub Date : 1975-01-01 DOI: 10.1159/000102739
M Sramka, P Nádvorník
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引用次数: 6
Beginning and development of stereotaxic surgery in Tokyo. 立体定向手术在东京的开始和发展。
Pub Date : 1975-01-01 DOI: 10.1159/000102771
H Narabayashi
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引用次数: 10
Some observations during stimulation of the human hypothalamus. 刺激人类下丘脑时的一些观察。
Pub Date : 1975-01-01 DOI: 10.1159/000102738
S Kalyanaraman
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引用次数: 4
Effects of bilateral septal lesions on lever pressing for food reward in the rabbit. 双侧中隔病变对兔杠杆按压食物奖励的影响。
Pub Date : 1975-01-01 DOI: 10.1159/000102750
T Sakamoto, R Kwak, Y Okudaira, J Suzuki
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引用次数: 0
Nociceptive neurons in the human thalamus. 人类丘脑中的痛觉神经元。
Pub Date : 1975-01-01 DOI: 10.1159/000102720
B Ishijima, N Yoshimasu, T Fukushima, T Hori, H Sekino, K Sano
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引用次数: 46
Pathologic-anatomical findings and cerebral localization in stereotactic treatment of extrapyramidal motor disturbances in multiple sclerosis. 立体定向治疗多发性硬化症锥体外系运动障碍的病理解剖表现和脑定位。
Pub Date : 1975-01-01 DOI: 10.1159/000102709
T Riechert, R Hassler, F Mundinger, F Bronisch, K Schmidt

Two postmortem case of multiple sclerosis treated by sterotactic operations for the intention shaking of limbs, trunk, and head, and for the action myoclonus are analyzed to determine the location of the substrate of myoclonic and ballistic movements, the location of the coagulations for relief of these movements, and whether fresh demyelinating foci are elicited by intracerebral interventions. In the first case of a clinically typical multiple sclerosis, the foci responsible for the severe action myoclonus and intention ataxia of the trunk are demyelinations in the right and left red nucleus resulting in nerve cell damage and loss and an almost complete destruction of myelinated fibers. The restricted foci in the white matter of the cerebellum which do not involve the cerebellar nuclei are not extensive enough or old enough to be the cause of the action myoclonus but may, perhaps, sustain the pathogenesis. - In the second case of cerebral palsy and combined multiple sclerosis (detected post mortem), the combination of the severe damage of putamen and caudate nucleus by status marmoratus and the extensive nerve cell and fiber damage due to demyelinating foci in the substantia nigra are probably the substrate of the jactitation and intention myoclonus of the left limbs. The stereotactic coagulation of the dentatothalamic and pallidothalamic fibers in the base of V. o.p. and V.o.a. at the point where they pass through the zona incerta (location confirmed post mortem) resulted in a nearly complete relief of hyperkinetic movements. In the first case, fresh demyelinating foci are present in both hemispheres with stereotactic interventions; these foci are located, amongother places, around the coagulation and the electrode track. In the second case, post mortem serial brain sections demonstrate that stereotactic operations even in subacute multiple sclerosis can be carried out without eliciting any exacerbation of demyelination foci. Therefore, the danger exists that stereotactic intervention in cases of multiple sclerosis may precipitate fresh demyelinating foci. As our clinical experience [Riechert and Richter, 1972a, b] indicates, however, this occurred in markedly less than 10% of the cases.

本文分析了两例死后接受立体定向手术治疗的多发性硬化症患者的肢体、躯干和头部的有意摇动,以及肌阵挛的动作,以确定肌阵挛和弹道运动的基底的位置,缓解这些运动的凝块的位置,以及脑内干预是否引起新的脱髓鞘灶。在临床典型多发性硬化症的第一个病例中,导致躯干严重的动作性肌挛和意向性共济失调的病灶是左右红核的脱髓鞘,导致神经细胞损伤和丢失,有髓纤维几乎完全破坏。小脑白质中不累及小脑核的局限性灶,其范围不够广,年龄也不够大,不足以引起肌阵挛的作用,但可能维持发病机制。-第二例脑瘫合并多发性硬化症(死后发现),损伤状态对壳核和尾状核的严重损伤,以及黑质脱髓鞘灶对神经细胞和纤维的广泛损伤,可能是左肢体神经兴奋性和意图性肌隐蔽性的基础。齿状丘脑和侧丘脑底部的齿状丘脑和侧丘脑纤维的立体定向凝固,在它们穿过中纹带的地方(位置在死后确认),导致了高运动几乎完全缓解。在第一种情况下,新鲜脱髓鞘灶存在于两个半球与立体定向干预;这些病灶位于凝血区和电极轨道周围。在第二个病例中,尸检连续脑切片显示,即使在亚急性多发性硬化症中,立体定向手术也可以在不引起脱髓鞘病灶加重的情况下进行。因此,立体定向干预在多发性硬化症病例中可能会产生新的脱髓鞘灶。然而,根据我们的临床经验[Riechert和Richter, 1972a, b],这种情况的发生率明显低于10%。
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引用次数: 19
Stereotactic operations with the help of a skull x-ray apparatus. 借助颅骨x光设备进行立体定向手术。
Pub Date : 1975-01-01 DOI: 10.1159/000102763
T Yoshida, H Miyazaki, T Moriyama, H Nakashima
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引用次数: 1
Lateral pallidotomy for relief of ballistic movement - its basic evidences and clinical application. 侧苍白球切开术缓解弹道运动的基本依据及临床应用。
Pub Date : 1975-01-01 DOI: 10.1159/000102707
T Tsubokawa, N Moriyasu
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引用次数: 17
Stereotaxic third ventriculocisternostomy. 立体定向第三脑室-胸膜吻合术。
Pub Date : 1975-01-01 DOI: 10.1159/000102729
M Poblete, R Zamboni
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引用次数: 10
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Confinia neurologica
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