Stereotactic and functional neurosurgery
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Stereotact Funct Neurosurg · Jan 2012
Gamma knife stereotactic radiosurgery for radiation-induced meningiomas.
Radiation-induced meningiomas present a unique clinical dilemma given the fact that patients with these tumors have often received a prior full course of radiotherapy. As such, traditional radiotherapy is limited by lifetime tissue tolerances to radiation, leaving surgery and radiosurgery as attractive treatment options. ⋯ Gamma Knife radiosurgery is both a safe and effective treatment for radiation-induced meningiomas.
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Stereotact Funct Neurosurg · Jan 2012
An evaluation of hardware and surgical complications with deep brain stimulation based on diagnosis and lead location.
Deep brain stimulation is the most frequently performed neurosurgical procedure for movement disorders. This procedure is well tolerated, but not free of complications. Analysis of hardware complications based on patient diagnosis and lead location could prove valuable in recognizing potential pitfalls and patients at higher risk. ⋯ This large series of patients and long-term follow-up demonstrate that risks of complications are not universal among movement disorder patients. Diagnosis and lead location are important risk stratification factors in determining complications.
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Stereotact Funct Neurosurg · Jan 2012
Rechargeable deep brain stimulators in the management of paediatric dystonia: well tolerated with a low complication rate.
Deep brain stimulation (DBS) is a recognised method of treatment for primary and secondary dystonia. The size of non-rechargeable batteries has limited their use in small children. Our severe dystonia patients have required battery replacement every 20-24 months. ⋯ Activa was found to offer reliable stimulation with a low rate of significant complications and a suitable treatment option for children with dystonia.
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Stereotact Funct Neurosurg · Jan 2012
Vagoglossopharyngeal neuralgia treated by microvascular decompression and glossopharyngeal rhizotomy: clinical results of 21 cases.
Microvascular decompression (MVD) and rhizotomy are all selected for treating vagoglossopharyngeal neuralgia (VGPN). Nonetheless, controversies still exist about their curative effect on VGPN. Here we evaluate the effectiveness of MVD together with rhizotomy of the glossopharyngeal nerve for the treatment of VGPN. ⋯ Intracranial vagoglossopharyngeal nerve MVD with glossopharyngeal rhizotomy is an effective and safe procedure to treat VGPN.