Elektrophysiologische Und Vegetative Phänomene Bei Stereotaktischen Hirnoperationen

Name: Elektrophysiologische Und Vegetative Phänomene Bei Stereotaktischen Hirnoperationen
Brand: Springer
SKU: 9783642865619
Price: 3432.0 INR
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by W. Umbach , T. Riechert

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ISBN13: 9783642865619
Binding: Paperback
Subject: N/A
Publisher: Springer
Publisher Imprint: Springer
Publication Date: August 23, 2014
Pages: 164
Original Price: EUR 46.72
Language: German
Edition: Softcover Repri
Item Weight: 318 grams
BISAC Subject(s): General

About The Book

Ais wir mit den stereotaktischen Hirnoperationen in der Klinik begannen, zeigte es sich sehr bald, daB die Bedeutung dieser von SPIEGEL und WYeIS eingeftihrten Methode weit tiber den klinisch-therapeutischen Bereich hinausging. Wie bei keinem anderen neuen operativen Verfahren boten sich die Moglichkeiten geradezu an, unsere Kenntnisse tiber die Funktion und Pathophysiologie des menschlichen Hirns zu er- wei tern. In besonderem MaBe gilt dies ftir die subcorticalen Strukturen, die sich bis dahin einer operativen Intervention und einer direkten Untersuchung mit messenden Methoden entzogen hatten. Jetzt war es z. B. moglich, unter Vorausbestimmung der angezielten Gewebsstruktur, mittels der Zielelektrode hier umschriebene Reizungen durchzuftihren und intraoperative Tiefen-Ableitungen zu machen unter gleichzeitiger Ableitung des Oberflachen-EEG. Es war vorauszusehen, daB sich hierbei neue Er- kenntnisse tiber die Beziehungen zwischen Cortex und basalen Ganglien gewinnen lassen muBten. Zusatzlich kam bei diesen Untersuchungen eine Reihe vegetativer und psychischer Phanomene zur Beobachtung. Abgerundet wurde dieses Bild durch die Kontrollen in elektrophysiologischer und vegetativer Hinsicht nach der Ausschaltung der angezielten Gewebsstrukturen. Dberaus gtinstig erwies es sich, daB diese Erkenntnisse nicht mit einer Belastung oder gar Gefahrdung des Patient en verbunden waren. Ais sogenannte biologische Kontrolle wurde die Untersuchung in Erganzung der rontgenologischen Ausmessung der exakten Elektrodenposition vorgenommen; sie gab uns weitere Anhaltspunkte daftir, daB der Zielpunkt von der Nadelspitze erreicht war. Neben diesen Unter- suchungen war die Ausbildung der operativen Technik und die Auswertung der klinischen Ergebnisse eine weitere Aufgabe, die mit der Einftihrung des stereotakti- schen Operationsverfahrens verbunden war.

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