دورية أكاديمية
The Pioneering and Unknown Stereotactic Approach of Roeder and Orthner from Göttingen. Part I. Surgical Technique for Tailoring Individualized Stereotactic Lesions.
| العنوان: | The Pioneering and Unknown Stereotactic Approach of Roeder and Orthner from Göttingen. Part I. Surgical Technique for Tailoring Individualized Stereotactic Lesions. |
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| المؤلفون: | Hamel W; Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Köppen JA, Hariz M, Krack P, Moll CK |
| المصدر: | Stereotactic and functional neurosurgery [Stereotact Funct Neurosurg] 2016; Vol. 94 (4), pp. 240-253. Date of Electronic Publication: 2016 Sep 16. |
| نوع المنشور: | Biography; Historical Article; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Karger Country of Publication: Switzerland NLM ID: 8902881 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0372 (Electronic) Linking ISSN: 10116125 NLM ISO Abbreviation: Stereotact Funct Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel ; New York : Karger, [1989- |
| مواضيع طبية MeSH: | Brain/*anatomy & histology , Brain/*surgery , Brain Mapping/*history , Cerebral Ventriculography/*history , Stereotaxic Techniques/*history, Atlases as Topic/history ; Brain/pathology ; Brain Mapping/methods ; Catheter Ablation/history ; Catheter Ablation/methods ; Cerebral Ventriculography/methods ; Electrodes, Implanted/history ; Germany ; History, 20th Century ; Humans ; Models, Anatomic ; Neurosurgical Procedures/history ; Neurosurgical Procedures/methods |
| Personal Name as Subject: | Orthner H; Roeder F |
| مستخلص: | During the 1950s through the 1970s, Hans Orthner and Fritz Roeder, two German neurologists from Göttingen, developed a sophisticated technique to perform functional stereotactic surgery with outstanding accuracy. They introduced direct air ventriculography performed in the same surgical session as the ablative stereotactic procedure. For individualized surgical targeting, Orthner prepared a stereotactic atlas (>60 brains) with an ingenious brain-slicing device, the Göttinger macrotome. Brains were grouped based on similarity of six different head and ventricle measurements. A brain cluster representing the best match for a patient was selected for stereotactic targeting. Stereotactic lesions were tailored in an individual manner and shaped by stringing together multiple small coagulations following intraoperative test stimulation. This was achieved from a single probe trajectory by using well-engineered string electrodes with calibrated curving and involved laborious calculations. Only high-frequency thermocoagulation was regarded as appropriate for lesioning. With this meticulous technique, the most advanced stereotactic procedures were performed, including bilateral pallidotomy that ultimately could be restricted to the ansa lenticularis and ventromedial hypothalamotomy, the most delicate stereotactic operation performed to date. Outside Göttingen, this technique has only been used by Prof. Dieter Müller in Hamburg, Germany. This elaborate stereotactic approach is widely unknown and deserves to be discussed in a historical context. (© 2016 S. Karger AG, Basel.) |
| تواريخ الأحداث: | Date Created: 20160916 Date Completed: 20170918 Latest Revision: 20180328 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1159/000448080 |
| PMID: | 27631992 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1423-0372 |
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| DOI: | 10.1159/000448080 |