Advances in Stereotactic and Functional Neurosurgery 6: Proceedings of the 6th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Rome 1983

538 Pages·1984·11.899 MB·English

by  G. F. Rossi (auth.), Professor Jan Gybels, Professor Edward R. Hitchcock, Priv.-Doz. Christoph Ostertag, Professor Gian Franco Rossi, Professor Jean Siegfried, Professor Gabor Szikla (eds.)

ACTA NEUROCHIRURGICA
SUPPLE MENTUM 33
Advances
in Stereotactic and Functional
Neurosurgery 6
Proceedings of the 6th Meeting
of the European Society for Stereotactic
and Functional Rome 1983
Neurosurger~
Edited by
J. Gybels, E. R. Hitchcock, Ch. Ostertag,
G. F. Rossi, J. Siegfried, G. Szikla
SPRINGER-VERLAG
WIEN NEW YORK
Professor JAN GYBELS
Department of Neurosurgery, Academisch Ziekenhuis, Leuven
Professor EDWARD R. HITCHCOCK
Midland Centre for Neurosurgery and Neurology and Queen Elizabeth Hospital,
Birmingham
Priv.-Doz. CHRISTOPH OSTERTAG
Abteilung fUr Stereotaxie, Neurochirurgische Universitatsklinik, Freiburg i. Br.
Professor GIAN FRANCO ROSSI
Istituto di Neurochirurgia, Universita Cattolica del Sacro Cuore, Rome
Professor JEAN SIEGFRIED
Neurochirurgische Klinik, Universitatsspital, Ziirich
Professor GABOR SZIKLA
With 165 Figures
This work is subject to copyright
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© 1984 by Springer-Ve,rlag(Wien
Library of Congress Cataloging in Publication Data. European Society for
Stereotactic and Functional Neurosurgery. Meeting (6th: 1983: Rome, Italy)
Advances in stereotactic and functional neurosurgery 6. (Acta neurochirurgica.
Supplementum; 33) 1. Stereoencephalotomy-Congresses. 2. Epilepsy
Surgery-Congresses. 3. Brain-Tumors-Surgery-Congresses. 4. Pain
Surgery-Congresses. I. Gybels, J. (Jan) II. Title. III. Series. [DNLM: 1. Brain
neoplasms-Surgery-Congresses. 2. Epilepsy-Surgery-Congresses. 3.
Neurosurgery-Congresses. 4. Pain-Surgery-Congresses. 5. Stereotaxic
technics-Congresses. WI AC8661 no. 33jWL 368 E89 1983 a.] RD 594.E85.
1983. 617'.481. 83-26766
ISSN 0065-1419 (Acta N eurochirurgica/Suppl.)
ISSN 0720-7972 (Advances in Stereotactic and Functional Neurosurgery)
lSBN-13 :978-3-211-81773-5 e-lSBN-13 :978-3-7091-8726-5
DOl: 10.1007/978-3-7091-8726-5
It was while this Supplementum was in press, that the
tragic news of Dr. Gabor Szikla's death reached us.
Not only was he President of the European Society
for Stereotactic and Functional Neurosurgery and
one of the most qualified representatives of this
branch of neurosurgery, but was also mainly
responsible for the editing of this Supplementum.
The coeditors dedicate this volume to his memory.
Contents
Section I. Epilepsy
Editors:
E. R. HITCHCOCK and G. F. ROSSI
1. Diagnosis
A. Introduction
Rossi, G. F.: Progress in Diagnosis in View of Surgical Treatment of the
Epileptic Patient . . . . . . . . . . . . . . . .. 3
B. Reports
Bancaud, J., A. Bonis, C. Munari, G. Szikla, J. P. Chodkiewicz, J. Talairach:
Localizing Value of the Clinical Manifestations of the Partial Seizures 7
Wieser, H. G.: Automatic Analysis of Electrocerebral Activity . . . . 17
Yamamoto, Y. L., R. Ochs, W. Ammann, E. Meyer, A. C. Evans, B. Cooke,
M. Izawa, A. Kato, P. Gloor, W. H. Feindel, M. Diksic, C. J. Thompson:
Changes of Energy Metabolism and Regional Cerebral Blood Flow
Studied by Positron Emission Tomography in the Interictal Phase of
Partial Epilepsy. . . . . . . . . . . . . . . . . . . 35
C. Communications
c.,
Munari, A. Bonis, S. Kochen, M. Pestre, P. Brunet, J. Bancaud, J. P.
Chodkiewicz, J. Talairach: Eye Movements and Occipital Seizures in
Man . . . . . . . . . . . . . . . . . . . . . . 47
Colicchio, G.: The Epileptic Seizure with Origin in Frontal Lobe: A Complex
Problem for Surgery . . . . . . . . . . . . . . . . . 53
Lenz, F. A., R. R. Tasker, H. C. Kwan, J. T. Murphy, H. H. Nguyen-Huu:
Techniques for the Analysis of Spike Trains in the Human Central
Nervous System . . . . . . . . . . . . . . . . . . 57
Nystrom, S. H. M., P. H. Eskelinen, E. R. Heikkinen: Shape Factor Intensity
(SFI) Analysis of EEG of Patients Treated Surgically for Epilepsy 63
Rossi, G. F., P. Pola, M. Scerrati: Stability of Interictal Spike Rate as an
Index of Local Epileptogenicity. A Study Based on Computer Analysis 69
Pola, P., G. F. Rossi: Computerized Analytic Study of Stability of Interictal
Spike Rate . . . . . . . . . . . . . . . . . . . . 75
VIII Contents
Barcia-Salorio, J. L., P. Roldan, S. Ramos, L. Lopez Gomez, J. Broseta:
Chronic Burr-Hole ECoG and SEEG in the Assessment of Surgical
Treatment for Epilepsy . . . . . . . . . . . . . . . . 79
Ricci, G. 8., I. Modena, S. Barbanera, F. Campitelli, G. L. Romani:
Tridimensional Biomagnetic Localization of Epileptic Foci . . 85
Munari, C., A. Bonis, J. Talairach, G. Szikla, J. P. Chodkiewicz, A. Musolino,
J. Bancaud: Stereotactic Methodology in Epileptic Patients with
Hemispheric Astrocytoma . . . . . . . . . . . . 91
Broggi, G., A. Franzini, C. Giorgi, R. Spreafico, G. Avanzini: Depth
Recording and Neuropathological Aspects in Symptomatic Tumoral
and Non Tumoral Epilepsy. . . . . . . . . . . . .. 97
Meyerson, B. A., L. Widen, t. Greitz, G. Blomquist, E. Ehrin: Positron
Emission Tomographic Studies in Focal Epilepsy . . . . . . . 105
Nadvornik, P., M. Lassanova, D. Homerova, T. Tursky, M. Sramka:
Influence of Pregnane Derivates on Metabolism of the Brain and
Epileptic Activity in Man . . . . . . . . . . . . . . . 113
Rosadini, G., G. Rodriguez, W. G. Sannita, F. Arvigo: Correlations Between
rCBF and Computerized EEG in Temporal Lobe Epilepsy . . . . 119
Pinkus, L., L. Provenzano, A. Bertola, L. Antinori, G. Colicchio: Study of the
Role of Defence Mechanisms in Patients with Epilepsy to the Purpose of
Neurosurgical Treatment and Rehabilitation. . . . . . . . . 123
2. Surgical Treatment
A. Introduction
Rossi, G. F.: Indications, Advantages and Limits ofthe Different Rationales
of Surgical Treatment of Epilepsy . . . . . . . . . . . . 129
B. Communications
Ribaric, I. I., N. J. Sekulovic: Temporal Lobectomy for Epilepsy in the
Patients with Ipsilateral Extratemporal Brain Lesion . . . .. 133
Ravagnati, L., V. A. Sironi, G. Ettorre, F. Marossero: Surgical Management
of Partial Epilepsies: A Critical Evaluation of Electrical, CT Scan, and
Pharmacological Studies of the Milan Series. . . . . . . . . 139
Ribaric, I. I.: Excision of Two and Three Independent and Separate
Ipsilateral Potentially Epileptogenic Cortical Areas. . . . . . . 145
Ganglberger, J. A.: Additional New Approach in Treatment of Temporal
Lobe Epilepsy . . . . . . . . . . . . . . . . . . . 149
Drlickova, V., M. Sramka, P. Nadvornik: Caudate Nucleus Stimulation
During Epilepsy Treatment. . . . . . . . . . . . . . . 155
Davis, R., E. Gray, H. Engle, A. Dusnak: The Reduction of Seizures in
Cerebral Palsy and Epileptic Patients Using Chronic Cerebellar
Stimulation . . . . . . . . . . . . . . . . . . . . 161
Contents IX
Section II. Cerebral Tumours
Editors:
CH. OSTERTAG and G. SZIKLA
Introductory Lecture
Kleihues, P., B. Volk, J. Anagnostopoulos, M. Kiessling: Morphologic
Evaluation of Stereotactic Brain Tumour Biopsies 171
1. Stereotactic Biopsy
Daumas-Duport, c., V. Monsaingeon, J. P. N'Guyen, O. Missir, G. Szikla:
Some Correlations Between Histological and CT Aspects of Cerebral
Gliomas Contributing to the Choice of Significant Trajectories for
Stereotactic Biopsies . . . . . . . . . . . . . . . . . 185
Monsaingeon, V., C. Daumas-Duport, M. Mann, S. Miyahara, G. Szikla:
Stereotactic Sampling Biopsies in a Series of 268 Consecutive Cases
Validity and Technical Aspects . . . . . . . . . . . . . 195
Scerrati, M., G. F. Rossi: The Reliability of Stereotactic Biopsy. . . . 201
Sedan, R., J. C. Peragut, Ph. Farnarier, J. Hassoun, M. Sethian: Intra
Encephalic Stereotactic Biopsies (309 Patients/3l8 Biopsies). . . . 207
Broggi, G., A. Franzini, C. Giorgi, A. Allegranza: Diagnostic Accuracy and
Multimodal Approach in Stereotactic Biopsies of Deep Brain Tumours 211
Galanda, M., P. Nadvornik, M. Sramka, M. Basandova: Stereotactic Biopsy
of Brainstem Tumors. . . . . . . . . . . . . . . . . 213
Mundinger, F., W. Birg: Stereotactic Biopsy of Intracranial Processes. . 219
Suetens, P., J. Gybels, P. Jansen, A. Oosterlinck, A. Haegemans, P. Dierckx:
A Global 3-D Image of the Blood Vessels, Tumour and Simulated
Electrode. . . . . . . . . . . . . . . . . . 225
Kelly, P. J., B. A. Kall, S. G. Goerss: Computer Assisted Stereotactic
Biopsies Utilizing CT and Digitized Arteriographic Data. . . . . 233
Munari, C., A. Musolino, S. Kochen, G. Szikla, J. Bancaud, J. Talairach:
Stereo-EEG Contribution to the Three-Dimensional Definition of the
Hemispheric Astrocytomas. . . . . . . . . . . . . . . 237
Ravagnati, L., V. A. Sironi, E. Cappricci, G. Ettorre, M. Farabola, F.
Marossero: Depth-EEG in Stereotactic Biopsy . . . . . . . . 239
Thomas, D. G. T., J. L. Darling, B. A. Watkins, Maria C. Hine: A Simple
Method for the Growth of Cell Cultures from Small Biopsies of Brain
Tumours Taken During CT -directed Stereotactic Procedures 243
Colombo, F., F. Angrilli, R. Basso, L. Casentini, A. Benedetti: Tissue
Mechanical Resistance Measurements and Records in Stereotactic
Biopsy Procedures. . . . . . . . . . . . . . . .. 247
Fasano, V. A., W. Liboni, G. Broggi, M. De Mattei, A. Sguazzi: Preliminary
Experiences with Intraoperative Ultrasonography in Cerebral Tumour
Biopsy. . . . . . . . . . . . . . . . . . . . . . 253
Ohye, c., H. Nakajima, T. Matsushima, T. Komatsu, M. Hirato, Y.
Kawashima: CT Assisted Stereotactic Biopsy of Deep Cerebral Lesions
and the Results. . . . . . . . . . . . . . . . .. 257
x
Contents
Apuzzo, M. L. J., V. Zelman, J. Jepson, P. Chandrasoma: Observations with
the Utilization of the Brown-Roberts-WeIIs Stereotactic System in the
Management of Intracranial Mass Lesions. . . . . . . . . . 261
Wise, B. L., C. Gleason: CAT Scan-directed Stereotactic Brain Biopsy: With
Template Produced by Computer Graphics . . . . . . . . . 265
2. Stereotactic Focal Irradiation
I. Effects on Tumour and Brain
Ostertag, Ch. B., D. Groothuis, P. Kleihues: Experimental Data on Early and
Late Morphologic Effects of Permanently Implanted Gamma and Beta
Sources (lridium-192, lodine-l25 and Yttrium-90) in the Brain. . . 271
Kiessling, M., P. Kleihues, E. Gessaga, F. Mundinger, Ch. B. Ostertag, K.
Weigel: Morphology of Intracranial Tumours and Adjacent Brain
Structures FoIIowing Interstitial lodine-l25 Radiotherapy 281
Daumas-Duport, c., S. Blond, CI. Vedrenne, G. Szikla: Radiolesion versus
Recurrence: Bioptic Data in 39 Gliomas After Interstitial, or Combined
Interstitial and External Radiation Treatment . . . . . . . . 291
Davis, R. L., G. R. Barger, Ph. H. Gutin, Th. L. Phillips: Response of Human
Malignant Gliomas and CNS Tissue to 1251 Brachytherapy: A Study of
Seven Autopsy Cases. . . . . . . . . . . . . . . . . 301
Fike, J. R., Ch. E. Cann, Ph. H. Gutin, Th. L. Phillips, R. L. Davis, V. Da
Silva: Radiation Damage to Normal Canine Brain Induced by Radiation
from InterstitiaIIy-Implanted 1251 Sources. . . . . . . . . . 307
Da Silva, v., Ph. H. Gutin, M. Bernstein, K. Weaver, D. F. Deen: An Animal
Tumor Model for the Study of the Radiation Biology of 1251 Interstitial
Brachytherapy . . . . . . . . . . . . . . . . . . . 311
Barcia-Salorio, J. L., M. Cerda, G. Hernandez, V. Bordes, J. Beraha, C.
Calabuig, J. Broseta: Pathological Findings in Acoustic Neurinoma
After Stereotactic Irradiation . . . . . . . . . . . . . . 317
II. Clinical Results
Mundinger, F., K. Weigel: Indication and Results of Stereotactic
Curietherapy with Iridium-l92 and lodine-l25 for Non-resectable
Tumours of the Hypothalamic Region. . . . . . . . . . . 323
Szikla, G., A. Musolino, S. Miyahara, C. Schaub, S. Askienazy: CoIIoidal
Rhenium-186 in Endocavitary Beta Irradiation of Cystic
Craniopharyngiomas and Active Glioma Cysts. Long Term Results,
Side Effects and Clinical Dosimetry. . . . . . . . . . . . 331
Netzeband, G., V. Sturm, P. Georgi, H. Sinn, K. Schnabel, W. Schlegel, S.
Schabbert, M. Marin-Grez, H. Gahbauer: Results of Stereotactic
Intracavitary Irradiation of Cystic Craniopharyngiomas. Comparison
of the Effects of Yttrium-90 and Rhenium-186 . . . . . 341
Rougier, A., J. Pigneux, J. Cohadon: Combined Interstitial and External
Irradiation of Gliomas . . . . . . . . . 345
Contents XI
Szikla, G., M. Schlienger, S. Blond, C. Daumas-Duport, O. Missir, S.
Miyahara, A. Musolino, C. Schaub: Interstitial and Combined
Interstitial and External Irridiation of Supratentorial Gliomas. Results
in 61 Cases Treated 1973-1981. . . . . . . . . . . . . . 355
Gutin, Ph. H., Th. L. Phillips, W. M. Wara, St. A. Leibel, Y. Hosobuchi, V. A.
Levin, K. A. Weaver, Sh. Lamb: Brachytherapy with Removable Iodine-
125 Sources for the Treatment of Recurrent Malignant Brain Tumours 363
Mundinger, F., K. Weigel: Long-term Results of Stereotactic Interstitial
Curie therapy . . . . . . . . . . . . . . . . . .. 367
Barcia-Salorio, J. L., G. Hernandez, J. Ciudad, V. Bordes, J. Broseta:
Stereotactic Radiosurgery in Acoustic Neurinoma . . . . . . . 373
III. Technical Aspects
Kelly, P. J., B. Kall, S. Goerss: Preoperative Computer Determination of
Interstitial Iridium-192 Source Placement into CNS Tumour Volumes 377
Betti, O. 0., V. E. Derechinsky: Hyperselective Encephalic Irradiation with
Linear Accelerator. . . . . . . . . . . . . . . . . . 385
Concluding Remarks of the Moderator
Szikla, G.: Progress and Problems in Tumour Stereotaxis . . 391
Section III. Pain
Editors:
J. GYBELS and J. SIEGFRIED
Introductory Lecture
Gybels, J.: The Suggested Mechanisms of Chronic Pain and the Rationale of
Neurosurgical Treatment . . . . . . . . . . . . .. 397
I. Pelvic Cancer Pain (Somatogenic Pain)
Meyerson, B. A., S. Arner, B. Linderoth: Pros and Cons of Different
Approaches to the Management of Pelvic Cancer Pain . . .. 407
D'A nnunzio, V., F. Denaro, M. Meglio: Personal Experience with Intrathecal
Morphine in the Management of Pain from Pelvic Cancer . . . . 421
Broggi, G., A. Franzini, C. Giorgi, D. Servello: The Role of Cervical
Percutaneous Antero-Iateral Cordotomy in Malignant Low-back Pain 427
Schvarcz, J. R.: Stereotactic High Cervical Extralemniscal Myelotomy for
Pelvic Cancer Pain. . . . . . . . . . . . . . . . . . 431
Frank, F., G. Frank, G. Gaist, C. Sturiale, A. Fabrizi: Rostral Stereotactic
Mesencephalotomy in Treatment of Cancer Pain; a Survey of 40 Treated
Patients . . . . . . . . . . . . . . . . . . . . . 437
XII Contents
II. Plexus Avulsion Pain (Neurogenic Pain)
Dieckmann, G., G. Veras: High Frequency Coagulation of Dorsal Root
Entry Zone in Patients with Deafferentation Pain . . . .. 445
Hood, T. W., J. Siegfried: Epidural versus Thalamic Stimulation for the
Management of Brachial Plexus Lesion Pain. . . . . . . . . 451
III. Other Topics on Pain
Toth, S., A. Solyom, Z. Toth: One Possible Mechanism of Central Pain.
Autokindling Phenomenon on the Phantom Limb or Sensory Loss
Oriented Patients . . . . . . . . . . . . . . . . . . 459
Hakanson, S.: Tic Douloureux Treated by the Injection of Glycerol into the
Retrogasserian Subarachnoid Space. Longterm Results . . . . . 471
Esposito, S., A. Delitala, A. Canova, P. Bruni, M. Colangeli, D. Sollazzo:
Neurophysiological and Ultrastructural Study of the So-called
Microcompression of the Gasserian Ganglion in the Treatment of
Trigeminal Neuralgia. . . . . . . . . . .. 473
Meyerson, B. A., S. Hakanson: Longterm Results of Stimulation via an
Implanted Gasserian Electrode for Atypical Trigeminal Pain 479
Steude, U.: Radiofrequency Electrical Stimulation of the Gasserian
Ganglion in Patients with Atypical Trigeminal Pain. Methods of
Percutaneous Temporary Test-stimulation and Permanent
Implantation of Stimulation Devices. . . . . . . . . 481
Kalmanchey, R., S. Toth, I. Kismarty-Lechner, A. Solyom: Results to Explain
the Mechanism of Certain Chronic Pain Syndrome with the Method of
Evoked Sensory Potentials and Power Spectra Density Analysis . . 487
Frank, F., G. Frank, G. Gaist, A. Fabrizi, C. Sturiale: Deep Brain Stimulation
in Chronic Pain Syndromes. . . . . . . . . . . . . . . 491
Broggi, G., A. Franzini, C. Giorgi, D. Servello, R. Spreafico: Preliminary
Results of Specific Thalamic Stimulation for Deafferentation Pain. . 497
Roldim, P., J. Moreno, E. Vicent, M. Cerda, S. Ramos, J. L. Barcia-Salorio:
Effect of Electrical Stimulation of Per iaqueductaI Gray and Septal Area
on Beta-Endorphin Plasma Levels in a Model of Deafferentation Pain.
Experimental Study in Rats. . . . . . . . . . . . . . . 50 I
Broseta, J., P. Roldan, G. Masbout, J. L. Barcia-Salorio: Chronic VPM
Thalamic Stimulation in Facial Anaesthesia Dolorosa Following
Trigeminal Surgery. . . . . . . . . . . . . . . . . . 505
Fraioli, B., L. Ferrante, A. Santoro, G. Di Giugno: Recent Progress in the
Treatment of Trigeminal Neuralgia: Glycerol into the Trigeminal
Cistern and Percutaneous Gasserian Compression by Means of
Fogarty's Catheter. . . . . . . . . . . . . . . . . . 507
Kanpolat, Y., N. Avman, H. Z. Gokalp, E. Arasil, E. Ozkal, M. Sel~uki:
Controlled Radiofrequency Thermocoagulation of Trigeminal
Ganglion in the Treatment of Trigeminal Neuralgia, Hemifacial Spasm,
and Facial Neuralgia. . . . . . . . . . . . . . . . . 511