First two years of work of the Functional Neurosurgery and Stereotaxy Unit of the Regional Hospital of Tacuarembó - Uruguay
DOI:
https://doi.org/10.47924/neurotarget2006431Keywords:
brain biopsy, pain, Parkinson’s disease, stereotaxy, hypothalamotomy, back low pain, functional neurosurgery, pallidotomy, deep brain stimulationAbstract
Objective: To expose the different techniques and preliminary results obtained by the Functional Neurosurgery and Stereotaxy Unit of the Tacuarembó’s Regional Neurosurgery Center during the first two years of work.
Procedures: 44 procedures were made: 23 stereotactic surgeries, 5 of them were functional procedures: pallidotomies in three cases and the implant of deep brain stimulation electrodes in one case. The four patients have Parkinson’s disease. The fifth functional procedure was an hypothalamotomy for aggressiveness.
Eleven patients were operated for trigeminal neuralgia by percutaneous balloon compression. Ten patients were operated for back low pain by radiofrequency facet rizothomy.
Eleven stereotactic biopsies were made and all of them were positives. In 10 cases were tumours and in one case was an abscess. The 7 stereotactic surgeries remainder were 4 guided craniotomies for tumour resection, evacuation of an external gangliobasal hematoma, placement of a ventricular catheter, and a ventricle cisternostomy with endoscopic assistance in a patient with isolated lateral ventricle.
Results: The patients with Parkinson’s disease improve their symptoms and the diskinesyas disappeared after surgery. Then their quality of life improved too.
The patient submitted to an hypothalamotomy hasn’t aggressiveness seizures and he has had a good social insertion.
Complications didn’t happen in stereotactic surgeries.
The patients operated for trigeminal neuralgia between 2 and 20 months of follow up had not sudden facial pain. In the cases operated for back low pain, the pain episodes improved evaluated with analogical visual scale.
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References
Wilson E. Evolución de la indicación quirúrgica en los hematomas gangliobasales. Curso sobre accidentes cerebro-vasculares hemorrágicos. Montevideo: Instituto de Neurología, Hospital de Clínicas-Sandoz, 1989:59-61.
Wajskopf,S., Hernández, P., Wilson,E. Pautas de indicación quirúrgica en los hematomas de ganglios basales. Revisión y puesta al día. Revista Mé- dica del Uruguay. 17: 140-146. 2001.
Amano K, Kawamura H, Tanikawa T, Kawabatake H, Notoni M, Iseki H, Shiwaku T, Nagao T, Iwata Y, Taira T, et al. Surgical treatment of hypertensive intracerebral haematoma by CT-guided stereotactic surgery. Acta Neurochir Suppl (Wien). 1987;39:41-4.
Hattori N, Katayama Y, Maya Y, Gatherer A Impact of stereotactic hematoma evacuation on activities of daily living during the chronic period following spontaneous putaminal hemorrhage: a randomized study. J Neurosurg. 2004 Sep;101(3):417-20.
Calvo A, Hernández P, Spagnuolo E, Johnston E. Surgical treatment of intracranial hypertension in encephalic criptococcosis. Br J Neurosurgery 2003;17(5): 450-455
Sano K. Aggressiveness. In Schaltenbrand G, Walker AE. Stereotaxy of the Human Brain. Anatomical, Physiological and Clinical Application. Stuttgart: Georg Thieme Verlag. 1982:617-621.
Pedrosa M, Sola RG. La moderna psicocirugía: un nuevo enfoque de la neurocirugía en la enfermedad psiquiátrica. Rev neurol, 2003; 36(9): 887-897.
Hernando V, Pastor J, Garcia E, Sola RG. Psicocirugía y tratamiento neuroquirúrgico del dolor: revisión sistemática de la experiencia alcanzada en estos tipos de tratamiento. Rev Neurol 2004; 38 (10): 949-956.
Gerber A, Mullan S. Trigeminal nerve compression for neuralgia. In: Gildenberg P, Tasker R eds. Textbook of stereotactic and functional neurosurgery. New York: McGraw-Hill, 1998: 1707-1713.
Brown J, Pilitsis J. Percutaneous ballon compression for the treatment of trigeminal neuralgia: results in 56 patients based on ballon compression pressure monitoring. Neurosurg focus 18(5):E10, 2005: 1-5.
Arrese I, Lobato RD, Alen JF, Lagares A, Miranda P. Acute subdural and intratemporal hematoma as a complication of percutaneous compression of the gasserian ganglion for trigeminal neuralgia. Neurocirugía 2005; 16:177-182.
Sluijter M. Radiofrequency. Part 1: A review of radiofrequency procedures in the lumbar region. Meggen (LU) FlivoPress SA, 2001: 105-118.
Kittelberger KP, LeBel A, Borssok D. Valoración del dolor. In Borsook D, LeBel A, McPeek B. Massachusetts General Hospital. Tratamiento del dolor. Madrid. Marbán Libros S.L. 2000; 3: 26-44.
Linhares P, Aran E, Gonçalvez JM, Castro L, Vaz R. Biopsias estereotaxicas: Revisión de una serie de 80 casos. ¿Está justificada la realización de una tomografía computada (TC) en las primeras horas tras el procedimiento? Neurocirugía 2002;13: 299-304.
Thomas D, Kitchen N. Stereotactic approaches to brain stem lesions. In: Gildenberg P, Tasker R eds. Textbook of stereotactic and functional neurosurgery. New York: McGraw-Hill, 1998. 529-535.
Regis J, Bouillot P, Ruoby-Volot F, Figarella-Branger D, Dufour H, Peragut JC. Pineal region tumors and the role of stereotactic biopsy: Review of the mortality, morbidity, and diagnostic rates in 370 cases. Neurosurgery 1996 39 (5): 907-914.
Kaakaji W, Barnett GH, Bernhard D, Warbel A, Valaitis K, Stamp S. Clinical and economic consequences of early discharge of patients following supratentorial stereotactic brain biopsy. J Neurosurg. 2001 Jun;94(6):892-8.
Chouza C, Romero S, Caamaño JL, Aljanati R, Scaramelli A, De Medina O et al. Treinta y tres años de experiencias e investigación con levo dopa y asociaciones en el tratamiento de la enfermedad de Parkinson. Arch Inst Neurol 2003;6(2): 45-53.
Guridi J, Rodríguez-Oroz MC, Manrique M. Tratamiento quirúrgico de la enfermedad de Parkinson. Neurocirugía 2004; 15:5-16.
Guridi G, Obeso JA. The subthalamic nucleus, hemiballismus and Parkinson’s disease: reappraisal of a neurosurgical dogma. Brain 2001, 124, 5-19.
Montgomery E. Deep brain stimulation for hyperkinetic disorders. Neurosurg Focus 17 (1): E1, 2004:1-8.
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Copyright (c) 2006 Pablo Hernández, Humberto Prinzo, Fernando Martínez, Aurana Erman, Felipe Ricagni, Irene Retamoso, María José Montes
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