By Prof. Dr. L. Leksell (auth.), F. John Gillingham, E. R. Hitchcock, J. W. Turner (eds.)
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Extra resources for Advances in Stereotactic and Functional Neurosurgery: Proceedings of the 1st Meeting of the European Society for Stereotactic and Functional Neurosurgery, Edinburgh 1972
Acta Nemochirmgica, Supp!. 21, 39-47 (1974) © by Springer-Verlag 1974 The Middlesex and Charing Cross Hospitals, London, and Oldchurch Hospital, Romford, Essex, England The Placement of Stereotaxic Lesions for Involuntary Movements other than in Parkinson's Disease J. Andrew, J. M. Rice Edwards, and N. de l\'L Rudolf Introduction This report concerns 37 thalamotomies in 25 patients. Table 1 shows the various diagnoses. Table 1. Olassification of Patients Essential Tremor \ Simple Associated with spasmodic torticollis Intention Tremor Aetiology uncertain Due to disseminated sclerosis Spasmodic torticollis or retrocollis Torsion Dystonia Unilateral Generalised and associated with spasmodic torticollis Hemiballismus Huntington's Chorea Total 3 2 3 4 6 3 1 2 25 A word is needed about the classification of tremors which is clouded at the present time.
Marshall, J. (196S), Handbook of clinical neurology (ed. P. J. Vinken and G. W. Brnyn) 6, S09. Amsterdam: North American Publishing Co. S. , Disselhoff, J. (1970), Long term results of stereotaxic operations on extrapyramidal hyperkinesias (excluding Parkinsonism). 4th Symp. Int. Soc. Res. Stereoencephalotomy, New York, 1969. Confin. Neurol. 32, 71-7S. 9. , Dierssen, G. (1965), Observations on the treatment of intcntional and postural tremor by subcortical stereotaxic lesions. 2nd Int. Symp. Stereoencephalotomy, Copenhagen, 1965.
However it seems fairly probable, that the conditions of the oscillation time of the excitation and inhibition periods in the spinal reflex arc fundamentally determine the mechanism of tremor. The same time patterns determine the resonance frequency band of the tremorlike activity following stimulation of different parts of the motor system. S. : 32 Often the stimuli falling in the middle of the silent period maintained the tremor-like activity best (Fig. 1 7 cps. 3 VL stimulation). This appears to support a control through the gamma neurons (Stern, Ward Jr.
Advances in Stereotactic and Functional Neurosurgery: Proceedings of the 1st Meeting of the European Society for Stereotactic and Functional Neurosurgery, Edinburgh 1972 by Prof. Dr. L. Leksell (auth.), F. John Gillingham, E. R. Hitchcock, J. W. Turner (eds.)