Kall B A, Goerss S J, Kelly P J
Section of Patient Care Systems, Mayo Clinic, Rochester, Minn.
Stereotact Funct Neurosurg. 1992;58(1-4):45-51. doi: 10.1159/000098971.
This paper describes our experience at Mayo Clinic with a new technique for planning ventro-oralis posterior (VOP) ventral intermediate (ventrolateral) VIM (VL) thalamotomy procedures for selected patients with medically intractable tremor. This new method employs a multimodality correlative imaging technique for determining the lesion target point on MR images. At surgery, stereotactic frame settings for the final lesion target were ultimately determined by stereotactic ventriculography modified by neurophysiological recording. Acceptable correlation was found between the multimodality correlative imaging method and the actual target coordinates determined by ventriculography and semi-microelectrode recording.
本文介绍了我们在梅奥诊所的经验，即针对特定药物难治性震颤患者采用一种新技术来规划腹后外侧核（VOP）、腹中间核（腹外侧）丘脑腹中间核（VIM）丘脑切开术。这种新方法采用多模态相关成像技术在磁共振图像上确定病变靶点。在手术中，最终病变靶点的立体定向框架设置最终由经神经生理记录修正的立体定向脑室造影确定。多模态相关成像方法与由脑室造影和半微电极记录确定的实际靶点坐标之间存在可接受的相关性。
