The Pioneering and Unknown Stereotactic Approach of Roeder and Orthner from Gottingen. Part I. Surgical Technique for Tailoring Individualized Stereotactic Lesions

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Fältnamn	Indikatorer	Metadata
000		03216naa a2200349 4500
001		oai:DiVA.org:umu-128490
003		SwePub
008		161205s2016 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1284902 URI
024	7	a https://doi.org/10.1159/0004480802 DOI
040		a (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Hamel, Wolfgang4 aut
245	1 0	a The Pioneering and Unknown Stereotactic Approach of Roeder and Orthner from Gottingen. Part I. Surgical Technique for Tailoring Individualized Stereotactic Lesions
264		c 2016-09-16
264	1	b S. Karger AG,c 2016
338		a print2 rdacarrier
520		a During the 1950s through the 1970s, Hans Orthner and Fritz Roeder, two German neurologists from Gottingen, 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 stereo tactic atlas (>60 brains) with an ingenious brain-slicing device, the Gottinger 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 in-traoperative 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 Gottingen, this technique has only been used by Prof. Dieter Muller in Hamburg, Germany. This elaborate stereotactic approach is widely unknown and deserves to be discussed in a historical context.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Neurovetenskaper0 (SwePub)301052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Neurosciences0 (SwePub)301052 hsv//eng
700	1	a Koeppen, Johannes A.4 aut
700	1	a Hariz, Marwanu Umeå universitet,Klinisk neurovetenskap,nit of Functional Neurosurgery, UCL Institute of Neurology, London, UK4 aut0 (Swepub:umu)hama0032
700	1	a Krack, Paul4 aut
700	1	a Moll, Christian K. E.4 aut
710	2	a Umeå universitetb Klinisk neurovetenskap4 org
773	0	t Stereotactic and Functional Neurosurgeryd : S. Karger AGg 94:4, s. 240-253q 94:4<240-253x 1011-6125x 1423-0372
856	4	u https://www.karger.com/Article/Pdf/448080
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128490
856	4 8	u https://doi.org/10.1159/000448080

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Av författaren/redakt...: Hamel, Wolfgang; Koeppen, Johanne ...; Hariz, Marwan; Krack, Paul; Moll, Christian ...

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