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By Gábor Szikla (auth.), F. John Gillingham, Jan Gybels, Edward Hitchcock, Gian Franco Rossi, Gábor Szikla (eds.)

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Extra resources for Advances in Stereotactic and Functional Neurosurgery 4: Proceedings of the 4th Meeting of the European Society for Stereotactic and Functional Neurosurgery, Paris 1979

Sample text

It is however clear that the value of the definition of an epileptogenic area can only be established through the surgical procedure and its results. Acta Neurochirurgica, Supp!. 30, 35-54 (1980) © by Springer-Verlag 1980 Application of Stereotactic Concepts to the Surgery of Epilepsy J. Talairach* and G. Szikla** With 6 Figures Summary For the authors, the essential feature of stereotaxis is the three-dimensional representation of the entire brain, including the central gray nuclei as well as the cerebral cortex.

Service de Neurochirurgie Fonctionnelle du Centre Hospitalier Sainte-Anne, 1, rue Cabanis, F-75674 Paris, Cedex 14, France. 3* 0065-1419/80/Suppl. 00 36 J. Talairach and G. Szikla: Introduction For many years 14. 15, we have felt that the use of a "global" stereotactic methodology could contribute to the evolution of "classical" neurosurgery and this concept has been especially applied to the surgery of epilepsy 1. Epilepsy is the subject of the present report which has already been initiated by J.

The superficial arteries crossing the exposed cortex and which are to be spared can be clearly recognized. The three main arteries of the sensori-motor area between the vein and penetration point of electrode I, several arteries running to the temporo-parietal convolutions between electrodes K and F, temporo-occipital artery going to the external temporo-occipital junction behind and above electrode E, etc. The underlying insula is also indicated in the diagram (Fig. 5, C). With the help of the electrode penetration points, the location of the ventricle can be defined deep to the cortex (Fig.

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