Stereotactic gamma-thalamotomy with a computerized brain atlas: technical case report.
Radiosurgical stereotactic thalamotomy was performed in a patient with parkinsonian tremor with a computerized stereotactic brain atlas, which was transformed to fit the patient's thin-sliced magnetic resonance image to select an optimal target in the nucleus ventralis intermedius of the thalamus. The patient's tremor and rigidity disappeared and have not appeared again for more than 1 year since the eighth postoperative month. A method for converting the presurgically planned stereotactic coordinates in the atlas coordinate system to the coordinates in the frame coordinate system is described.
Otsuki
T
T
Division of Neurosurgery, Tohoku University School of Medicine, Tokyo, Japan.
Jokura
H
H
Takahashi
K
K
Ishikawa
S
S
Yoshimoto
T
T
Kimura
M
M
Yoshida
R
R
Miyazawa
T
T
D000368:Aged; D001931:Brain Mapping / Q000295:instrumentation*; D003196:Computer Graphics / Q000295:instrumentation; D003204:Computers, Mainframe; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D010300:Parkinson Disease / Q000601:surgery*; D016634:Radiosurgery / Q000295:instrumentation*; D012984:Software; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D013787:Thalamic Nuclei / Q000473:pathology / Q000601:surgery*; D014584:User-Computer Interface