[An automatic system for anatomophysiological correlation in three planes simultaneously during functional neurosurgery].
BACKGROUND
The Neurosurgical Deep Recording System (NDRS) using a personal computer takes the place of complex electronic equipment for recording and processing deep cerebral electrical activity, as a guide in stereotaxic functional neurosurgery. It also permits increased possibilities of presenting information in direct graphic form with automatic management and sufficient flexibility to implement different analyses.


OBJECTIVE
This paper describes the possibilities of automatic simultaneous graphic representation in three almost orthogonal planes, available with the new 5.1 version of NDRS so as to facilitate the analysis of anatomophysiological correlation in the localization of deep structures of the brain during minimal access surgery.


METHODS
This new version can automatically show the spatial behaviour of signals registered throughout the path of the electrode inside the brain, superimposed simultaneously on sagittal, coronal and axial sections of an anatomical atlas of the brain, after adjusting the scale automatically according to the dimensions of the brain of each individual patient. This may also be shown in a tridimensional representation of the different planes themselves intercepting.


RESULTS
The NDRS system has been successfully used in Spain and Cuba in over 300 functional neurosurgery operations. The new version further facilitates analysis of spatial anatomophysiological correlation for the localization of brain structures.


CONCLUSIONS
This system has contributed to increase the precision and safety in selecting surgical targets in the control of Parkinson s disease and other disorders of movement.
Teijeiro
E J
EJ
Servicio de Neurocirugía; Centro Internacional de Restauración Neurológica (CIREN), La Habana, 11300, Cuba. juan@neuro.sld.cu
Macías
R J
RJ
Morales
J M
JM
Guerra
E
E
López
G
G
Alvarez
L M
LM
Fernández
F
F
Maragoto
C
C
Seijo
F
F
Alvarez
E
E
D001921:Brain / Q000473:pathology* / Q000502:physiology*; D004594:Electrophysiology; D006801:Humans; D013238:Stereotaxic Techniques