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Frontiers of Neurosurgery

Spring 1993
Volume 4, Number 1

Abstracts of this issue appear below. Send e-mail or call 303-788-4010 to order a printed copy. 

Abstracts

Surgical Aspects of Epilepsy
Cynthia L. Norrgran, MD

Patients with intractable epilepsy may benefit from surgical intervention. This article offers a historical perspective on the surgical treatment of seizures and describes patient selection, preoperative evaluation, surgical alternatives, and outcomes.

Management of High Grade Brain Tumors with Interstitial Radioisotope Seed Implantation and/or Hyperthermia
Richard C. Branan, MD, PhD, David P. Schreiber, MD

Patients with advanced malignant tumors have traditionally undergone such as surgery, external radiation, and chemotherapy. Brachytherapy, which is the implantation of radioisotope seeds within a brain tumor, has bee a more recent treatment development. To this modality, interstitial hyperthermic therapy, known as themoradiotherapy, has been added. In combination, brachytherapy and thermoradiotherapy may prove to be a more effective treatment than the application of a single modality.

Recent Advances in the Management of Arteriovenous Malformations of the Brain
Lee E. Krauth, MD, Wayne F. Yakes, MD

Arteriovenous malformations (AVMs) of the brain have always been difficult entities to treat. Often the size, location in eloquent areas of the brain, and pattern of deep venous drainage preclude safe surgical removal even with modern microsurgical techniques. Ethanol embolization of these lesions using super-selective catheter techniques has proven to be an efficacious adjunct to surgery, as well as a definitive form of therapy, in select cases.

Spinal Cord Stimulation for Intractable Pain Due to Reflex Sympathetic Dystrophy
Jay D. Law, MD

Electrical stimulation of the spinal cord was first employed in 1967 for the palliation of chronic intractable pain. Technical improvements have expanded its application to other diagnoses involving pain. This article reviews the current methods of spinal cord stimulation (SCS) as they apply to the increasingly common and difficult problem of treating reflex sympathetic dystrophy (RSD).

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