[Functional neurosurgery of XXXX ].

@entity1 @entity2003 @entity3520 @entity75 @entity508 @entity910 @entity1957 @entity51 @entity400 @entity2915 @entity306
In 1983, approximately 40 000 @entity1 in France and 5 760 @entity1 in Switzerland suffered from @entity306 , representing more than 0.1% of their respective populations. The functional disability of these @entity1 is particularly impressive and emphasizes the medical, social and economic importance of this problem. The @entity306 is restricted to non-progressive @entity1957 , already observed at an early age and due to @entity75 . These @entity1957 can be of @entity3520 . Their epidemiology, classification, etiology, pathology, early diagnosis and evolution are extensively reviewed by Th. Deonna. The difficulty in evaluation of treatment is the absence of a generally accepted rating scale. G. Broggi has proposed one on the basis of a large experience which could serve in the future for more objective evaluation. This monograph is devoted to the functional neurosurgical treatment of @entity306 . Physiotherapy and rehabilitation are part of the basic treatment of @entity306 , and must be continued after any neurosurgical treatment. Various conservative methods of treatment and their neurophysiological rationale are mentioned by P. Claverie. Some technical devices which improve the @entity51 and facilitate rehabilitation are presented. Radiculotomies and neurotomies are probably the oldest neurosurgical operations for the treatment of @entity508 . The neurophysiological and neuroanatomical basis of this therapeutic approach are treated in the review of the material from the neurosurgical department of Montpellier. Sixty cases were collected and the results analysed according to the type of operation (posterior radiculotomy, anterior radiculotomy, mixed) performed. Stereotactic thalamotomies and subthalamotomies are believed to be the best neurosurgical method to treat the @entity400 and improve other @entity910 and @entity2915 . The technique and a personal review of 49 cases of @entity306 are presented. The long-term follow-up in this study demonstrates that this type of operation markedly improves the functional disability of @entity1 with moderate @entity2915 , moderately improves @entity1 severely affected, but also demonstrates that possible side effects cannot be ignored. Review of the literature indicates the difficulty in interpretation of results due to a lack of objective evaluation. Nevertheless, stereotactic thalamotomy can still be recommended when @entity400 and @entity2003 are the most prominent symptoms. Stereotactic dentatotomies in the treatment of @entity508 were very popular 20 years ago, but have been largely forgotten for nearly a decade.(ABSTRACT TRUNCATED AT 400 WORDS)
