PROBLEMS RAISED BY ANAESTHESIA FOR THALAMIC AND CORTICAL EXPLORATION IN NEUROSURGERY
Identifieur interne : 000E36 ( Istex/Corpus ); précédent : 000E35; suivant : 000E37PROBLEMS RAISED BY ANAESTHESIA FOR THALAMIC AND CORTICAL EXPLORATION IN NEUROSURGERY
Auteurs : G. Vourc'H ; J. Hardy ; M. DenavitSource :
- BJA: British Journal of Anaesthesia [ 0007-0912 ] ; 1963-04.
Abstract
Surgical treatment of Parkinson's disease involves the destruction (by diathermy) of localized areas of the thalamus. The accurate location of those areas is made possible by stereotactic approach; but this does not allow for anatomical variations. Electrical stimulation by unipolar electrodes to produce motor responses is equally inaccurate, due to the diffusion of the current. Our team has tried to apply to man techniques used in the laboratory on the cat. A high degree of accuracy has been achieved in locating the various cerebral structures, and even thalamic nuclei, using bipolar electrodes, recording the activity (spontaneous or evoked potentials) of different groups of cells. However, a major difficulty was to find a suitable anaesthetic, which would induce light anaesthesia, while preserving those activities. It has been found that chloralose and hydroxydione (Viadril) work in a similar way; the former has been used extensively for animal experimentation, since it preserves synaptic responses; the latter has been used on man with satisfactory results, which are presented.
Url:
DOI: 10.1093/bja/35.4.208
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Denavit</name><affiliation><mods:affiliation>Centre d'Etudes de Physiologie Nerveuse CNRS, Paris, France</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:291A1CC4C742B8A6002A8DA94413D8622ACDCBA5</idno><date when="1963" year="1963">1963</date><idno type="doi">10.1093/bja/35.4.208</idno><idno type="url">https://api-v5.istex.fr/document/291A1CC4C742B8A6002A8DA94413D8622ACDCBA5/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000E36</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000E36</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">PROBLEMS RAISED BY ANAESTHESIA FOR THALAMIC AND CORTICAL EXPLORATION IN NEUROSURGERY</title><author><name sortKey="Vourc H, G" sort="Vourc H, G" uniqKey="Vourc H G" first="G." last="Vourc'H">G. Vourc'H</name><affiliation><mods:affiliation>Hôpital Foch, Suresnes Seine, France</mods:affiliation></affiliation></author><author><name sortKey="Hardy, J" sort="Hardy, J" uniqKey="Hardy J" first="J." last="Hardy">J. Hardy</name><affiliation><mods:affiliation>McLaughlin Foundation Montreal, Canada</mods:affiliation></affiliation></author><author><name sortKey="Denavit, M" sort="Denavit, M" uniqKey="Denavit M" first="M." last="Denavit">M. Denavit</name><affiliation><mods:affiliation>Centre d'Etudes de Physiologie Nerveuse CNRS, Paris, France</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">BJA: British Journal of Anaesthesia</title><idno type="ISSN">0007-0912</idno><idno type="eISSN">1471-6771</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="1963-04">1963-04</date><biblScope unit="volume">35</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="208">208</biblScope><biblScope unit="page" to="218">218</biblScope></imprint><idno type="ISSN">0007-0912</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-0912</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Surgical treatment of Parkinson's disease involves the destruction (by diathermy) of localized areas of the thalamus. The accurate location of those areas is made possible by stereotactic approach; but this does not allow for anatomical variations. Electrical stimulation by unipolar electrodes to produce motor responses is equally inaccurate, due to the diffusion of the current. Our team has tried to apply to man techniques used in the laboratory on the cat. A high degree of accuracy has been achieved in locating the various cerebral structures, and even thalamic nuclei, using bipolar electrodes, recording the activity (spontaneous or evoked potentials) of different groups of cells. However, a major difficulty was to find a suitable anaesthetic, which would induce light anaesthesia, while preserving those activities. It has been found that chloralose and hydroxydione (Viadril) work in a similar way; the former has been used extensively for animal experimentation, since it preserves synaptic responses; the latter has been used on man with satisfactory results, which are presented.</div></front></TEI><istex><corpusName>oup</corpusName><author><json:item><name>G. VOURC'H</name><affiliations><json:string>Hôpital Foch, Suresnes Seine, France</json:string></affiliations></json:item><json:item><name>J. HARDY</name><affiliations><json:string>McLaughlin Foundation Montreal, Canada</json:string></affiliations></json:item><json:item><name>M. DENAVIT</name><affiliations><json:string>Centre d'Etudes de Physiologie Nerveuse CNRS, Paris, France</json:string></affiliations></json:item></author><subject><json:item><value>Articles</value></json:item></subject><articleId><json:string>35.4.208</json:string></articleId><language><json:string>unknown</json:string></language><originalGenre><json:string>research-article</json:string></originalGenre><abstract>Surgical treatment of Parkinson's disease involves the destruction (by diathermy) of localized areas of the thalamus. The accurate location of those areas is made possible by stereotactic approach; but this does not allow for anatomical variations. Electrical stimulation by unipolar electrodes to produce motor responses is equally inaccurate, due to the diffusion of the current. Our team has tried to apply to man techniques used in the laboratory on the cat. A high degree of accuracy has been achieved in locating the various cerebral structures, and even thalamic nuclei, using bipolar electrodes, recording the activity (spontaneous or evoked potentials) of different groups of cells. However, a major difficulty was to find a suitable anaesthetic, which would induce light anaesthesia, while preserving those activities. 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The accurate location of those areas is made possible by stereotactic approach; but this does not allow for anatomical variations. Electrical stimulation by unipolar electrodes to produce motor responses is equally inaccurate, due to the diffusion of the current. Our team has tried to apply to man techniques used in the laboratory on the cat. A high degree of accuracy has been achieved in locating the various cerebral structures, and even thalamic nuclei, using bipolar electrodes, recording the activity (spontaneous or evoked potentials) of different groups of cells. However, a major difficulty was to find a suitable anaesthetic, which would induce light anaesthesia, while preserving those activities. It has been found that chloralose and hydroxydione (Viadril) work in a similar way; the former has been used extensively for animal experimentation, since it preserves synaptic responses; the latter has been used on man with satisfactory results, which are presented.</p></abstract><textClass><keywords scheme="keyword"><list><item><term>Articles</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1963-04">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api-v5.istex.fr/document/291A1CC4C742B8A6002A8DA94413D8622ACDCBA5/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus oup" wicri:toSee="no header"><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="research-article"><front><journal-meta><journal-id journal-id-type="hwp">brjana</journal-id><journal-id journal-id-type="publisher-id">bjaint</journal-id><journal-id journal-id-type="pmc">brjana</journal-id><journal-title>BJA: British Journal of Anaesthesia</journal-title><issn pub-type="epub">1471-6771</issn><issn pub-type="ppub">0007-0912</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">35.4.208</article-id><article-id pub-id-type="doi">10.1093/bja/35.4.208</article-id><article-categories><subj-group><subject>Articles</subject></subj-group></article-categories><title-group><article-title>PROBLEMS RAISED BY ANAESTHESIA FOR THALAMIC AND CORTICAL EXPLORATION IN NEUROSURGERY</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>VOURC'H</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="au1"></xref></contrib><contrib contrib-type="author"><name><surname>HARDY</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="au2"></xref></contrib><contrib contrib-type="author"><name><surname>DENAVIT</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="au3"></xref></contrib><aff id="au1"><institution>Hôpital Foch, Suresnes</institution> <addr-line>Seine, France</addr-line></aff><aff id="au2"><institution>McLaughlin Foundation</institution> <addr-line>Montreal, Canada</addr-line></aff><aff id="au3"><institution>Centre d'Etudes de Physiologie Nerveuse</institution> <addr-line>CNRS, Paris, France</addr-line></aff></contrib-group><pub-date pub-type="ppub"><month>4</month><year>1963</year></pub-date><volume>35</volume><issue>4</issue><fpage>208</fpage><lpage>218</lpage><copyright-statement>© John Sherratt and Son</copyright-statement><copyright-year>1963</copyright-year><abstract><p>Surgical treatment of Parkinson's disease involves the destruction (by diathermy) of localized areas of the thalamus. The accurate location of those areas is made possible by stereotactic approach; but this does not allow for anatomical variations. Electrical stimulation by unipolar electrodes to produce motor responses is equally inaccurate, due to the diffusion of the current. Our team has tried to apply to man techniques used in the laboratory on the cat. A high degree of accuracy has been achieved in locating the various cerebral structures, and even thalamic nuclei, using bipolar electrodes, recording the activity (spontaneous or evoked potentials) of different groups of cells.</p><p>However, a major difficulty was to find a suitable anaesthetic, which would induce light anaesthesia, while preserving those activities. 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