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Surgery of the motor thalamus: problems with the present nomenclatures.

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Surgery of the motor thalamus: problems with the present nomenclatures.

Auteurs : Paul Krack [France] ; Jonathan Dostrovsky ; Igor Ilinsky ; Kristy Kultas-Ilinsky ; Fred Lenz ; Andres Lozano ; Jerry Vitek

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.

RBID : pubmed:11948749

English descriptors

KwdEn :
- Animals, Brain Mapping, Dyskinesias (surgery), Haplorhini, Humans, Muscle Rigidity (surgery), Neural Pathways (anatomy & histology), Neural Pathways (surgery), Stereotaxic Techniques, Terminology as Topic, Thalamus (anatomy & histology), Thalamus (physiology), Thalamus (surgery), Tremor (surgery).
MESH :
- anatomy & histology : Neural Pathways, Thalamus.
- physiology : Thalamus.
- surgery : Dyskinesias, Muscle Rigidity, Neural Pathways, Thalamus, Tremor.
- Animals, Brain Mapping, Haplorhini, Humans, Stereotaxic Techniques, Terminology as Topic.

Abstract

The literature on thalamic surgery is difficult to read because different nomenclatures are in use. Neurosurgeons mostly use the stereotactic atlas of Schaltenbrand with Hassler's nomenclature of the thalamus. Neuroanatomists use different nomenclatures for the primate thalamus. The cytoarchitectonic definition of nuclei is difficult in the motor thalamus, and it would be best to define the nuclei based on their subcortical afferents. However, tracing studies are not available in humans. Thus, human thalamic nomenclature is based entirely on cytoarchitectonic subdivisions and transfer of knowledge by analogy from monkey to man. Problems arise when trying to transfer the detailed knowledge from monkey to the human brain. By doing so, different authors have come to different conclusions concerning the subcortical afferents of Hassler's motor nuclei, which inevitably leads to confusion when attempting neurophysiological interpretations of the surgical data. The present review draws attention to the discrepancies and open questions in the literature. There is a need to better define the limits of the sensory and cerebellar afferent receiving thalamic nuclei as well as those of the cerebellar and pallidal afferent receiving territories in humans.

PubMed: 11948749

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<author><name sortKey="Krack, Paul" sort="Krack, Paul" uniqKey="Krack P" first="Paul" last="Krack">Paul Krack</name>
<affiliation wicri:level="1"><nlm:affiliation>Neurology Department, University of Grenoble, Grenoble, France. pkrack@ujf-grenoble.fr</nlm:affiliation>
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<author><name sortKey="Dostrovsky, Jonathan" sort="Dostrovsky, Jonathan" uniqKey="Dostrovsky J" first="Jonathan" last="Dostrovsky">Jonathan Dostrovsky</name>
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<author><name sortKey="Ilinsky, Igor" sort="Ilinsky, Igor" uniqKey="Ilinsky I" first="Igor" last="Ilinsky">Igor Ilinsky</name>
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<author><name sortKey="Kultas Ilinsky, Kristy" sort="Kultas Ilinsky, Kristy" uniqKey="Kultas Ilinsky K" first="Kristy" last="Kultas-Ilinsky">Kristy Kultas-Ilinsky</name>
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<author><name sortKey="Lenz, Fred" sort="Lenz, Fred" uniqKey="Lenz F" first="Fred" last="Lenz">Fred Lenz</name>
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<author><name sortKey="Lozano, Andres" sort="Lozano, Andres" uniqKey="Lozano A" first="Andres" last="Lozano">Andres Lozano</name>
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<author><name sortKey="Vitek, Jerry" sort="Vitek, Jerry" uniqKey="Vitek J" first="Jerry" last="Vitek">Jerry Vitek</name>
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<author><name sortKey="Kultas Ilinsky, Kristy" sort="Kultas Ilinsky, Kristy" uniqKey="Kultas Ilinsky K" first="Kristy" last="Kultas-Ilinsky">Kristy Kultas-Ilinsky</name>
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<term>Humans</term>
<term>Muscle Rigidity (surgery)</term>
<term>Neural Pathways (anatomy & histology)</term>
<term>Neural Pathways (surgery)</term>
<term>Stereotaxic Techniques</term>
<term>Terminology as Topic</term>
<term>Thalamus (anatomy & histology)</term>
<term>Thalamus (physiology)</term>
<term>Thalamus (surgery)</term>
<term>Tremor (surgery)</term>
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<front><div type="abstract" xml:lang="en">The literature on thalamic surgery is difficult to read because different nomenclatures are in use. Neurosurgeons mostly use the stereotactic atlas of Schaltenbrand with Hassler's nomenclature of the thalamus. Neuroanatomists use different nomenclatures for the primate thalamus. The cytoarchitectonic definition of nuclei is difficult in the motor thalamus, and it would be best to define the nuclei based on their subcortical afferents. However, tracing studies are not available in humans. Thus, human thalamic nomenclature is based entirely on cytoarchitectonic subdivisions and transfer of knowledge by analogy from monkey to man. Problems arise when trying to transfer the detailed knowledge from monkey to the human brain. By doing so, different authors have come to different conclusions concerning the subcortical afferents of Hassler's motor nuclei, which inevitably leads to confusion when attempting neurophysiological interpretations of the surgical data. The present review draws attention to the discrepancies and open questions in the literature. There is a need to better define the limits of the sensory and cerebellar afferent receiving thalamic nuclei as well as those of the cerebellar and pallidal afferent receiving territories in humans.</div>
</front>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<Abstract><AbstractText>The literature on thalamic surgery is difficult to read because different nomenclatures are in use. Neurosurgeons mostly use the stereotactic atlas of Schaltenbrand with Hassler's nomenclature of the thalamus. Neuroanatomists use different nomenclatures for the primate thalamus. The cytoarchitectonic definition of nuclei is difficult in the motor thalamus, and it would be best to define the nuclei based on their subcortical afferents. However, tracing studies are not available in humans. Thus, human thalamic nomenclature is based entirely on cytoarchitectonic subdivisions and transfer of knowledge by analogy from monkey to man. Problems arise when trying to transfer the detailed knowledge from monkey to the human brain. By doing so, different authors have come to different conclusions concerning the subcortical afferents of Hassler's motor nuclei, which inevitably leads to confusion when attempting neurophysiological interpretations of the surgical data. The present review draws attention to the discrepancies and open questions in the literature. There is a need to better define the limits of the sensory and cerebellar afferent receiving thalamic nuclei as well as those of the cerebellar and pallidal afferent receiving territories in humans.</AbstractText>
<CopyrightInformation>Copyright 2002 Movement Disorder Society</CopyrightInformation>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Surgery of the motor thalamus: problems with the present nomenclatures.

Surgery of the motor thalamus: problems with the present nomenclatures.

Source :

English descriptors

Abstract

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