By Jin Woo Chang, Yoichi Katayama, Takamitsu Yamamoto

Neurorehabilitation including practical neurosurgery are gradually becoming fields, with new advances and applied sciences together with: selective interruption of varied neural circuits, stimulation of the cerebral cortex, deep mind buildings, spinal wire and peripheral nerves with implantable stimulation platforms, and telephone transplantation in addition to nerve grafting. fresh advances in neuroimaging concepts have additionally started to illustrate the involvement of intensive practical and structural reorganization of neural networks in the mind. with a purpose to encapsulate such recommendations, the fourth reliable clinical assembly of the Neurorehabilitation and Reconstructive Neurosurgery Committee of the area Federation of Neurosurgical Societies (WFNS) was once held in Seoul. This quantity is the fourth in a brand new sequence of complaints protecting an important developments during this box.

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Starr PA, Christine CW, Theodosopoulos PV, Lindsey N, Byrd D, Mosley A, Marks WJ Jr (2002) Implantation of deep brain stimulators into the subthalamic nucleus: technical approach and magnetic resonance imaging-verified lead locations. J Neurosurg 97: 370–387 10. Starr PA, Vitek JL, DeLong M, Bakay RA (1999) Magnetic resonance image-based stereotactic localization on the globus pallidus and subthalamic nucleus. Neurosurgery 44: 303–313 11. Yamamoto T, Katayama Y, Fukaya C, Oshima H, Kasai M, Kobayashi K (2001) New method of deep brain stimulation therapy with two electrodes implanted in parallel and side by side.

Mov Disord 11: 278–282 6. Taira T, Kobayashi H, Takahashi K, Hori T (2002) A new denervation procedure for idiopathic cervical dystonia. J Neurosurgery (Spine) 97: 201–206 7. Taira T, Hori T (2003) Stereotactic ventrooralis thalamotomy for task-specific focal hand dystonia (writer’s cramp). Stereotact Funct Neurosurg 80: 88–91 8. Taira T, Kobayashi T, Takahashi K, Hori T (2003) Selective peripheral denervation of the levator scapulae muscle for laterocollic cervical dystonia. J Clin Neurosci 10: 449–452 9.

No life threatening complications occurred. Main side effects included hypophonia, dyskinesia, confusion, depression. Conclusions. Bilateral STN-DBS is a satisfying surgical method for the treatment of advanced PD. It can improve the cardinal PD symptoms up to 45 months. Complications and side effects were rare and usually temporary or reversible. Keywords: Deep brain stimulation; subthalamic nucleus; follow-up. long-term follow-up for up to 5 years. The selected targets varied from subthalamic nucleus (STN) to globus pallidus internus (GPi) [2, 4, 12, 14, 20].

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