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Despite the amazing progress made by the stereotactic technique,
particularly regarding the localization of the target, despite the
extreme caution, which stereotactic neurosurgeons apply at every
step of the procedures, despite the routine roentgenologic and
physiologic controls (depth EEG, electric stimulation) preceding
the production of a lesion, there remains a certain degree of
uncertainty regarding the position, shape and extent of the lesion
as well as of the electrode track and also regarding unintended
lesions in the vicinity. The final answer to these questions
depends on the anatomical control. Thus we must be grateful to the
authors, who performed 3700 subcortical stereotactic interventions,
that they present a careful comparison of the clinical and of the
pathologic anatomic findings, in the cases whose brains could be
studied. They demonstrate what degree of exactness can be expected
from the stereotactic technique. They also present a careful
outline of the morphology, physiology, biochemistry and pathology
of the structures that are affected in Parkinson patients. In
addition this monograph permits one to familiarize oneself with the
methods of stimulation and destruction practiced by the authors.
The relevant literature is conscientiously quoted. A study of this
mono graph will benefit not only the stereotactic neurosurgeon, but
also neurophysiologists, pathologists and practicing neurologists.
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