New development of functional neurorehabilitation in neurosurgery
Today, increasingly more patients with severe brain and spinal cord lesions mainly secondary to accidents, violence, stroke, and tumours survive their injuries, in many cases, however, suffering from severe functional impairments of functioning as describ
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Neurosurgical Re-Engineering of the Damaged Brain and Spinal Cord Edited by
Y. Katayama Acta Neurochirurgica Supplement 87
SpringerWienN ewYork
Prof. Y. Katayama Depanment of Neurological Surgery, Nihon University. School of Mcdidne, Tokyo. Japan
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" 2003 Springer·VerlagJWien
Soflcover repnnt ofthe hardeover IsI edition 2003 Typesetting: Aseo Typcsettcrs, Hong Kong
Printcd on acid·frec and chlorine·frce bleached paper SPIN: 10908266 CIP data applied for
With partly coloured Figures
ISBN 978-3-7091-7223-0
ISBN 978-3-7091-6081-7 (eBook)
DOI 10.1007/978-3-7091-6081-7
ISSNOO6S-1419
Preface This volume is the second in a new series of proceedings covering the official scientific meetings of the Neurorehabilitation Committee of the World Federation of Neurosurgical Societies (WFNS). The first scientific meeting of the WFNS Neurorehabilitation Committee was held successfully in Munster, Germany, in 2000 under the auspices of Professor Klaus R. H. von Wild. The proceedings of that meeting (Functional Rehabilitation in Neurosurgery and Neurotraumatology) were published as a supplement to Acta Neurochirurgica (volume 79, 2001). This first scientific meeting highlighted the important role played by neurosurgeons in neurorehabilitation beginning at an early period after brain or spinal cord damage. Due to the great success of the first meeting and in expectation of rapid progress in the relevant fields of neurosurgery, the delegates of the WFNS Neurorehabilitation Committee decided to organize a further meeting two years later. The second scientific meeting, on which this volume is based, was thus held in Tokyo, Japan, on July 10-12,2002. Recent advances in functional neurosurgery have opened up an important new field in which neurosurgeons can collaborate fruitfully with specialists in the multi-disciplinary aspects of neurorehabilitation. Such collaboration involves a wide variety of neurosurgical techniques, including selective interruption of various neural circuits, stimulation of the cerebral cortex, deep brain structures, spinal cord and peripheral nerves with implantable stimulation systems, direct application of various drugs to the brain and spinal cord with implantable drug delivery system