Neurological Surgery 脳神経外科39巻11号

2011年11月発行

総説

定位・機能神経外科手術―フレームベースドからフレームレスへ

著者： 深谷親¹ 山本隆充¹ 片山容一¹

所属機関： ¹日本大学医学部脳神経外科・応用システム神経科学

ページ範囲：P.1033 - P.1044

文献概要

Ⅰ．定位・機能神経外科とは

　定位脳手術とは，3次元座標で表した脳内の標的部位に任意の穿頭部位から到達する手術法であり，機能的脳神経外科の発展に大きく寄与してきた．一方，機能的脳神経外科は，外科的な方法にて神経系の機能調整・制御を行う脳神経外科の一分野と定義される¹⁴⁾．

　定位脳手術と機能的脳神経外科は密接な関係をもちつつ発展してきた．しかし，定位脳手術を用いる手術がすべて機能的脳神経外科の領域に含まれるわけではなく，また逆に機能的脳神経外科治療のすべてが定位脳手術を用いて行われるわけではない．わが国では1963年に日本定位脳手術研究会が発足し，機能的脳神経外科の発展を支えてきたが，こうした状況を受け，1988年に学会名を日本定位・機能神経外科学会と変更している．その後もこうした傾向は，治療技術や手術支援機器の発展と相まって強くなってきている．

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