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Modern Neurosurgery Advancements Nearly every single advancement in modern medicine is due to the result of a doctor attempting to accomplish things in a better and safer way they he/she has been able to do them in the past. This concept pertains very well to the practice of modern neurosurgery. It has undergone a dramatic evolution since its beginnings over 150 years ago. Today’s neurosurgeons have found ways to treat a variety of structural lesions which affect the deepest recesses of the brain and spinal cord. These doctors have to work on some of the most delicate tissues in the human body, and yet they have found a way to minimize complications due partly to the immense intellect of the pioneer surgeons, but also because technology in this discipline has dramatically advanced. For example, a wonderful advancement has been the operating microscope which allows the physician to have superior visualization. Another advancement has come by the way of endovascular techniques, which allow the treatment of aneurysms and other vascular lesions to be performed through a catheter, versus a much more invasive open brain surgery. A patient’s recovery time can now be dramatically reduced through the advancement of endoscopic surgery because a doctor can now perform the treatment through minimally invasive corridors. Recently, neurosurgery as a field has advanced through a technique where the surgeon applies a very concentrated lethal dose of radiation very accurately to an area of diseased tissue, all while minimizing the level of radiation that affects tissues as near by as millimeters away. This advancement is known as Stereotactic Radiation Therapy, or SRT. The deliverance of radiation to tissues with much less accurate methods has been around for many, many years, however.
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When it comes to radiating a breast or lung tumor, there is very little consequence to exposing a few inches of surrounding unaffected tissue to radiation. One cannot apply this type of treatment to a lesion of the central nervous system because exposing nearby neurological tissue could cause significant neurological damage. The need to accurately deliver such high doses of radiation to such a specific location with millimeter accuracy has driven the innovations in modern imaging and computing techniques.
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The adoption of these SRT techniques has resulted in major alterations in recommendations for treatment to patients who have diseases which were treated in a much more invasive manner in the recent past. This new method of treatment has even allowed neurosurgeons to treat some diseases of the brain and spinal cord which previously were too dangerous to treat. This new form of minimally invasive brain surgery can now be used to address conditions such as benign and malignant brain tumors, vascular lesions, conditions such as Parkinson’s, and even certain pain syndromes.