Abstract

Neuroscience and neurosurgical research constantly brings new ideas and treatments to the clinical research domain. Central nervous system research constantly faces issues of tissue accessibility, plasticity, and complexity. Three areas of emerging clinical neurosurgical treatment that have successfully approached these challenges will be discussed both in terms of the procedure itself, and the anesthetic considerations unique to a new procedure. 1 Endovascular treatment of neurovascular diseases. Treatment of aneurysms, arteriovenous malformations (AVMs), and several types of stroke has been developed around a novel approach to accessing neurovascular tissue. 2 Pediatric and adult epilepsy surgery. Pediatric hemispherectomies capitalize on plasticity of the developing nervous system. Adult peripheral vagal stimulation provides a minimally invasive method of reducing seizure occurrence. 3 Stereotactic procedures for movement disorders. Cellular recording techniques during stereotactic procedures can identify and differentiate neuron populations, improving localization of clinically important central nervous system nuclei.

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