By John M. Tew, Harry R. Van Loveren
Sensible atlas of microscopic neurosurgery, for citizens and starting neurologic surgeons at the pathoanatomy of neurologic issues and their surgical operation. third-dimensional line drawings, a few with colour highlighting.
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The papers during this quantity summarize information regarding the newest and powerful options for treating diffcult sensible difficulties and painful events by utilizing minimally invasive spinal surgical procedure options. Spinal endoscopy either for diagnostic and therapy reasons is gifted in addition to microsurgical operations for spinal difficulties, intradiscal thoughts for the therapy of disc degenerative pathology, and dynamic stabilization options including an updated assessment of physiopathology of the illnesses.
Written by way of well-known specialists, this quantity is a finished reference at the use of complex imaging concepts within the prognosis and administration of spinal trauma. in a single cohesive resource, the booklet brings jointly info on state of the art scientific imaging—including multidetector CT and high-field MRI techniques—and the pathophysiology, neurologic overview, clinical administration, surgical procedure, and postoperative overview of backbone trauma and spinal twine damage.
Nice booklet for the first 12 months resident and 4th yr scientific pupil. Many radiographs, charts, tables, surgical line drawings, and reliable references all through this textbook. it truly is a chic hardcover ca 1999 with huge print, for this reason more uncomplicated to learn at the hours of darkness on-call rooms. i am hoping Drs. Loftus and Grossman choose to pop out with a third variation quickly.
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Extra info for Atlas of operative microneurosurgery
The dural flap is then split in midsection to the level of the superior petrosal sinus. Clips are placed on the superior petrosal sinus. The sinus and tentorial dura are then incised toward a point posterior to the insertion of the trochlear nerve. The dura is then further split down the line of Kawase's triangle, exposing the contents of the upper posterior fossa. 73 Posterior Petrosal Approach The posterior petrosal approach consists of temporal craniotomy, suboccipital craniotomy, and posterior petrosectomy.
68 Using a diamond burr, the surgeon proceeds with dissection along the greater superficial nerve to expose the geniculate ganglion. The labyrinthine segment of the facial nerve marks the beginning of the internal auditory canal. The cortical bone of the superior semicircular canal forms a 50-degree angle with the internal auditory canal. Drilling anterior to the superior semicircular canal, the surgeon exposes the dural sleeve of the internal auditory canal. 70 The cortical bone overlying the cochlea is removed until the cochlea appears as a blue line in the junction between the carotid artery and the facial nerve.
67 The greater superficial petrosai nerve is sectioned near the facial hiatus to prevent traction injury to the geniculate ganglion while drilling is done in this area. The horizontal section of the petrous carotid artery is exposed using a highspeed drill with a diamond burr. Removal of the bone should not proceed to the posterior loop in order to prevent injury to the geniculate ganglion and cochlea. 68 Using a diamond burr, the surgeon proceeds with dissection along the greater superficial nerve to expose the geniculate ganglion.