By B. L. Bauer (auth.), Prof. Dr. Bernhard L. Bauer, Prof. Dr. Dr. h.c. Mario Brock, Prof. Dr. Margareta Klinger (eds.)
Advances in Neurosurgery 22 is dedicated to 3 major issues, the 1st one being Cerebellar Infarcts. Following the advent with the microsurgical anatomy and the neuropathology of cerebellar infarction, the indication for operative therapy and its effects are then mentioned. The neuroradiological therapy with neighborhood and antifibrinolytic treatment for vertebrobasilar occlusion completes this part. The administration and surgical methods to a few of the types of midline lesions are then awarded. particular curiosity is focused on minimum invasive endoscopic neurosurgery (MIEN), (intraventricular tumors, optic pathway gliomas, endoscopic brainstem tumors and vascular malformations). additionally the certain gear and fields of symptoms are commonly mentioned.
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The papers during this quantity summarize information regarding the newest and potent suggestions for treating diffcult useful difficulties and painful events through the use of minimally invasive spinal surgical procedure thoughts. Spinal endoscopy either for diagnostic and remedy reasons is gifted in addition to microsurgical operations for spinal difficulties, intradiscal innovations for the therapy of disc degenerative pathology, and dynamic stabilization ideas including an up to date evaluate of physiopathology of the ailments.
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Extra info for Cerebellar Infarct. Midline Tumors. Minimally Invasive Endoscopic Neurosurgery (MIEN)
Arch Neurol 32:357-363 Operative Management of Space-Occupying Cerebellar Infarctions 29 19. Scotti G, Spinnler H, Sterzk R, Vallar G (1980) Cerebellar softening. Ann Neurol 8:133-140 20. Taneda M, Okazi K, Wakayama A, Yagi K, Kaneda H, Irino T (1982) Cerebellar infarction with obstructive hydrocephalus. J Neurosurg 57:83-91 Local Intra-arterial Fibrinolytic Therapy in Vertebrobasilar Occlusion M. Schumacher1, R. Siekmann 1, W. Radii2, and A. K. Wakhloo 1 Introduction Approximately 15% of strokes involve the vertebrobasilar circulation.
Light column, successful recanalization; dark column, total number of treated patients 32 M. Schumacher et al. 8% Fig. 2. Clinical outcome after fibrinolysis (n = 29). I, No deficit; 1/, minimal deficit; 11/, moderate deficit; N, severe deficit or death cephalic, and/or thalamic lesions. Hemorrhagic transformation of a missed stroke or secondary hemorrhage resulting from thrombolysis did not occur in any of the patients. Discussion Acute thrombolic or embolic basilar or bilateral vertebral artery occlusion is being increasingly diagnosed at an early stage, and immediate endovascular therapy is being performed more frequently.
Clinically, signs of raised intracranial pressure were dominant. All third ventricular tumors were associated with hydrocephalus but only 76% of ventricular tumors. These were generally large, had grown slowly within the ventricles, and caused symptoms only in the early stage, if the foramen of Monro was occluded. The expected clinical symptoms due to the anatomic localization were seldom observed (Fig. 1). We performed 67 surgical procedures in 55 patients. In 15 cases with lateral ventricular tumors a complete resection by a direct approach was carried out.