Controversies in neurosurgery II by Ossama Al-Mefty

By Ossama Al-Mefty

This publication is equipped and good written; it is going to
make a great addition to any own, scientific, or medical institution library
collection. --
Otology & Neurotology

Controversies in Neurosurgery II displays real-world occasions
where a number of treatments are frequently thought of for tough
neurosurgical instances. each one bankruptcy starts off with a gap case within which specialists
describe the professionals and cons of alternative therapy methodologies and operative
techniques, supporting neurosurgeons choose the simplest therapy plan for person
patients of their perform. it really is proficient with the services of greater than a hundred
of the world’s preeminent neurosurgeons.

Key features:

  • Experts from world wide provide
    their reviews on greater than 20 debatable “hot” subject matters in neurosurgery,
    including a dialogue approximately no matter if transcranial or endoscopic techniques are
    the more sensible choice for resecting colloid cysts and a full of life debate approximately
    the optimum remedy of huge ophthalmic artery aneurysms
  • All
    treatment concepts are offered concisely in a single quantity, in order that
    neurosurgeons don’t need to spend time consulting different sources
  • The
    moderators’ end on the finish of every bankruptcy explains the medical
    evidence concerning the case and synthesizes the perspectives provided

Controversies in
Neurosurgery II
could be valuable by means of neurosurgeons and neurosurgery citizens as
well as by way of neurologists and neuroradiologists and may be a key quantity of their
medical libraries for years to come.

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Sample text

Radiosurgery can also be effectively administered as an adjuvant therapy after maximal surgical resection outside the sinus to decrease the risk of regrowth. Short- and mediumterm results indicate that this is a safe and effective strategy. Long-term results are yet to be determined. Total Removal of Parasagittal Meningiomas Involving the Superior Sagittal Sinus with Sinus Repair Marc P. Sindou, P. Hallacq, and Jorge E. Alvernia The presented case illustrates the difficulties of surgical decision making.

Necmettin Pamir, Selcuk Peker, and Koray Özduman This patient’s neurologic examination showed mild hemiparesis, and magnetic resonance imaging (MRI) demonstrated a left-sided parasagittal meningioma located in the middle third. Magnetic resonance venography showed partial occlusion or narrowing of the superior sagittal sinus (SSS). Our recommendation for this patient is surgical resection of the tumor outside the sinus and subsequent radiosurgery for the residual portion that invades the sinus.

Finally, the sphenoid sinus is filled with surgical glue (Tisseel, Duraseal, or both) to reduce the dead spaces and hold the reconstruction material in place. No lumbar drainage is required at the end of the procedure; 7 Fig. 6 Anatomic endoscopic transcranial view showing the skull-base opening achieved through the extended endoscopic endonasal approach to the suprasellar area. CH, chiasm; dr, distal dural ring; ICA, internal carotid artery; ICAs, parasellar tract of the internal carotid artery; ON, optic nerve; Pg, pituitary gland; SphS, sphenoid sinus cavity.

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