Advances and Technical Standards in Neurosurgery by H. Krayenbühl, J. Brihaye, F. Loew, V. Logue, S. Mingrino,

By H. Krayenbühl, J. Brihaye, F. Loew, V. Logue, S. Mingrino, B. Pertuiset, L. Symon, H. Troupp, M. G. Yasargil

As an addition to the ecu postgraduate education process for younger neurosurgeons we started to submit in 1974 this sequence dedicated to Advances and Technical criteria in Neurosurgery which was once later subsidized by way of the Euro­ pean organization of Neurosurgical Societies. the truth that the English language is definitely so one can turning into the overseas medium at eu clinical meetings is a brilliant asset by way of mutual figuring out. hence now we have made up our minds to post all contributions in English, whatever the local language of the authors. All contributions are submitted to the full editorial board earlier than booklet of any quantity. Our sequence isn't really meant to compete with the courses of unique medical papers in different neurosurgical journals. Our goal is, relatively, to offer fields of neurosurgery and similar components during which vital fresh advances were made. The contributions are written by means of experts within the given fields and represent the 1st a part of every one quantity. within the moment a part of every one quantity, we submit designated descriptions of ordinary operative methods, offered through skilled clinicians; in those articles the authors describe the strategies they hire and clarify the benefits, problems and dangers enthusiastic about some of the methods. This half is meant essentially to aid younger neurosurgeons of their postgraduate education. even if, we're confident that it'll even be worthy to skilled, totally knowledgeable neurosurgeons.

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Often the tumor itself comes into view, may extend as a more or less flat sheet along the middle fossa floor, and is at times densely adherent to the temporal lobe. The tentorium may be very vascular, thickened, and invaded by tumor. The fourth nerve may be severely stretched over the dorsal surface of the tumor. The undersurface of the temporal lobe is explored by moving the retractor along the base to the temporal pole and back, depending on how much exploration the basal temporal veins will allow.

Of 23 CT cases, in 21 cases the meningioma was preoperatively correctly diagnosed, whereas in two infiltrative cases a neurinoma was assumed (Fig. 21 , Case 38). 42 M. G. : Fig. 20a. ) The analyzed displacement is not as convincing as the CT scan CT for Foramen Magnum Meningiomas Our personal experience is limited, however, with improvement of technique, it appears that CT scanning will hopefully allow earlier diagnosis of foramen magnum meningiomas. Eighth Nerve Function in Cerebellopontine Angle Meningioma This topic has been reviewed in some detail (Brown and Love 1956, Katinsky and Toglia 1968).

Tumor is excised from the area of the basilar bifurcation with care to preserve the penetrating arteries. At times the tumor grows between the basilar artery and the pons, with the displaced basilar artery curving around the base of the tumor. The proximal posterior cerebral and superior cerebellar arteries and the third nerve are dissected free from tumor compressing the interpeduncular cistern. Tumor may be removed from the upper anterolateral pons, but adherences between tumor and pons may be extreme, making complete and safe tumor removal impossible.

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