Advances and Technical Standards in Neurosurgery

ISBN-13: 9783709174739 / Niemiecki / Miękka / 2011 / 179 str.

L. Symon

Spis treści

A. Advances.- Present Status of Lasers in Neurosurgery.- History and Evolution of Laser Neurosurgery.- Principle of Laser Function and Application in Biological Tissues.- Neurosurgical Lasers.- Carbon Dioxide Laser.- Nd : YAG Laser.- The Argon Laser.- Clinical Experience with Neurosurgical Lasers.- Basal Meningioma.- Acoustic Neuromas.- Transsphenoidal Approach to Sellar and Midline Basal Tumours.- Transcallosal Approach to Intraventricular Tumours.- Spinal Cord Tumours.- Haemangioblastoma.- Haemangiopericytoma.- Glomus Jugulare Tumours.- Vascular Malformations.- Ultrasonic Aspirator.- Conclusion.- References.- B. Technical Standards.- Selective Amygdalohippocampectomy: Indications, Investigative Technique and Results.- 1. Rationale for Performing “Selective Amygdalohippocampectomy”.- 1.1. Some Basic Considerations Relevant to Hippocampal Epileptogenicity.- 1.2. The Mesiobasal-Limbic Focus Concept.- 1.3. The Evaluation Protocol.- 2. Results.- 2.1. Neuropsychological Data.- 3. The Bear-Fedio Personality Inventory and TL Epilepsy.- 4. Post-Operative EEG Controls.- 5. Post-Operative Visual Field Examinations Using the OCTOPUS.- 6. Concluding Remarks.- References.- Spinal Cord Astrocytomas of Childhood.- Clinical Presentation.- Cervical Tumors.- Thoracic Tumors.- Neurodiagnostic Studies.- Holocord Astrocytoma.- Focal Astrocytoma.- Transcutaneous Ultrasound.- Surgery.- Clinical Indications of Tumor Location in the Presence of Holocord Expansion.- Radiologic Indicators of Tumor Location in the Presence of Holocord Expansion.- Surgical Instrumentation.- Surgical Technique.- Evoked Potential Monitoring.- Potential Surgical Pitfalls.- Dural Substitutes.- Missing Rostral or Caudal Tumor Fragment.- Misinterpreting Cord Edema for Tumor or Cyst.- Anterior Subarachnoid Spinal Fluid Loculation.- Postoperative Neurological Morbidity Related to Segmental Location of Neoplasm.- Wound Closure.- Hydrocephalus.- Pseudotumor.- Tumor Recurrence.- Discussion.- Summary.- References.- Author Index.