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25 years have passed since a small group met for the First International Symposia on Brain Edema in Vienna. Subsequent Symposia were held in Mainz, Montreal, Berlin, Groningen, Tokyo and Baltimore. During this time we have witnessed a virtual explosion of the number of publications in this field and our basic and clinical understanding of this disease process has increased tremendously. Our meetings have always been a landmark to take stock of our experience so far and to provide perspectives toward future developments. In addition, it always was a good opportunity to renew old friendship and...

The papers presented in this supplement volume of "Acta " "Neurochirugica" cover a broad spectrum from basic data on the pathophysiology of Subarachnoid Haemorrhage (SAH) and delayed ischaemic dysfunction to the clinical use of Nimodipine which has been largely documented among calcium inhibitors for its cerebro-vascular properties. The first two presentations deal with the pathophysiological events following SAH and discuss a variety of mechanisms which may be responsible for the neurological dysfunction. The second part discusses the cerebro-vascular and direct cerebral effects of...

An International Conference on "Neurosurgical Training and Reserach was held in Munich from October 6 9, 1996, under the auspices of the EANS, and organized by H.-J. Reulen and H.-J. Steiger. Experts from different countries and neurosurgical organizations have collected information on the present status of resident training in neurosurgery and the mechanisms involved with the training. Various aspects, the recruitment process, the criteria used for selection, the contents and structure of a program, the continuous quality control, exposition to the art of research, fellowships and...

The control of brain edema is still one of the major problems in surgical and conservative treatment of various cerebral lesions. Many attempts have been made to develop methods for reducing the high mortality associated with brain edema. Mter many years of using hypertonic solutions it can be stated that this type of therapy has not yielded satisfactory results. During recent years increasing evidence has been accumulated on the efficacy of steroids on brain edema. Steroids were reported to result in rapid relief of signs and symptoms of increased intracranial pressure and neurological...