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Syringomyelia has fascinated neurologists and neurosurgeons for decades, if not for centuries. The slowly progressing cystic cavitations of the spinal cord have led scientists and clinicians to various pathophysiological hypotheses and treatment strategies. Until recently, no clear concept existed as to what caused a syrinx and how and when a particular patient should be treated. The introduction of magnetic resonance imaging (MRI) has revolutionized our view of syringomyelia. For the first time, we are able to diagnose a syrinx before it produces clinical symptoms, and we can follow the...

This atlas provides a selection of operations for intra- and extradural pathologies of the spinal cord and its nerve roots. Pathologies involving the spinal cord threaten the patients´ mobility, independence or even life. Fortunately, the overwhelming majority are of benign nature, so that surgery plays an important role or even represents their treatment of choice. With modern imaging and microsurgical techniques neurological functions can be maintained or even improved for the majority of patients.

This atlas provides a selection of operations for intra- and extradural pathologies of the spinal cord and its nerve roots. Pathologies involving the spinal cord threaten the patients´ mobility, independence or even life. Fortunately, the overwhelming majority are of benign nature, so that surgery plays an important role or even represents their treatment of choice. With modern imaging and microsurgical techniques neurological functions can be maintained or even improved for the majority of patients.

The request from Professor Jorg Klekamp for me to write the foreword for this monograph was an appealing challenge. Prior to the era of microneu- surgery, I was firmly involved in the surgery of spinal lesions, and achieved surgical removal of spinal arteriovenous malformations (AVMs) on 12 - tients in the years between 1960 and 1965. Microneurosurgical techniques were introduced in Zurich in 1962, and since then I have applied these techniques to the exploration of the various spinal lesions: 182 herniated discs, 78 spinal cord AVMs, and 263 spinal tumors (46 epidural, 94 ext- medullary, and...