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 procedure for younger neurosurgeons we started to post in 1974 this sequence dedicated to Advances and Technical criteria in Neurosurgery which was once later backed through the Euro­ pean organization of Neurosurgical Societies. the truth that the English language is definitely so one can changing into the overseas medium at eu clinical meetings is a smart asset by way of mutual realizing. as a result now we have determined to submit all contributions in English, whatever the local language of the authors. All contributions are submitted to the full editorial board sooner than ebook of any quantity. Our sequence isn't meant to compete with the guides of unique medical papers in different neurosurgical journals. Our purpose is, particularly, to give fields of neurosurgery and comparable components within which vital fresh advances were made. The contributions are written through 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 post unique descriptions of normal operative techniques, provided by way of skilled clinicians; in those articles the authors describe the recommendations they hire and clarify the benefits, problems and dangers occupied with many of the approaches. This half is meant basically to aid younger neurosurgeons of their postgraduate education. besides the fact that, we're confident that it'll even be worthy to skilled, absolutely educated neurosurgeons.

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2. Tumor density is generally homogeneous, with occasional variations. The overall density is usually higher than that of brain, on occasion by only a little. Rare hypodense meningiomas with microcystic histologic structure have been described (Savoiardo etal. 1978). 3. Enhancement is generally striking, the whole tumor homogeneously increasing in density. The tumors enhance more if their initial density is low, and the converse is also true. 4. Tumor calcification is homogeneous but may be irregular, and may be seen even if none is apparent on plain skull radiographs.

Increased density. In each of these cases the scan findings indicated some but not all of the extent of the tumor. Brain scans were similarly positive in all of three cerebellopontine angle meningiomas so studied. ;terior fossa vascular mass. and the study defined the extent of the tumor fairly accurately. CT Scan CT scanning is of immense benefit in the diagnosis of posterior fossa meningiomas, and its value cannot be overestimated. It is rapid, noninvasive, and precise, and its diagnostic accuracy approaches 100%.

Meningiomas of Basal Posterior Cranial Fossa 55 Fig. 24 b. Tumor below carotid a rtery and branches Fig. 24c. After removal of the tumor. The tumor rests (arrow) have been also eliminated 56 M. G. : From here the course of the internal carotid artery is followed and the anterior choroidal and posterior communicating arteries are identified and preserved as tumor is removed from them. Tumor is now dissected from around the planum sphenoidale, anterior clinoid process, the optic nerves and prechiasmatic space, the pituitary stalk and the tuberculum sellae.

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Categories: Neurosurgery