Atlas of Neurosurgical Anatomy: The Pterional Perspective - download pdf or read online

By John L. Fox

ISBN-10: 1461388236

ISBN-13: 9781461388234

ISBN-10: 1461388252

ISBN-13: 9781461388258

The writer John L. Fox stocks his a long time of educating and surgical procedure via greater than 300 illustrations and images (including over 100 in color). Dr. Fox has released many works on neuroscience and scientific neurosurgery and is famous for his colour pictures of stay neurosurgical anatomy as seen during the working microscope. old concepts, instrumentation and positioning, photographic suggestions, cranial anatomy and the cranial flap, and intracranial anatomy as obvious from the frontolateral or pterional method are in actual fact mentioned and illustrated from the working (right sided) surgeons' standpoint. The operations noticeable during this atlas for the most half contain aneurysms and a few tumors. Directed towards neurosurgeons, neuroscientists, and anatomists, the e-book is meant to function an atlas of anatomy in addition to a consultant to medical neurosurgery.

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Extra info for Atlas of Neurosurgical Anatomy: The Pterional Perspective

Sample text

8 illustrate the initial opening of the sylvian fi ssure in five cases (all photographs in this alias a re presented as viewing the right side). With initia l elevation of the frontal and temporal lobes (Fig. 2), the surgeon will see fine arachnoid bands passing in the subdural space between the arachnoid and dura (both being mesodermal le ptomeningeal tissue of similar embryonic origin). I n some cases the arachnoid over the sylvian fi ssure is distended by contained CS F (Fig. 3). This often occurs when the brain has been mildly shrunken as water is transferred from the brain into the CS F space owi ng to controlled hyperve ntilation [7] .

Self-reta inin g retractors also have become indispensablc to aneurys m surgery because they allow th e surgeon to work in a relativel y Other Microsurgical Instruments confined space unhinde red by the presence of' an assistant's hands, which are less dependable for maintain ing constant retraction of the brain . Sel f-reta ining brain retractors arc of two basic types [ 17]. One is composed of a series of stra ight shafts attached by small clamps to give the co rrect arm length and con fi guration requ ired for holding the brain spatula in place.

H may be minimal in the edematous or compressed bra in. The sylvian cistern is larger near its basal zone, as seen in Fi g. 1. and becomes smalle r in the more peripheral zones. At the surface the sylvia n fi ssure may appear to be absent (i t is not) owin g to the close approximation of the froma l pia and temporal pia mater. This zone is covered by fi r mly adhering arachnoid strelched over th e pia, and at first observation the untutored observor may be mislead into believ ing that an opening of the sylvian fi ssure is too difficult to wa rrant performing.

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Atlas of Neurosurgical Anatomy: The Pterional Perspective by John L. Fox


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