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 process for younger neurosurgeons we started to submit in 1974 this sequence dedicated to Advances and Technical criteria in Neurosurgery which used to be later subsidized through the Euro­ pean organization of Neurosurgical Societies. the truth that the English language is easily for you to changing into the foreign medium at ecu medical meetings is a smart asset by way of mutual figuring out. consequently we've made up our minds to put up all contributions in English, whatever the local language of the authors. All contributions are submitted to the complete editorial board prior to book of any quantity. Our sequence isn't meant to compete with the guides of unique medical papers in different neurosurgical journals. Our goal is, particularly, to offer fields of neurosurgery and comparable components during which vital fresh advances were made. The contributions are written by means of 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 submit exact descriptions of ordinary operative approaches, offered by means of skilled clinicians; in those articles the authors describe the thoughts they hire and clarify the benefits, problems and hazards concerned with a number of the strategies. This half is meant essentially to aid younger neurosurgeons of their postgraduate education. although, we're confident that it'll even be priceless to skilled, absolutely proficient neurosurgeons.

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Ya§argil et al. : of firm adherence" is considerable. A small discrete dural base or pure medial clival origin were not found despite constant observation through the operating microscope. There was never an enostosis in the midline noted in any case, in distinction to the cases with cerebellopontine angle meningiomas. We found that the meningiomas are attached at any of the lateral sites along the petroclival Fig. 22b. Growing tendency of the petroclival meningiomas borderline where the sphenoid, petrous, and clival bones meet, and the zone of adherence to the dura was commonly wide and overlay two or more of these sites.

Hardy (1977) however states that all parts of the clivus can be exposed by this approach. A firm meningioma would not be as easily removeable by these methods as would a softer chordoma. The degree of lateral exposure might not be adequate, and controlling a very hemorrhagic tumor in such a deep space might be exceedingly difficult. 4. Subfrontal Extradural Transbasal (Derome 1977) The exposure is bicoronal and bifrontal, the dura being dissected away from the skull base with partial resection of the posterior orbital roof and approach to the tumor through the skull base.

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%. One can easily visualize or exclude tumor remaining after subtotal removaL or tumor recurrence. The following features apply to the examination of these meningiomas, and in many eases to meningiomas in other locations as well (New etal.

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