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 put up in 1974 this sequence dedicated to Advances and Technical criteria in Neurosurgery which used to be later subsidized via the Euro pean organization of Neurosurgical Societies. the truth that the English language is easily that allows you to changing into the foreign medium at ecu medical meetings is a brilliant asset by way of mutual knowing. hence we have now determined to post 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 really meant to compete with the courses of unique medical papers in different neurosurgical journals. Our purpose is, quite, to offer fields of neurosurgery and comparable parts during which very important fresh advances were made. The contributions are written via experts within the given fields and represent the 1st a part of every one quantity. within the moment a part of each one quantity, we put up designated descriptions of normal operative strategies, offered via skilled clinicians; in those articles the authors describe the concepts they hire and clarify the benefits, problems and dangers all in favour of many of the tactics. This half is meant essentially to help younger neurosurgeons of their postgraduate education. even though, we're confident that it'll even be invaluable to skilled, totally proficient neurosurgeons.
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Extra info for Advances and Technical Standards in Neurosurgery
A significant improvement in hearing function after removal of a cerebellopontine angle meningioma was noted by de Martel et al. in 1936, and many surgeons including ourselves have since observed this phenomenon, which rarely if ever occurs after excision of an acoustic neurinoma. Evoked Response with Cerebellopontine Angle Masses The auditory evoked response in the presence of cerebellopontine angle masses has been described by several authors (Shimizu 1968, Terkildsen et al. 1977, Selters and Brackmann 1977, 1979).
This includes the knowledge Fig. 11a. ) Displacement of basilar artery and branches of a cerebellopontine angle meningioma , ..... J Fig. 11 b. ) Impressive staining of tumor (arrows) Fig. 12a. ) Arterial phase of a left sided CPA meningioma Fig. 12b. ) Venous displacement (arrows) M. G. : Meningiomas of Basal Posterior Cranial Fossa 27 Fig. 12c. ) CT scan 4 years after surgery. No recurrent tumor Fig. 13a, b. 13b Fig. 13c. ) Preoperative CT scan reveals the tumor (arrows) Fig. 13d. ) Postoperative CT scan, no recurrent tumor Fig.
5 cm parallel to the petrous ridge. The cut tentorial edges are sutured out of the way. The trigeminal nerve and the medially displaced distal superior cerebellar artery can be freed of tumor. The tumor mass in the cerebellopontine angle is superficially coagulated and then hollowed out. As this is done the lobulus quadrangularis of the cerebellum and medial superior cerebellopontine angle are freed of tumor. The inferiorly displaced VII -VIII nerve group is usually easily separated from the tumor, as is VI, and eventually even IX and X.