By E. Sander Connolly, Guy M. McKhann II, Ricardo J Komotar, J Mocco, Asim F. Choudhri
Thieme congratulates Tanvir F. Choudhri on being selected
by New York journal for its prestigious ‘Best medical professionals 2014’
Praise for the former edition:
"The editors...know the desires of citizens at a 'grass-root level'...An simply obtainable resource of knowledge for citizens in training."--Journal of Neurosurgery
The basically moveable guide on operative suggestions in neurosurgery, this step by step advisor bargains unheard of insurance of each significant operative method noticeable in day-by-day perform. Concise chapters carry key medical info on symptoms, preoperative making plans, intraoperative method, postoperative care, and issues, with insights and recommendation from popular specialists representing each major uniqueness within the field.
- Detailed insurance of all universal neurosurgery
- Over forty new chapters that includes the newest details
on intradural nerve sheath tumors, ulnar nerve submuscular transposition,
lambdoid synostosis, radiosurgery for cranium base lesions, and masses extra
- Succinct bullet-point layout for speedy and simple
- Management pearls on the finish of each bankruptcy
spotlight and extend on every one process
- Nearly 2 hundred new drawings emphasize key surgical steps
A trustworthy significant other to Greenberg’s Handbook, the second one version of Fundamentals of Operative concepts in Neurosurgery is a must have source for these in
training or for somebody who offers mentorship or help within the box of
Errata: the 1st printing of Fundamentals of Operative ideas in Neurosurgery, moment Edition contained an unsuitable model of bankruptcy 102, Posterior Cervical Arthrodesis. to ensure which printing of the publication you've, please consult with backside of the copyright web page; when you see the notation "Printed in Canada" above the booklet ISBN, you've got the 1st printing of the e-book and will reference the corrected chapter.
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Additional info for Fundamentals of operative techniques in neurosurgery
Hemostasis is achieved with minimal packing or FloSeal to avoid abducens nerve injury or occlusion of the meningohypophyseal trunk Closure — Fascial grafts and Tisseel (Baxter) are used to obliterate all possible sites of communication between the extradural and intradural compartments; fat graft is not required — Reapproximate the dura with 4–0 Nurolon sutures — Secure the bone flap with microplates or discs — Return the temporalis muscle to its anatomic position and reapproximate the fascia with 3–0 sutures — Reapproximate the skin with interrupted 3–0 sutures and staples Complications — — — — — Infection Cerebrospinal fluid rhinorrhea Pneumocephalus (sphenoid sinus compromise) Frontalis nerve palsy Cranial nerve palsies 8 Superior Parietal Lobule Approach Jeffrey N.
Bone over the optic foramen is preserved during this portion of the procedure. — Divide the dura over the superior orbital fissure and retract to the clinoid process — Identify the optic nerve as it exits the optic foramen and drill along the canal, thinning the bone along the medial and anterior surface of the clinoid process — Avoid entering the sphenoid sinus medial or lateral to the canal as it will require exenteration and packing with Betadine-soaked Gelfoam and fat — Thin the clinoid process with a small 2-mm diamond burr and dissect from the dura — Drill the optic strut located medially between the optic canal and the carotid artery to fully mobilize the clinoid process — Achieve hemostasis with bone wax to the bony edges and Surgicel within the cavernous sinus.
Burr holes spanning across the superior sagittal sinus are created at the anterior and posterior edges of the bone flap (B). For an anterior interhemispheric approach, two thirds of the craniotomy is anterior and one third of the craniotomy is posterior to the coronal suture (C). 16 I Cranial: Approaches — Bilateral approach • If the craniotomy is bilateral and extends across the superior sagittal sinus, the following techniques may be used at the anterior and posterior margins of the bone flap: ° A burr hole is drilled directly crossing over the sinus with a round cutting burr to visualize dura on each side and over the sinus (Fig.