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The cerebellum is the area at the back of the brain that controls motor movement coordination, balance, equilibrium and muscle tone. The pons connects the cerebral cortex (responsible for thinking perceiving, producing and understanding language) with the medulla oblongata (controls autonomic functions such as breathing, digestion, heart and blood vessel function, swallowing and sneezing). It also serves as a communications centre between the two hemispheres of the brain. The cerebellopontine angle (CPA) is the anatomical space at the junction of the cerebellum and the pons and is a frequent site of benign tumour formation and other non life-threatening, functional disorders. (About.com). This manual is a comprehensive guide to functional surgery of the CPA using the minimally invasive retrosigmoid technique, which involves making a small incision behind the ear, providing endoscopic access to the cerebellum and brain stem. Beginning with the surgical anatomy of CPA and in depth discussion on the instruments and set up for the procedure, the following sections cover the pathophysiology, radiological characteristics, neurological presentation, diagnosis and treatment of a wide spectrum of CPA lesions. Written by internationally recognised experts from France, India and Japan, this highly illustrated resource includes 550 full colour clinical photographs, diagrams and tables, as well as extensive references. Key points Comprehensive guide to minimally invasive retrosigmoid surgery of the cerebellopontine angle (CPA) In depth discussion of instruments and set up for the procedure Internationally recognised author team Includes 550 photographs, diagrams and tables
This book covers the entire spectrum of cerebellopontine angle lesions, from the most common to the rarest. All aspects are considered, including biological and radiological characteristics, neurological presentation, diagnosis, treatment options and follow-up care. The main focus, however, is on surgical management, which is presented in detail with the aid of numerous figures and images documenting technical particularities. Emphasis is placed on an individualized approach tailored to the particular tumor type and extension pattern. Both novice and experienced surgeons will find the book to be an invaluable source of information and guidance. It will enable neurosurgeons in the initial years of training to understand and become familiar with the main steps in surgical management while simultaneously providing their senior colleagues with details and technical tips that will help to improve treatment results.
This is a single volume text which meshes the information available in surgical atlases with clinical disease entities.
Now in a fully revised and expanded second edition, this book remains the gold standard guide to the surgical treatment of diseases in the cerebellopontine angle (CPA), the fragile area of the skull base that Harvey Cushing famously described as “the bloody angle.” This edition combines current information on the relevant clinical diseases of the CPA with dramatically improved surgical management of its diseases, arranged in five thematic sections. The first section presents the basis and rationale for treatment, including historical perspectives, microsurgical anatomy, relevant radiology and neurology. Part two is composed of chapters on surgical approaches, and parts three and four provide detailed descriptions of surgical management techniques for vestibular schwannomas and non schwannomatous lesions, respectively. The final section provides 21 distinct clinical cases with associated video segments, demonstrating the approaches and techniques in real time. With images courtesy of the renowned Barrow Neurological Institute, Surgery of the Cerebellopontine Angle, Second Edition is a boon resource for expert specialists in neurosurgery, neurotology, neuroradiology, otolaryngology/head and neck surgery, and endovascular surgery.
Annotation Surgery of the Cerebellopontine Angleis a single volume text which meshes the information available in surgical atlases with clinical disease entities. The inclusion of an interactive atlas adds to the importance of the text and complements it, and also obviates the need to reference multiple sources. This allows the project to stand out from its competitors and broadens its appeal.Organized in four sections, the first discusses anatomy, radiology and neurology of the temporal bone and CPA in detail. The second section will describe the surgical approaches and will include the latest developments in such approaches. It will include separate chapters describing the newest innovations in minimally invasive approaches and technological advances in cranial nerve monitoring. Section 3 is intended to synthesize the latest information on the treatment of acoustic neuromas, while Section 4 will do the same for non-schwannomatous lesions. The text is designed to provide a detailed exposition of the treatment options regarding lesions occurring in this region of the skull base.
This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.
This video guide increases the surgeon's understanding of all types of surgical approaches for vestibular schwannoma surgery: retrosigmoid, translabyrinthine, middle cranial fossa and combined approaches. 2D and 3D videos are included to increase the readers’ understanding of these complex surgical techniques. These are accompanied by step-by-step narrated cadaveric dissection videos showing the crucial steps of each approach. This book is a learning tool and video reference for those training to perform the procedure and enhances the readers understanding of neuroanatomy. A detailed review of all surgical options and their risks, along with tips, tenets and pitfalls is included. The authors provide an unbiased discussion of all options with balanced comparison between surgical approaches and algorithms for patient selection.
This second edition presents core clinical neuroanesthesia and neurointensive care knowledge in a practical, user-friendly format.
Whatever you may say about Professor Samii, his take on neurosurgery cannot be ignored. In this book readers will find pieces that express the philosophy of the most well-known 'Neurosurgical School'. International experts present Professor Samii's teaching and philosophy in dealing with the most difficult neurosurgical pathologies as well as future developments. Basic concepts in neurosurgical sciences, modern surgical techniques and cutting-edge technology are presented in detail.
Endoscopy is firmly established as a major technology for investigation and therapy in a wide range of disciplines. The field of otolaryngology or head and neck surgery owes its existence to the very special difficulties of examining the dark recesses of the head and neck. Therefore, this field has been at the forefront of developing endoscopic techniques for use in this anatomic area. While rhinologists have been quick to embrace the endoscope in the management of sinus disorders, otologists and skull base surgeons have been less than enthusiastic despite the vast range of possible applications in this area. In this book the authors consider the new field of application of endoscope technology in neuro-otology and skull base surgery. Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses.