Surgery Of Cerebellopontine Lesions

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.

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

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.

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.

This volume contains the papers presented at the 24th Annual Meeting of the Deutsche Gesellschaft fur Neurochirurgie, held in Mainz, Western Germany, on April 30 - May 3, 1973. Deliberate choice was made of two crucial still hotly debated subjects which, for ages, have meant a source of constant worry, and nights without sleep to every neurosurgeon. Just as long as our special field exists, there have been the problems of how to control brain edema and ·of how to reduce lethality and the secondary lesions in surgery of cerebello-pontine angle tumors. Concerning the first subject, new pathological, pathophysiological and chemical aspects, the mechanisms of brain edema formation and resolution are presented in the hope for better understanding. Furthermore, the relationship between brain edema, intracranial pressure, cerebral blood flow and metabolism are discussed. Finally, the therapeutical consequences as well as the results of experimental and clinical work are presented, and a comparison of effects between different methods (hypertonic solutions, diuretics, steroids, controlled hyperventilation, hyperbaric oxygen) is given. Concerning the second main subject, any important contributions to the early diagnosis of cerebello-pontine angle tumors have been included. Nevertheless, it is of utmost interest for the neurosurgeon to know which approach he is to prefer for the different stages of tumor size and to be familiar with the trans labyrinthine approach or the posterior craniotomy, as well as with the importance of the use of the microscope in neurosurgery, the preservation of the facial nerve and, in certain cases, its repair.

This text is easy to read yet comprehensive and a very useful guide to state of the art treatment of common conditions encountered by neurologists, otolaryngologists, and general practitioners. Common but challenging pathologies are discussed in detail in respect to etiology, diagnosis, and current management. Appropriate illustrations and tables are utilized to enhance comprehension.

This book provides a comprehensive overview of the management of brain and skull base tumors. It features detailed insight into the intrinsic molecular biology, anatomical foundation, radiological planning, surgical execution, and the novel therapeutics that guide today’s treatment regimens. The first section features concepts related to the epidemiology and pathological basis of disease processes, including relevant cellular and molecular biology. In the second section, integral anatomical foundations and principles are covered including microsurgical anatomy of the cerebrum, white matter tracts, ventricles, brainstem, skull base, advancements in radiological imaging, and cognitive examinations. Surgical approaches and how to execute these procedures are then subsequently discussed in the third part of the work. Principles of Neuro-Oncology: Brain & Skull Base is a practically applicable guide to the latest treatment techniques available to treat these patients. Therefore, it is an indispensable resource for all physicians who utilize these methodologies in their day-to-day practice.