6 Orbitozygomatic ApproachJames Frazier and Judy Huang Indications Lesions of lateral anterior cranial fossa or orbit Aneurysms of anterior communicating complex and basilar apex ♦ Preoperative Operative Planning Assess extent…
5 Pterional ApproachJudy Huang Indications Anterior circulation aneurysms except distal anterior cerebral artery aneurysms Basilar apex and superior cerebellar aneurysms (consider additional orbitozygomatic osteotomy) Suprasellar lesions Medial sphenoid wing tumors…
2 General Craniotomy TechniquesKhan Li ♦ Preoperative Operative Planning Review imaging studies If using frameless stereotaxy, perform necessary image reconstruction Equipment Mayfield head holder (Integra, Plainsboro, NJ): clamp or horseshoe;…
4 Frontal ApproachJudy Huang ♦ Intraoperative Positioning Mayfield skull pin sites are placed behind hairline For convexity lesions, flex or extend neck and turn head so that craniotomy flap is…
ICranial 1 General Operating Room ConsiderationsAnthony Louis D’Ambrosio ♦ Preoperative Imaging Be certain that all required studies are at your disposal Carefully review all imaging studies for side and/or level…
3 Endoscopic FundamentalsGeorge Jallo Indications Obstructive hydrocephalus Intraventricular tumors Cystic or fluidlike collections Shunt placement ♦ Preoperative Operative Planning Review imaging to confirm size of the ventricles and relation of…
Chapter 13 Sleep Breathing Disorders 13.1 Examination of the Patient with Suspected Sleep Apnea Meir H. Kryger Because many patients with sleep apnea have anatomic abnormalities that cause obstruction of…
Chapter 19 Gallery of Polysomnographic Recordings Max Hirshkowitz and Meir H. Kryger This chapter presents a wide variety of polysomnographic recordings organized by disorder or disease. Obstructive Sleep Apnea (OSA)…
Chapter 11 Neurologic Disorders 11.1 Central Nervous System Hypersomnias Chad Ruoff and Emmanuel Mignot Overview Excessive daytime sleepiness (EDS) is one of the most common complaints encountered in sleep disorder…
Chapter 3 Biology of Sleep 3.1 Sleep Mechanisms Patrick M. Fuller, Phyllis C. Zee and Orfeu M. Buxton Nervous System Control Although it is generally believed that in sleep, the…
