3 Brain Retraction Retraction Without Retractors Brain retraction is bad. It can raise brain tissue pressure, reduce cerebral perfusion locally, hide critical anatomy, and injure neurovascular structures. However, subarachnoid corridors…
5 Temporary Clipping Final Dissection Temporary clips are used occasionally to control an intraoperative aneurysm rupture, but more often to finish aneurysm dissection and prepare it for permanent clipping. Aneurysm…
21 Conclusion Technical development does not come from reading a book; it comes from operating. Neurosurgeons develop microsurgical skills through a combination of repetition, technical mistakes, outside learning, and high…
7 Inspection Look, Listen, and Feel Clipping an aneurysm can be such a relief that it is tempting to consider the operation over. However, post-clipping inspection is an important part…
19 Aneurysms of the Basilar Trunk: Far Lateral and Petrosal Approaches Anil Nanda, Haim Ezer, and Prasad Vannemreddy Saccular aneurysms of the basilar artery have remained aloof, because of the…
17 Microvascular Decompression for Hemifacial Spasm and Trigeminal Neuralgia Tetsuo Kanno and Iyer Viswanathan The microvascular decompression of cranial nerves has become an accepted surgical technique for the treatment of…
13 Jugular Bulb Tumors Michael L. Madison and Jon H. Robertson The jugular foramen at the base of the skull is an anatomically complex region. It is divided into two…
15 Acoustic Neuromas: Translabyrinthine Approaches Nicholas Saunders and Paul A. Fagan Skull base surgeons owe a great debt to Dr. William House, who, in the face of significant opposition, popularized…
2 Microsurgical Anatomy of the Posterior Cranial Fossa Amitabha Chanda, Anirban Banerjee, and Anil Nanda The posterior cranial fossa is unique in the cranial cavity, as it is the largest…
25 Surgical Management of Pediatric Posterior Fossa Tumors Fredrick A. Boop, Robert A. Sanford, and Michael D. Taylor Following accidents, the leading cause of death in children is cancer. The…
