Bypass and Vascular Reconstruction for Anterior Circulation Aneurysms

Dec 16, 2016 by in NEUROLOGY Comments Off on Bypass and Vascular Reconstruction for Anterior Circulation Aneurysms

Large/or giant saccular aneurysms ≥ 14 mm Calcified or atherosclerotic sac, heavily thrombosed Complex or absent neck  Neck diameter >4 mm  Neck encompasses > 90° of vessel circumference  Dome/neck ratio < 1.5  Atherosclerosis, calcification Fusiform aneurysms…

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Epilepsy Surgery

Dec 16, 2016 by in NEUROLOGY Comments Off on Epilepsy Surgery

Fig. 39.1 Video electroencephalogram (EEG): ictal EEG showing rhythmical theta activity in electrodes in the right mesial temporal lobe Over recent years, improvements in imaging techniques such as magnetic resonance…

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Retrosigmoid Approach to the Posterior and Middle Fossa

Dec 16, 2016 by in NEUROLOGY Comments Off on Retrosigmoid Approach to the Posterior and Middle Fossa

Fig. 20.1 Preoperative thin-slice temporal bone CT. (a) Note the close relationship of the cochlea (black arrow), vestibule (white arrowhead), and internal auditory canal (asterisk). The emissary vein (black arrowhead)…

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The Surgical Management of Trigeminal Schwannomas

Dec 16, 2016 by in NEUROLOGY Comments Off on The Surgical Management of Trigeminal Schwannomas

Fig. 21.1 Large extracranial trigeminal schwannoma with small middle fossa extension (type A) Fig. 21.2 Drawing of trigeminal schwannoma with main portion in the middle fossa and small extracranial extension…

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Petroclival Meningiomas Diagnosis, Treatment, and Results

Dec 16, 2016 by in NEUROLOGY Comments Off on Petroclival Meningiomas Diagnosis, Treatment, and Results

Fig. 19.1 (a, b) Cerebellopontine angle meningioma. (c) Low clivus meningioma. (d–f) Petroclival meningioma 19.3 History Classically, posterior fossa meningiomas were classified in 1953 by Castellano and Ruggiero [5] using…

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Facial Nerve Schwannomas

Dec 16, 2016 by in NEUROLOGY Comments Off on Facial Nerve Schwannomas

Fig. 22.1 Most common origin sites of facial nerve schwannomas. ICA internal carotid artery, TN trigeminal nerve, TU tumor 22.2 Surgical Anatomy The surgical anatomy of the petrous apex, temporal…

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