Vestibular Schwannomas

Jan 14, 2018 by in NEUROSURGERY Comments Off on Vestibular Schwannomas

Fig. 11.1 (continued) Images showing steps of a retrosigmoid approach for resection of a left small VS. Axial CT brain cuts without contrast (a) and with contrast (b) demonstrating medially located…

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Surgical Anatomy of the Posterior Fossa

Jan 14, 2018 by in NEUROSURGERY Comments Off on Surgical Anatomy of the Posterior Fossa

Fig. 1.1 Posterior fossa osseous and dural enclosure. (a) Superior view of the skull base. The posterior fossa is enclosed by the sphenoid, temporal, and occipital bones . The bony…

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Foramen Magnum Meningiomas

Jan 14, 2018 by in NEUROSURGERY Comments Off on Foramen Magnum Meningiomas

Fig. 10.1 MRI of a 38-year-old female presenting with headaches and dysphagia. (a–c) Preoperative imaging. (a,b) T1-weighted image with gadolinium demonstrating an anteriorly located FMM eccentric to the right. (c)…

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Metastasis to the Posterior Fossa

Jan 14, 2018 by in NEUROSURGERY Comments Off on Metastasis to the Posterior Fossa

Fig. 13.1 Images of a breast cancer patient with multiple metastatic lesions. (a–d) Preoperative axial T1-weighted, contrast-enhanced MRIs demonstrating posterior fossa lesions and multiple supratentorial lesions. This patient had mild…

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Retrosigmoid Craniotomy and Its Variants

Jan 14, 2018 by in NEUROSURGERY Comments Off on Retrosigmoid Craniotomy and Its Variants

Fig. 2.1 Skull model with parietomastoid and occipitomastoid sutures identified and labeled A burr hole placed just anterior to the asterion typically exposes the junction of the transverse and sigmoid…

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Far Lateral Approach and Its Variants

Jan 14, 2018 by in NEUROSURGERY Comments Off on Far Lateral Approach and Its Variants

Fig. 5.1 Head positioning incorporates four movements: anteroposterior flexion to expose the suboccipital region; contralateral flexion to bring the vertex away from the shoulder; contralateral rotation to make the suboccipital…

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Epidermoid Cyst

Jan 14, 2018 by in NEUROSURGERY Comments Off on Epidermoid Cyst

Fig. 12.1 Axial (a), coronal (b), and sagittal (c) CT scans of the brain demonstrating a hypodense lesion located at the left CPA angle. Note the supratentorial extension of the…

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Posterior and Combined Petrosal Approaches

Jan 14, 2018 by in NEUROSURGERY Comments Off on Posterior and Combined Petrosal Approaches

Fig. 4.1 The skin incision is made starting from the zygomatic arch approximately 1 cm anterior to the tragus and extending superiorly just behind the hairline. The incision curves posteriorly…

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