The pathology of abnormalities at the craniocervical junction is extensive. A complete knowledge of the bony anatomy, embryology, and biomechanics of the craniocervical junction is necessary to understand the etiology…
Walter Dandy completed the first hemispherectomy in 1928 when he attempted radical resection of a glioblastoma. Although surgical neurooncology containment was not achieved, the patient had acceptable postoperative neurologic function,…
A cranioplasty is a procedure for repairing a defect of the calvarium. A successful cranioplasty is one in which the cranial defect is repaired and then heals and grows with…
Corpus callosotomy originally was designed for medically intractable epilepsy patients with secondary generalization of focal seizures, in whom cortical resection of the seizure focus is not feasible. In addition, beneficial…
In the past decade, pump insertion for intrathecal infusion of medication has become a relatively common pediatric neurosurgical operation. Pumps are similar to hydrocephalus shunts: Both are implanted devices with…
In 1979, we developed an operation called encephaloduro-arterio-synangiosis (EDAS) for the treatment of moyamoya disease in childhood. In moyamoya disease, intracranial and extracranial arteries easily form anastomoses spontaneously, and this…
Recent microsurgical progress, including advancements in instrumentation, have fostered a more aggressive, successful surgical approach to intramedullary spinal cord tumors. Throughout nearly two decades, the senior neurosurgeon–author, Fred J. Epstein,…
There is no single surgical approach to the skull base in children and the various approaches have been discussed elsewhere (Bruce, 1999). The most frequent lesions of the skull base…
In children, tumors of the spinal canal constitute a smaller proportion (5 to 10%) of tumors of the central nervous system than in adults. The various types of tumors that…
Supratentorial tumors account for 40 to 60% of childhood brain tumors and, of these, approximately 60% involve the cerebral hemispheres. In children, as in adults, most such lesions are gliomas….
