Controversies in neurosurgery II by Ossama Al-Mefty

By Ossama Al-Mefty

This ebook is prepared and good written; it is going to
make a very good addition to any own, clinical, or sanatorium library
collection. --
Otology & Neurotology


Controversies in Neurosurgery II displays real-world events
where a number of treatment plans are usually thought of for tough
neurosurgical situations. each one bankruptcy starts off with a gap case within which specialists
describe the professionals and cons of other therapy methodologies and operative
techniques, supporting neurosurgeons pick out the easiest therapy plan for person
patients of their perform. it truly is proficient with the services of greater than a hundred
of the world’s preeminent neurosurgeons.

Key features:

  • Experts from world wide supply
    their evaluations on greater than 20 arguable “hot” themes in neurosurgery,
    including a dialogue approximately no matter if transcranial or endoscopic techniques are
    the better choice for resecting colloid cysts and a full of life debate approximately
    the optimum therapy of huge ophthalmic artery aneurysms
  • All
    treatment suggestions are offered concisely in a single quantity, in order that
    neurosurgeons don’t need to spend time consulting different sources
  • The
    moderators’ end on the finish of every bankruptcy explains the clinical
    evidence concerning the case and synthesizes the perspectives offered

Controversies in
Neurosurgery II
might be precious by way of neurosurgeons and neurosurgery citizens as
well as via neurologists and neuroradiologists and should be a key quantity of their
medical libraries for years to come.

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Extra info for Controversies in neurosurgery II

Example text

We therefore do not recommend radiosurgery as the first-line treatment for these cases. The overall recurrence rate for the 24 residual or recurrent meningiomas with a typical histology was 8%, a rate comparable to the recurrence rates reported after gross total resection. Our surgical strategy for these tumors in the earlier years was total excision with removal of the affected SSS wall and grafting for repair. However, in 1997 we changed our policy. We now remove the gross mass of the tumor, coagulate the infiltrated portion of the sinus wall, and then assess with MRI within the first 24 hours.

This conflict can be minimal (a), moderate (b), or severe (c). The asterisks on the left optic nerve show the neurovascular conflict with the left A1 tract of the anterior cerebral artery so that the nerve is thinned. A1, A1 tract of the anterior cerebral artery; A2, A2 tract of the anterior cerebral artery; ACoA, anterior communicating artery; Ch, chiasm; ICA, internal carotid artery; ON, optic nerve; OT, optic tract; Sha, superior hypophyseal artery. 1 Surgical Removal of Tuberculum Sellae Meningioma wide dural attachment initially involve the inferomedial aspect of the optic canal, pushing the nerve upward, so that the endoscopic endonasal approach enables the removal of dura and lesion in the optic canal without manipulation of the nerve.

25 Such a venous reconstruction is a formidable surgical challenge, and the literature contains only a few large series of SSS reconstruction totaling fewer than 200 cases. Bonnal and Brotchi10 were the leading authors advocating such procedures. In 1978, they published the results of 34 patients with SSS repair or reconstruction with venous allografts for parasagittal meningiomas. In nine patients, the surgeons were able to preserve the patency of the sinus without using a graft. In the other 25, they removed one or more walls of the SSS and then rebuilt the structure using a dural or venous graft.

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