A detailed study of the pertinent anatomy in the cranial base region, including the cavernous sinus, clivus, foramen magnum, and the temporal bone, and technical exercises giving surgeons a praxis before operating. Each anatomical area is illustrated using photos of actual cadaver dissections, and includes step-by-step instructions on the surgical approaches. Additionally, the volume provides information on the construction and operation of a cranial base dissection laboratory: equipment, techniques, preparation, and preservation. Annotation copyright by Book News, Inc., Portland, OR

The preceding volumes having considered micro ENT-Hospital, for his critical review of the chapter on surgery of the brain as well as microsurgery of the oro-nasal hypophysis approach. Special appreciations Medulla spine, with its surrounding structures, it go to my colleagues Doz. Dr. J.M. Gilsbach, Dr. H. then seemed logical to cover microsurgery of the R. Eggert, Dr. W. Hassler, and Dr. E. Grabner for areas near the brain. In addition to daily work at suggestions and assistance in providing literature. the operation table, the increasing experience of Several anatomical preparations were made possible the University of Freiburg Neurosurgical Hospital with the help of Prof. Dr. N. Boehm, Deputy Direc in the bordering areas of ophthalmology and ENT tor of Freiburg University Institute of Pathology and was stimulating. Of significance was the work Prof. Dr. J. Staubesand, Director of Freiburg Univer with Prof. Dr. Renate Unsold, Freiburg University sity Anatomical Institute I. The translation of the text Ophthalmological Hospital (Director: Prof. Dr. was undertaken by my colleague, Dr. E. Grabner, G. Mackensen) whose experience, published together and Mrs. S. Godine, Freiburg. I am grateful to Mrs. with C.B. Ostertag, J. DeGroot, and T.H. Newton E. Hilsenbeck-Hottek for typing the manuscript. in "Computer Refprmations of the Brain and Skull Once again I am especially grateful to Dr. W. Base" offered valuable diagnostic ideas. Some of the Schwabl, and his colleagues, of the Springer-Verlag, findings attributed to Prof. Dr. R. Unsold and Doz.

This book discusses all aspects of skull base surgery, from a neurosurgical point of view. The therapeutic options in the treatment of skull base lesions are explained and a systematic overview of relevant diseases is included. A strong emphasis is placed on practical aspects of skull base surgery: classic surgical approaches and also methods where there has been rapid recent development, such as stereotactic radiation therapy and interventional neuroradiology. Several international specialists systematically describe the treatment of traumatic lesions, tumors, vascular lesions, and developmental anomalies. Surgery of the Skull Base is aimed at neurosurgeons, ENT surgeons, maxillofacial surgeons, neurologists, and radiologists.

The region of the skull base was long considered a surgical barrier because of its complex anatomy. With few exceptions, the region immediately beyond the dura or bony skull base constituted a "no man's land" for the surgeon working from the other direction. A major reason for this was the high morbidity associated with operative procedures in that area using traditional dissection techniques. This situation changed with the advent of the operating microscope. Used initially by ear, nose and throat specialists for resective and reconstructive surgery of the petrous bone and parana sal sinuses, the operating microscope was later introduced in other areas, and neurosurgeons began using it in the mid-1960s. With technical equality thus established, the groundwork was laid for taking a new, systematic, and interdisciplinary approach to surgical problems of the skull base. Intensive and systematic cooperation between ear, nose and throat surgeons and neurologic surgeons had its origins in the departments of the University of Mainz bindly supported by our chairmen Prof. Dr. Dr. hc Kurt Schiirmann (Department of Neurosurgery) and Prof. Dr. W. Kley (Depart ment of Ear, Nose and Throat Diseases, Head and Neck Surgery). The experience gained from this cooperation was taught in workshops held in Hannover from 1979 to 1986, acquiring a broader interdisciplinary base through the participation of specialists from the fields of anatomy, patholo gy, neuroradiology, ophthalmology, and maxillofacial surgery.

This richly illustrated book offers detailed, step-by-step guidance on surgical approaches and techniques in patients with midline tumors of the skull base. Access routes are described from both endoscopic and microscopic standpoints, via different approaches, in order to provide a 360-degree overview of contemporary midline skull base surgery. For each pathology, the multiple surgical options and their specific indications are clearly presented, with inclusion of neuroradiological images, an anatomical dissection study and operative images and videos. The book is intended for surgeons who wish to acquire knowledge and experience in skull base surgery employing endoscopic endonasal and microsurgical transcranial techniques. It is exceptional in providing an integrated perspective that encompasses traditional microsurgical approaches and the most recent endoscopic ones, with definition of the indications for and limitations of both options.

The Fruits of Reinvention Surgery related to the human head, its compartment and contents has been reinvented over the past 40 years. A number of instruments, most notably the sophisticated medical imaging device and the operating microscope, have principally fueled this evolution. Along the way, endoscopy and sophisticated navigation capabilities have added to the realization of a unique comprehension of normal and abnormal microanatomy permitting corridors and manipu- tions that allow novel strategies for surgery in these highly vital functional areas. Cappabianca, Califano and Iaconetta have created a detailed and fully modern review of methods and strategies related to complex surgery and therapies associated with this robust reinvention. Technical innovations abound! Distinguished practitioners of these unique developments in the history of surgical - terprise present these amazing technical exercises. The catalog of these approaches, inst- mentation, techniques, strategies and manipulations is inspiring and stands as a testimony to the remarkable progress that we have witnessed in recent decades. The presentation in truly “modern” and represents in many aspects pinnacles of operative achievement. We must ask ourselves, what will be next? Los Angeles, November 2009 Michael L.J. Apuzzo, M.D., Ph.D (hon) Preface We belong to a lucky and happy generation, living during a period of many dramatic, if not revolutionary, technical and technological innovations, such as the digital era, which have changed and improved our routine surgical practice, together with the quality and quantity of life of our patients.

Effectively perform today’s most state-of-the-art neurosurgical procedures with Youmans Neurological Surgery, 6th Edition, edited by H. Richard Winn, MD. Still the cornerstone of unquestioned guidance on surgery of the nervous system, the new edition updates you on the most exciting developments in this ever-changing field. In print and online, it provides all the cutting-edge details you need to know about functional and restorative neurosurgery (FRN)/deep brain stimulation (DBS), stem cell biology, radiological and nuclear imaging, neuro-oncology, and much more. And with nearly 100 intraoperative videos online at www.expertconsult.com, as well as thousands of full-color illustrations, this comprehensive, multimedia, 4-volume set remains the clinical neurosurgery reference you need to manage and avoid complications, overcome challenges, and maximize patient outcomes. Overcome any clinical challenge with this comprehensive and up-to-date neurosurgical reference, and ensure the best outcomes for your patients. Rely on this single source for convenient access to the definitive answers you need in your practice. Successfully perform functional and restorative neurosurgery (FRN) with expert guidance on the diagnostic aspects, medical therapy, and cutting-edge approaches shown effective in the treatment of tremor, Parkinson’s disease, dystonia, and psychiatric disorders. Sharpen your neurosurgical expertise with updated and enhanced coverage of complication avoidance and intracranial pressure monitoring, epilepsy, neuro-oncology, pain, peripheral nerve surgery, radiosurgery/radiation therapy, and much more. Master new techniques with nearly 100 surgical videos online of intraoperative procedures including endoscopic techniques for spine and peripheral nerve surgery, the surgical resection for spinal cord hemangiomas, the resection of a giant AVM; and the radiosurgical and interventional therapy for vascular lesions and tumors. Confidently perform surgical techniques with access to full-color anatomic and surgical line drawings in this totally revised illustration program. Get fresh perspectives from new section editors and authors who are all respected international authorities in their respective neurosurgery specialties. Conveniently search the complete text online, view all of the videos, follow links to PubMed, and download all images at www.expertconsult.com.

The first two sections of this text address endoscopic and keyhole surgical procedures for cranial base and deep brain structures. These sections provide a comprehensive, state-of-the art review of this minimally invasive field and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in cranial base surgery. The philosophy, techniques, indications and limitations of endoscopic and keyhole cranial base surgery are covered in detail. This reference includes a discussion of the basic principles of these approaches as well as the preoperative planning, intraoperative pearls, and reconstruction techniques. The thorough descriptions of the practical and technical aspects are accompanied by extensive illustrations, figures and operative images. Extending beyond the technical details of these procedures, this text provides a third section that focuses on a thorough analysis and comparison of the endoscopic, keyhole and traditional open approaches to specific intracranial regions. Utilizing a “target-based” approach, the utility of each surgical technique is evaluated in regard to accessing pathology of the anterior, middle and posterior fossa cranial base as well as the deep central regions of the brain. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. Endoscopic and Keyhole Cranial Base Surgery will be a valuable resource to specialists in optimizing surgical results and improving patient outcomes.

This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.

Skull-base surgery is a minimally invasive endoscopic procedure, which involves the surgeon inserting instruments through the natural openings in the skull—the nose or mouth—or by making a small hole just above the eyebrow. This type of surgery requires a team of specialists, which may include ENT (ear, nose, and throat), maxillofacial and neurosurgeons, as well as radiologists. The craniovertebral junction (CVJ) has a unique anatomical bone and neurovascular structure, which not only separates the subaxial cervical spine but also provides a special cranial flexion, extension and axial rotation pattern. As such, a sound knowledge of the basic principles of spine instrumentation and the region’s kinematics are essential when it comes to strategic preoperative planning. Skull-base, craniovertebral junction, spine demolitive and reconstructive surgery, neuromodulation, bioengineering and transplantation are recent tools used to improve reconstruction, restoration and rehabilitation – three key words central to the core aim of the Neurorehabilitation and Reconstruction Committee of the WFNS, which is to promte mechanical morphological and functional restoration.