Preface Drawings and scripts were selected from those tion of the operative routes and their alternatives which were produced by the author in the last for well-defined anatomical target areas alone. This three years to help educate young neurosurgeons viewpoint becomes more and more important, be in Freiburg and in other clinics. cause today there is no anatomical structure of the This programm for education may be managed in 2 brain which cannot be approached with a minimal steps: risk for surviving the operation. But more and more - Learning techniques for performing of trepana the risk for neurologicalor psychological postopera tions from opening of the skin onto dura incision tive complications will rise if the anatomical and (step 1) neurophysiological knowledge is insufficient. These - Learning of techniques for routine operations viewpoints are most important in operations at the (e. g. , for extirpation of gliomas of cerebral lobes) cranial base and operations transcrossing midline (step 2) structures of the brain. An intensive anatomical - Learning of techniques for operative approach es training helps to understand MRI before opera in problematic areas of the cranial and cerebral tion. Often the modern MRI demonstrates more base and of the midline, especially for the often anatomical details than the unexperienced neurosur performed operations, e. g. for basal meningeo geon has understood.

This atlas shows drawings of anatomical landmarks for neuronavigation for preoperative planning. The authors show the relationships between bony landmarks and landmarks which are no longer available after opening of the skull but still recognizable during the operation. It also includes descriptions of many important anatomical variants, which are important for microsurgeons when using minimal invasive modern techniques to avoid errors and complications. The book describes unknown projections for MRI and CT which may be adapted for special surgical problems. The anatomical drawings are the result of a twenty-five-year study of the topographical anatomy of the brain and the surrounding structures combined with the experience of modern microsurgery.

Preoperative Magnetic Resonance Imaging allows now a better analysis of the relationship between intracranial tumors and the surrounding brain tissue. Even very small deepseated tumors can be identified during the operation by intraoperative ultrasound. These technological advances have had a great influence on indications, planning strategies and microsurgical techniques. The author shows the functional anatomy of the brain with the eye and the mind of a microsurgeon and demonstrates well known topographical relationships under the aspect of an utmost gentle operative approach.

Preface In the present volume various approaches to the same in relation to the surrounding brain structures and target area in the deep regions of the brain are cerebral vessels. Here it is to be noted that the so described. In the previous volumes this aspect was called "quadrigeminal" region consists not only of the taken little into account. The author endeavored to Cisterna tecti, but the nearby fissures (Fissura trans describe particularly the typical operative approaches versa cerebri and Fissura horizontalis cere belli) and their principles to make it easier for the beginner should also be included. The pathological processes to learn the microsurgical techniques in interventions do not generally confine themselves to the Cisterna in the central nervous system. tecti, but extend over the neighboring fissures. The Now problematical processes in the immediate vicini Cisterna tecti extends without limits into the neigh ty of the brainstem area have been exclusively boring fissures and into the Cisterna ambiens. selected. They have been separated into dorsal, later As previously, besides personal operational experi ences (which are not marked as such) also interven al and ventral processes with locations mainly in the dorsal, lateral or ventral cisternal areas. Each of tions are presented which have been carried out by these three groups has been separated again into co-workers.

Modern diagnostic imaging and operative approaches have witnessed significant improvements in our times. Computerassisted methods are in use in all microsurgical fields. Neuronavigation, novel stereotactic methods, endoscopic procedures, magnetic resonance imaging, ultrasound and the progress in pre- and intraoperative epilepsy diagnostics must be mentioned in particular in this connection. However, the insights of neuroanatomy and neurophysiology have not become obsolete thereby, on the contrary: such knowledge is imperative and a prerequisite for all neurosurgeons, nowadays more than ever before. Otherwise, excellent modern approaches are liable to fall into discredit if microanatomical aspects are neglected. The goal of this book is two-fold: first, to guide the resident towards a fruitful application of anatomical basics in visualizing and operative techniques. Second, to draw attention to as many anatomical norm variants as possible to forestall complications during surgery. Standard methods, such as the pterional approach, often confront the surgeon with a range of anatomical variants.

An illustrated atlas of anatomical aspects important for combinations of microsurgical and endoscopic approaches. The basis for Professor Seeger’s renowned drawings has been anatomical preparations, cadaver dissections and intraoperative pictures. The correct proportions are derived by measuring the distances of anatomical landmarks of cranial preparations and from CT and MR Images. A concise text supports the understanding of the anatomical figures. Numerous common anatomical variants are demonstrated with reference to their impact for the surgical technique.

This book fills the gap between the increasing demand for epilepsy surgical experience and limited training facilities in this area. It comprehensively describes surgical techniques, including tricks and pitfalls, based on the author’s 30 years of experience, providing optimal and effective training for young neurosurgeons by avoiding learning by trial and error. Moreover, it also includes useful information for epileptologists and other professionals involved in the epilepsy surgical program to allow them to gain a better understanding of possibilities and limitations of epilepsy surgery.

This two volume set is a comprehensive guide to neurosurgery. Each section covers neurological disorders in different parts of the body, beginning with an introduction and ending with key practice points for quick review, integrating theory and practice. Genetics, ethics and physiotherapy are also discussed. With contributions from recognised specialists in the USA and Europe, this practical manual includes more than 1000 images and illustrations to assist learning and understanding. Key Features Comprehensive two volume set giving complete review of field of neurosurgery Covers numerous neurological disorders in different parts of the body Each section feature key practice points for quick review Integrates theory and practice More than 1000 images and illustrations Contributions from US and European specialists

The author describes in his unique style the anatomical variants of the brain and skull. This atlas is a continuation of his last work on "Neuronavigation and Neuroanatomy". Most anatomical reference volumes show a large number of common and rare variations. This atlas concentrates on well known and little known variants which are especially important for the clinicians, in particular the neurosurgeons and the radiologists. The variants have been grouped after areas of trepanation. The author presents also a number of so far unknown variants gathered from his personal theoretical and clinical experience of 50 years. Exact knowledge of anatomical variations which the surgeon may encounter helps to plan operations and to avoid unexpected complications. Variants of no clinical relevance, even rather common ones, have not been included.