Anatomical Dissections for Use in Neurosurgery: Vol. 1
Dec 2012 · Springer Science & Business Media
Ebook
317
Pages
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About this ebook
Thisbookispublishedintwovolumes. Velum medullare posterior in the area of the 4th Inthisfirstvolume, anattemptismadetogiveyoung ventricle, including the choroidpoint ofthe PICA, neurosurgeons methodical instruction in the dissec canbestudiedexactly. Theseexampleswerechosen tion of formaldehyde-preserved brains. This book, becauseexacttopographicalknowledgeoftheseves however, isnotintendedtobetakenasatextbookon sel-richstructuresisofteninadequate;andwhenusing modernoperativetechniques, increasingly more op anatomy. Conventionalpresentationsoftheanatomy ofthebrainmustpresent, stepbystep, theindividual erationsareperformedinjusttheseparticularareas. systemsoftheorganaccordingto itsdevelopmental These dissections compose the content of the first and functional aspects, e. g. cortex, limbic system, volume. basal ganglia, brainstem, and cerebellum. Because The second volume is intended for experienced duringasingleoperationtheneurosurgeon issome neurosurgeonswhoperformcomplexoperationsdeep times confronted with all the various systems, it is insidethebrain. Someoftheseoperations have be necessarytoperformbraindissectionsfromtheview come standardized, e. g. theopeningofthesylvian point of operative approaches. Therefore, in this fissure withoperations intheareaofthe Insulaand worktheattemptismadetokeepcertainindividual cranial base. Other complex operations are per surfacestructures, e. g. theGyruspraecentralisintact formed seldom eventoday, e. g. approaches to the until the end of the dissection so that the relative 3rdventricle, Velum interpositum, lateralventricle, topographicalpositionsofsurfaceanddeepstructures Cisterna tecti, Lobulus quadrangularis cerebelli, to can be made discernable. For these reasons, it is namejustafew. Beforesuchoperations, itis advis advisabletoviewthesurfacestructuresofthebrainin able(theauthorstilldoessooccasionally)toorientate relationship to the skull, but then to start with re oneself on a formaldehyde-preserved brain. It is movingthebloodvesselsandleptomeningessothatin shownhowonaformaldehyde-preservedbrain, even this waythe skeletonizedorgan is dissected step by thoughitdoesnotprovidetherealconditionsofalive step, because in the preserved vascular system, the brainunderthe operative microscope, the most im structures are only partially recognizable and thus portant topographical relationships can be recog confusing. Forthisdissectiontwoorgansareneeded. nized. Inthe first dissection, thecerebrum andcerebellum Bothvolumesaretheresultofaone-yeardissection are studied. These the young neurosurgeon should course for colleagues meeting twice a week in our havebecomefamiliarduringhisinitialtraininginthe clinic.
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