Neurosurgery (European Manual of Medicine)
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In a specialized field such as neurosurgery, highly specific knowledge is required. Training programs in the EU vary, making it difficult to standardize medical training. This manual forms the basis for a European consensus in neurosurgery. It is written for residents, students and physicians with a special interest in neurosurgery. Diagnostic and therapeutic procedures are detailed according to localization (cranial, spinal, peripheral nerves) with special consideration given to congenital defects and pediatric neurosurgical disorders, functional and stereotactic neurosurgery, as well as critical neurosurgical care. Each chapter contains the basics of anatomy and physiology. The book is well-organized and clearly structured according to each entity and its neurosurgical treatment options. A better understanding of specific neurosurgical problems will help practicing neurosurgeons provide better medical care for their patients, and will also provide the neurosurgery resident with a reliable European standard for step-by-step management of neurosurgical problems, which will prove useful when preparing for the board examination.
further treatment. Collaboration across specialties, including ENT, maxillofacial surgery, ophthalmology, and neurosurgery, improves the chances of successful treatment. Table 3.2.13 Approaches to the orbit Approach Indications Advantages Disadvantages Lateral orbitotomy Intra- and extraconal tumors, lateral and basal to the optic nerve; orbital apex, lacrimal gland tumors Good exposure, well-tolerated procedure Visible but minimal scar Transethmoidal Extraconal tumors medial to the
a huge size before becoming symptomatic, as with other intraventricular tumors. Hydrocephalus is not frequent, whereas exclusion and consequent dilatation of the temporal horn of the lateral ventricle are possibilities. 184.108.40.206.2.1 Choroid Plexus Papilloma Choroid plexus papilloma is a rare tumor accounting for less than 1% of brain tumors overall, but for 5% of those occurring in the pediatric age; its incidence is even higher (10%) when only infancy and early childhood are considered. From
craniopharyngioma surgery. Nevertheless, in most surgical series the judgment of a successful surgery is expressed only in terms of percentage of radical resection and recurrence rate. This evaluation may be very limited when dealing with children, as the life-long necessity of hormone replacement, pathologic obesity, and the detrimental effect on the intellect are major limiting factors for acceptable quality of life. Furthermore, total resection is not devoid of the risk of tumor recurrence.
.. . . . . 641 Conclusions and Perspectives . . . . . . 641 Suggested Reading . . . . . . . . . . . . . . . . 641 Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 643 XXI List of Contributors Abrahamsen, Jan Department of Clinical Physiology Regionshospitalet Viborg Postboks 130 8800 Viborg Denmark E-mail: jan.abrahamsen@Viborg.RM.dk Bertalanffy, Helmut Department of Neurosurgery University Hospital Zurich Frauenklinikstrasse 10 8091 Zurich Switzerland
47055 Duisburg Germany E-mail: firstname.lastname@example.org Holm, Ida E. Department of Pathology Aalborg University Hospital Reberbanegade 9000 Aalborg Denmark E-mail: email@example.com Hoving, Eelco Department of Neurosurgery University of Groningen Medical Centre UMCG POB 30001 9700 RB Groningen The Netherlands E-mail: firstname.lastname@example.org Journée, H.L. Department of Neurosurgery University of Groningen Medical Centre (UMCG) PO Box 30001 9700 RB Groningen The Netherlands E-mail: