Titlebook: Kempe’s Operative Neurosurgery; Volume Two Posterior Michael Salcman,Roberto C. Heros,Volker K. H. Sonn Textbook 2004Latest edition Springe

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Suboccipital Craniectomy: Retromastoid Approach for Acoustic Schwannoma,d the use of the sitting position for most procedures. After intubation and placement of a three-point head fixation device, the patient is turned on his side and the shoulder contralateral to the lesion supported by a roll in the axilla; the ipsilateral shoulder is rolled forward and pulled down wi

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Posterior Fossa Arteriovenous Malformation,ntorium. Of these, four were located laterally in the cerebellar hemisphere and cerebellopontine angle and two were situated in the vermis. Only one half of the patients presented with a history of hemorrhage (subarachnoid or parenchymal). Three of the patients with laterally located lesions present

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Aneurysms of the Vertebral Artery,tal PICA and the vertebral junction. Rarely, a more proximal vertebral artery aneurysm can present in the spinal canal and lie beneath the highest denticulate ligament, which has to be transected to expose the lesion. Vertebral-PICA aneurysms usually present with subarachnoid hemorrhage, but large l

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Glomus Jugulare Tumor (Chemodectoma),cently been identified in different places in the petrous bone such as in the tympanic branch of the glossopharyngeal nerve, in the canaliculus tympanicus, and in the submucosa of the promentory. Glomus jugulare tumors receive their blood supply from the ascending pharyngeal artery and other small b

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Meningioma of the Foramen Magnum,onsiderable distance up the clivus or down into the spinal canal. These slow-growing tumors may cause remarkable distortion and compression of the cervicomedullary region. The vertebral artery and its branches, as well as the lower cranial nerves, may be completely enveloped by the tumor (Fig. 32-1)

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Cervical Laminectomy, indication for cervical laminectomy. Duraplasty as a treatment for cervical syringomyelia is also described. The procedure illustrated in this chapter is a total laminectomy of C2 through C5 and a partial laminectomy of C6.