Endoscopic and microsurgical anatomy of the upper basal cisterns (Google eBook)
Microsurgical techniques related to the basal cisterns and their walls were initially - veloped by Yasar ̧ gil based on anatomical and neuroradiological findings. Subsequently, numerous additional authors have contributed to the body of publications concerning the routine application of endoscopic techniques for intraventricular and intracerebral surgery guided by stereotaxy and/or neuronavigation. In the last ten years, transnasal endoscopic approaches for intrasellar target areas have been applied with increasing success. Snyderman and coworkers, as well as Al-Mefty and others have elaborated on these methods to approach areas within other basal cisterns. Today these applications, in particular regarding the problem of CSF-fistulas, are a source of controversy amongst neurosurgeons reminiscent of the scepticism towards microneurosurgery forty years ago. At that time, surgical techniques were developed to approach target areas within the brain, which could not be reached before. Similar aspects today are recognizable with reference to endoscopy. The author has confined his activities to the description of anatomical aspects of modern endoscopic neurosurgical techniques. The desire to impart this information to others has been the motivation for writing and illustrating this book. Three aspects regarding the present work should be noted: – The subject of this book is restricted to the presentation of the upper basal cisterns, except to some aspects regarding the fifth and sixth cranial nerves. The descriptions of anatomy and surgery inside the infratentorial cisterns are sufficient.
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Architecture of basal cisterns Fig 16
Topography of basal cisterns Figs 14 to 30
Extradural extensions of basal cisterns Figs 7 24 31 to 34
Cisterna laminae terminalis Figs 35 to 38
Cisterna fossae lat Sylvii Figs 14 16 and 41 to 44
Cisterna chiasmatis Figs 14 22 43 and 45 to 48
Cisterna interpeduncularis Figs 21 22 and 46 to 49
Cisterna ambiens and Cisterna cruralis Figs 43 and 48 to 51
Relationship of cisterns to vessels and relationship of cranial nerves to intra and extradural structures Figs 52 to 60 and Figs 7 10 14 17 22 to 24 29 3...
Abbreviations area of Cisterna Arteries Figs barrier area basal cisterns Figs basal ganglia basalis Rosenthal basilaris border areas carotid bifurcation carotis int cerebelli sup cerebri media cerebri post Chiasma chorioidea Cist Cisterna ambiens Cisterna chiasmatis Cisterna cruralis Cisterna fossae lat Cisterna interpeduncularis Cisterna laminae terminalis Cisterna pontis medialis Cisternal walls communicans post Continuation of Fig Cranial nerve Fig cranial nerves Diaphragma sellae diencephalic portion dorsal Dorsum sellae dural Dural penetration point endoscopic feeding Chiasma feeding Crus cerebri frontobasalis medialis frontopolaris Hypophyseal stalk hypophysialis sup Hypothalamus infratentorial Liliequist’s membrane Limen insulae located medial mesencephalic portion midbrain neuronavigatory landmarks oculomotorius olfactorius outer arachnoid membrane Pars profunda Pars superficialis perforating arteries Pia mater Plica petroclinoidea portion of Liliequist’s posterior Processus clinoideus Rami perforantes segment structures Figs Subst surgery surgical sylvian veins Sylvii trabeculas Tractus olfactorius trigeminus trochlearis Tuber cinereum Tuberculum sellae Uncus variants Veins Fig wall of Cisterna walls and luminas Ya¸sargil’s