By John L. Fox
The writer John L. Fox stocks his a long time of educating and surgical procedure via greater than 300 illustrations and images (including over 100 in color). Dr. Fox has released many works on neuroscience and scientific neurosurgery and is recognized for his colour photographs of stay neurosurgical anatomy as seen in the course of the working microscope. old strategies, instrumentation and positioning, photographic concepts, cranial anatomy and the cranial flap, and intracranial anatomy as noticeable from the frontolateral or pterional procedure are sincerely mentioned and illustrated from the working (right sided) surgeons' viewpoint. The operations noticeable during this atlas for the most half contain aneurysms and a few tumors. Directed towards neurosurgeons, neuroscientists, and anatomists, the booklet is meant to function an atlas of anatomy in addition to a advisor to medical neurosurgery.
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Extra resources for Atlas of Neurosurgical Anatomy: The Pterional Perspective
At the same time, it restricts the current to the shon cst path between the tips of the twO blades of the forceps, with no currenL of consequence nowing from tip to ground or tip to patient. The greater safety of bipolar coagulation compat'ed with monopolar coagulation around brain stem structures was demonstrated by Gestring et al [ 18]. Some tried to provide a single unit for both mono polar and bipolar electrocoagulation [ 18, 27]. Sugita et al (52, 53] uscd a thermister at the tip of their forceps to aUlomaticaliy cut o rf the eleclriccurren t when a preset temperature was rcached .
A tiny bit of bonewax on a small , dry couonoid is a pplied against the bone with the bipolar forceps to stop bone bleeding. One mllst be careful to avoid drilling into the orbital cavity. I f this occurs, the patien t will have greater temporary swelling a nd ecchymosis of orbital tissues during the postoperative period. In some patiellLS there is a partial, congeni tal absence of the greater wing of the sphenoid bone behind the orbi t. The sphe noid wing is removed with a rongeur and then burred down with the highspeed drill dose to the base of the anterior clinoid process, a medial depth of about 5 cm (Figs.
Aining b rain retractors [17,29,30,40, 42,57], Various t)'pes, eit her in the literature or in commercial catalogs, have included the de Ma nel , Dolt (Edinburgh), Hamby, Greenberg, Ya ~a rgi l (Leyla), Dohn-Ca rton. Malis, Clowa rd , Enker, Miskimon, and J annclta retractor syste ms. Self-reta inin g retractors also have become indispensablc to aneurys m surgery because they allow th e surgeon to work in a relativel y Other Microsurgical Instruments confined space unhinde red by the presence of' an assistant's hands, which are less dependable for maintain ing constant retraction of the brain .
Atlas of Neurosurgical Anatomy: The Pterional Perspective by John L. Fox