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"… the neurosurgical primer that every resident will own and study" - Robert Spetzler Given that the great majority of brain surgeries are preceded by a craniotomy, mastering the procedure is essential for junior residents. Choosing the appropriate craniotomy and executing it safely is the difference between a straightforward case with good access to the target and a procedure where access to the target is needlessly traumatic and may even be impossible. Professor Raabe's The Craniotomy Atlas provides precise instructions for performing all common neurosurgical cranial exposures, including: convexity approaches, midline approaches, skull base approaches, transsphenoidal approaches and more...
To date, little is known on the prevalence, incidence, and characteristics of intracranial aneurysms (IA) in patients with tuberous sclerosis complex (TSC). Based on our recent systematic review and two cases treated in our institute, we summarize the current evidence concerning the distinct characteristics of these aneurysms. In contrast to saccular IA in healthy adults, IA in TSC present commonly with large or even giant sac size and fusiform configuration, location predilection on the internal carotid artery remote from the branching zones, remarkable higher prevalence of pediatric cases, inverted sex-ratio, and suspected rapid growth. Although the pathogenesis of IA in TSC is still unclear, all these features might point to the crucial role a congenital defect in the development of IA rather than extrinsic or environmental factors. Furthermore, we discuss the enhancement of the regular magnetic resonance (MR) imaging screening suggested by the last recommendations of the 2012 International TSC Consensus Conference with cranial time-of-flight MR angiography in order to enable timely identification and treatment of frequently complex IA in TSC.
Abstract: The prognosis of patients with aneurysmal subarachnoid haemorrhage requiring decompressive craniectomy is usually poor. Proper selection and early performing of decompressive craniectomy might improve the patients' outcome. We aimed at developing a risk score for prediction of decompressive craniectomy after aneurysmal subarachnoid haemorrhage. All consecutive aneurysmal subarachnoid haemorrhage cases treated at the University Hospital of Essen between January 2003 and June 2016 (test cohort) and the University Medical Center Freiburg between January 2005 and December 2012 (validation cohort) were eligible for this study. Various parameters collected within 72 h after aneurysmal su...
Interdisciplinary Management of Orbital Diseases: Textbook and Atlas The successful evaluation and treatment of the orbital region-subject to a wide range of diseases affecting multiple organ systems-entails the knowledge and expertise of a multidisciplinary team of specialists. Interdisciplinary Management of Orbital Diseases: Textbook and Atlas brings this team together to offer comprehensive and authoritative discussion of all diseases of the orbital region, with descriptions of topographic and surgical anatomy, pathology, diagnostic steps, imaging, conservative treatment measures, operative approaches, radiotherapy, and orbital reconstruction. Readers will find key information for diagno...
Abstract: There is an ongoing debate about differential clinical outcome and associated adverse effects of deep brain stimulation (DBS) in Parkinson's disease (PD) targeting the subthalamic nucleus (STN) or the globus pallidus pars interna (GPi). Given that functional connectivity profiles suggest beneficial DBS effects within a common network, the empirical evidence about the underlying anatomical circuitry is still scarce. Therefore, we investigate the STN and GPi-associated structural covariance brain patterns in PD patients and healthy controls. We estimate GPi's and STN's whole-brain structural covariance from magnetic resonance imaging (MRI) in a normative mid- to old-age community-dwe...
Topic Editor Dr. Alexander J. Muller receives financial support by IO Biotech company. All other Topic Editors declare no competing interests with regards to the Research Topic subject.
Contains the proceedings of the 12th- annual meeting of the Japan Neurosurgical Society.