By Prof. Dr. med. Wolfgang Seeger (auth.)
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Extra resources for Microanatomical Aspects for Neurosurgeons and Neuroradiologists
C : (Jrl( " .. s h THE HEMISPHERES AND THE UPPER BRAINSTEM 50 Fig. 25. Frontal, parietal, and occipital areas Bony wall irregular, Dura thickened or defect Fourth type: Destruction of skull and/or meninges by a tumor A A' B C, D Meninges intact X-rays, meninges intact or not For understanding C and D Sagittal and coronal presentation, sectional enlargement, anatomical sketches Abbreviations a Tabula ext. b Tabula int. c Dura mater d Arachnoidea e subarachnoid space f Granulationes arachnoidales (Pacchioni) g Sinus longitudinalis sup.
MRI. Posterior segment of the SInUS At Confluens sinuum and dorsally from it, walls of the sinus are thick. These walls are not transparent. The usual dark color may be missing, and the limits of the sinus are unclear. If the edge of the sinus is hurt by an incision of the Dura, then air embolism may occur, especially during operations in an astronautic position. 571====-- "13 I FIG. 28 THE HEMISPHERES AND THE UPPER BRAINSTEM 58 Fig. 29. Frontal, parietal, and occipital areas Sinus longitudinalis sup.
C See e d Arachnoidea e eSF-space f Granulationes arachnoidales g Sinus longitudinalis sup. h Falx * Museum of Hanstholm. Original skull dissection at the National Museum in Copenhagen FIG. 20 41 ('d "'" L h irYlIp'" rn LI I A. ssion ot ,r . LL> n e • _ ..... J, ". 9 b c '" I I l ~ ~ "" "\ \ \ \ \ \ \ \ 42 THE HEMISPHERES AND THE UPPER BRAINSTEM Fig. 21. Frontal, parietal, and occipital areas. Bony wall irregular, Dura thinwalled or defect First type (Fig. 20, continued) A to B C to D Technique for trepanation usmg smaller and larger drills Alternating use of smaller and larger drills.