Download Operative Neurosurgery: Volume 1 Cranial, Cerebral, and by Ludwig G. Kempe PDF

By Ludwig G. Kempe

A treatise on operative neurosurgery through an officer of the usual military might ordi­ narily be anticipated to stress administration of trauma. yet this is often faraway from a standard attempt and the reader will quick discover that the following we come upon a Handbuch within the vintage mould. basic neurosurgical systems are awarded with nice readability by means of an additional­ traditional person. initially an ornithologist of reputation and complete scholar of medieval heritage, Colonel KEMPE obtained his residency education within the huge and well-balanced neuro­ surgical application on the Walter Reed military clinical middle. Later, he used to be assigned to that carrier and has been leader of Neurosurgery on the middle due to the fact 1965. over the years, he has made it a convention to caricature the stairs and surgical anatomy of his operative proce­ dures for inclusion within the clinic documents, and those drawings were used on rounds with younger condo officials as one of many many remarkable good points of the Army's neurosurgical residency software. His notable expertise with the sketchbook coupled along with his devotion to aspect in sufferer care and in educating has culminated in an opus so as to be of super worth. The booklet relies upon the wealthy own adventure of the neurosurgeons at Walter Reed. The illustrations and textual content deliver to the scholar an realizing of anatomy and the $64000 minute info of surgical ways that are unexcelled in the other presently-available textual content.

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Additional resources for Operative Neurosurgery: Volume 1 Cranial, Cerebral, and Intracranial Vascular Disease

Example text

Ant. ~. _ process Ant. cerebral a. Fig. 36. Exposing neck of aneurysm. Observe: 1. Arachnoidal adhesions closest to neck of aneurysm are removed as the last step in the exposure. 2. Dome or fundus of aneurysm is left undisturbed. applied Arachnoid over dome of aneurysm left undisturbed N. III ---. '~ Fig. 37. Clipping of aneurysm. 33 Exposure of Aneurysm of Int. Carotid Artery Blunt hook open- - ing arachnoid Middle cerebral a. Ant. cerebral a .. :::::- ------ Int. carotid a. with ___ aneurysm covered by arachnoid Prechlasmatic --- cistern opened Fig.

N Ilml \nl. NUIIIII . ( 11,,'1\\0 'II1I",rl'"1I I~I'" "1U'"r~ III .. r II,,· upnll'li .. 1 III IIH' Itllllnr;,,1 ""lit' h '1'10,' "'\l'lIr~ ~1I1 1111'111111 III I1ml 1.... ,"'811, LIo ... 1'0 ,'ur 110 1I·lIlur;ulII. ltr~ ... d,1 1101'· ... , rf\IHU\~t"'d. ,r! ·r~. '" "ril""'{,,,t 1<1 l""'l'tl,'nl lob . -''r"i ---Ant. comm. a. Rt. into carotid a. Anenrysm Post. comm. a. III- Adhesions be- tween anenrysm and temp. lobe Uncus Post. V Fig. 51. View of base of brain with aneurysm of left internal carotid a.

56. This type of aneurysm is handled by encasement which will be discussed in the next section, p. 48. Over the last years it appeared advisable to encase the aneurysm as seen in Fig. 56 even after successful clipping or tying has been accomplished. Especially of the aneurysm at the bifurcation of the internal carotid artery where the aneurysm sits directly over the main force of the blood stream has it been observed that a continuous enlargement below the clip has developed some time later. A clip having been applied over the neck appeared then to sit on the fundus of a newly formed aneurysm.

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