This book describes the anatomy of the posterior fossa, together with the main associated surgical techniques, which are detailed in numerous photographs and step-by-step color illustrations. The book presents approaches and surgical techniques such as the trans-cerebellomedullary fissure approach and its variation to the fourth ventricle, as well as the cerebellomedullary cistern, infratentorial lateral supracerebellar approach to the fifth cranial nerve in the upper cerebellopontine angle, infrafloccular approach to the root exit zone of the seventh cranial nerve, transcondylar fossa approach through the lateral part of the foramen magnum, and the stitched sling retraction technique utilized during microvascular decompression procedures for trigeminal neuralgia and hemifacial spasm. It also describes in detail the bridging veins of the posterior fossa, especially the petrosal vein, and bridging veins to the tentorial sinuses, which can block approaches to the affected area. Each chapter begins with an anatomical description of the posterior fossa, after which the respective surgical approaches are explained in an easy-to-follow manner. The original Japanese version of this work was published 8 years ago, and has established itself as a trusted guide, especially among young neurosurgeons who need to study various surgical approaches and techniques. In the course of being translated into English, some sections have been revised and new information has been added. The author hopes that the book will help neurosurgeons around the world perform safer operations with confidence.

A comprehensive review of surgical approaches and techniques for the posterior fossa The ability to operate successfully in the posterior fossa requires a thorough understanding of its neuroanatomy and physiology, accurate localization of lesions, and optimal surgical technique. Principles of Posterior Fossa Surgery provides an in-depth review of this complex surgical region, with detailed coverage of anatomy, pathology, imaging, disease-based management, and surgical approaches. Written by a team of highly respected specialists, it will be a valued reference and refresher for clinicians who perform posterior fossa surgery, as well as for trainees. Special Features: Begins with a useful framework in neuroimaging, neuropathology, and microsurgical anatomy of the posterior cranial fossa Covers a wide range of approaches and pathologies in the region, including congenital Chiari malformations, infections, trauma, aneurysms, and tumors Highlights the anatomy of common surgical approaches, with numerous radiographic and endoscopic images that aid in visualizing concepts Provides full coverage of surgical techniques, starting with basic concepts and progressing to operations on more challenging entities like petroclival meningiomas, jugular bulb tumors, acoustic neuromas, complex basilar aneurysms, and posterior circulation aneurysms Includes comprehensive sections on surgical management of pediatric posterior fossa tumors and shunt surgery for lesions Shares the insights of prominent neurosurgeons from top centers around the world, who discuss their preferred strategies for tackling this challenging area of the brain Focusing solely on the posterior fossa, this book fills an important gap for neurosurgeons, skull base specialists, and residents and fellows who are training in this anatomically challenging region. It will enrich their understanding and knowledge of the field, expand their surgical armamentarium, and help achieve the most successful clinical outcomes.

This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.

"The authors have definitely achieved their goal of providing a reference that is easy for both the expert surgeon and the neurosurgeon in training to consult in daily clinical practice ."-Child's Nervous System This important work - featuring complete information on all cranial approaches and techniques, and more than 2000 four-color photographs- marks a new level of achievement in neurosurgery publishing. Superbly conceived and designed, CRANIAL MICROSURGERY leads the neurosurgeon through each procedure in step-by-step detail, and brings together complete coverage of both surgical anatomy and real operative cases. This synthesis of anatomical information and extensive case-based data (including diagnostic histories, radiographic images, and intraoperative photographs) sets the book apart from other works in the field, and will be helpful to neurosurgeons at all levels.

THE DEFINING WORK IN NEUROSURGERY, REISSUED FOR A NEW GENERATION OF TECHNICAL EXCELLENCE Cranial Anatomy and Surgical Approaches is the master work of the legendary neurosurgeon Albert L. Rhoton, Jr. -- a distillation of 40 years of work to improve safety, accuracy, and gentleness in the medical specialty the author helped shape. Newly reissued and featuring more than 2000 full-color illustrations, this definitive text on the microsurgical anatomy of the brain remains an essential tool for the education and enrichment of neurosurgeons at any career stage. It fulfils its author's hopes to make, in his words, the "delicate, fateful, and awesome" procedures of neurosurgery more gentle, accurate, and safe. Across three sections, Cranial Anatomy and Surgical Approaches details the safest approaches to brain surgery, including: � Micro-operative techniques and instrument selection � Microsurgical anatomy and approaches to the supratentorial area and anterior cranial base, including chapters on aneurysms, the lateral and third ventricles, cavernous sinus and sella. � Anatomy and approaches to the posterior cranial fossa and posterior cranial base, including chapters on the fourth ventricle, tentorial incisura, foramen magnum, temporal bone, and jugular foramen � Supra- and infratentorial areas, including chapters on the cerebrum and cerebellum and their arteries and veins

This book discusses all aspects of skull base surgery, from a neurosurgical point of view. The therapeutic options in the treatment of skull base lesions are explained and a systematic overview of relevant diseases is included. A strong emphasis is placed on practical aspects of skull base surgery: classic surgical approaches and also methods where there has been rapid recent development, such as stereotactic radiation therapy and interventional neuroradiology. Several international specialists systematically describe the treatment of traumatic lesions, tumors, vascular lesions, and developmental anomalies. Surgery of the Skull Base is aimed at neurosurgeons, ENT surgeons, maxillofacial surgeons, neurologists, and radiologists.

Vascular malformations of the brain and spine pose many management challenges. This text provides a comprehensive, state-of-the-art review of the natural history, treatment options, and outcomes of patients with these conditions. Despite their relative rarity, these lesions are responsible for devastating injury to individuals and can cause an enduring physical, psychological, and economic burden on patients and families. Many new therapeutic options are now available with the advent of novel surgical, endovascular, and radiosurgical techniques. The basic sciences have fuelled development of small molecule and biologic therapies targeting the molecular basis of disease. Authored by international experts in the fields of neurosurgery, neurology, radiology, and radiation oncology, this book provides state-of-the-art treatment plans and discussions of ideal therapy. This text is aimed at practitioners in the fields of neurology, neurosurgery, neuroradiology, radiation oncology, rehabilitation medicine and allied fields who care for patients with brain and spinal vascular malformations.

Drawing on decades of experience and wisdom, Dr. Ugo Fisch created this classic text/atlas on microsurgical procedures for the skull base. The authors have labored not to popularize skull base surgery, but to provide the details of each operation, giving surgeons the valuable information they need. Each chapter of the text discusses a specific procedure and is divided into two sections, covering both the general surgical steps of the procedure and also its application. Within each chapter you'll find: general considerations; surgical techniques; applications; tips and pratfalls; imaging scans of illustrative cases; and color plates of pre- and post-operative preparation and instrumentation. The final two chapters discuss anesthesia issues and the impact of neuroradiology on skull base surgery. All of the cases used in the book reflect actual procedures, not hypothetical situations. All neurosurgeons and otolaryngologists involved in skull base surgery will benefit from having this classic text in their professional library. It demonstrates the procedures that have proven to be both safe and reliable through the years.

This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.

Doctors Pellet, Cannoni and Pech have joined forces to write a masterly work on the subject of otoneurosurgery and tumors of the base of the skull. The anatomic illustrations, derived from their meticulous dissections, are of excellent quality and a credit to the famed tradition of French neuroanatomists of the past. It is evident that the operative techniques described by these surgeons indicate that they have spent a great deal of time in the dissecting-room and that they have completely mastered the temporal bone. A perfect knowledge of the fundamental anatomy of the petrous bone is essential before embarking on the difficult surgical procedures in this region of the brain and base of the skull. Reading this work makes it abundantly clear that the results of this type of sur gery are vastly improved when neurosurgeons and otologists combine their skills. Each of these specialists brings his unique experience and entire knowledge to the operation for the greater benefit of the patient. We wish to congratulate Doctors Pellet, Cannoni and Pech on the publication of this excellent work. March 1990 William F. House, MD William E. Hitselberger, MD Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Basic Anatomy .. 5 The Petrous Pyramid 7 TIle Petrous Cortex 7 Surfaces 8 14 Base ....... .