By Ossama Al-Mefty
This publication is equipped and good written; it is going to
make an exceptional addition to any own, clinical, or health facility library
collection. -- Otology & Neurotology
Controversies in Neurosurgery II displays real-world events
where a number of treatments are frequently thought of for tricky
neurosurgical situations. each one bankruptcy starts with a gap case during which specialists
describe the professionals and cons of other remedy methodologies and operative
techniques, aiding neurosurgeons pick out the easiest therapy plan for person
patients of their perform. it really is expert with the services of greater than a hundred
of the world’s preeminent neurosurgeons.
- Experts from world wide provide
their reviews on greater than 20 debatable “hot” themes in neurosurgery,
including a dialogue approximately even if transcranial or endoscopic methods are
the better choice for resecting colloid cysts and a full of life debate approximately
the optimum remedy of huge ophthalmic artery aneurysms
treatment innovations are provided concisely in a single quantity, in order that
neurosurgeons don’t need to spend time consulting different sources
moderators’ end on the finish of every bankruptcy explains the clinical
evidence in regards to the case and synthesizes the perspectives provided
Neurosurgery II can be valuable by means of neurosurgeons and neurosurgery citizens as
well as through neurologists and neuroradiologists and may be a key quantity of their
medical libraries for years to come.
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Extra resources for Controversies in neurosurgery II
Since Martin Weiss52 first described the extended transsphenoidal approach, there has been a steady growth of interest in using the transnasal approach to remove an ever-expanding number of tumor types in the parasellar area and anterior skull base. The advantages of the endonasal endoscopic and transcranial microscopic approaches have been well discussed here by Cappabianca and DeMonte and their colleagues. I will briefly summarize my analysis of the advantages and disadvantages of these approaches before offering my opinion.
Parasagittal and falx meningiomas invading the SSS are common, and frequently present with neurologic symptomatology. Most of these tumors grow at follow-up; therefore, treatment is indicated. 19 2. The general consensus for managing tumors in the anterior third is surgery regardless of sinus invasion. Radiosurgery is also an option for patients with small meningiomas. 3. Conservative resection is associated with a high rate of regrowth. The increased morbidity rates with each repeat surgery speak against this treatment option.
For the 125 patients who had undergone surgery before gamma knife treatment, the 5-year control rate was only 60%. The authors reported that most cases of radiosurgery failure were due to remote tumor growth, as a precise definition of meningioma borders can be complicated in patients who have undergone previous surgery for SSS-invading meningiomas. In the 203 cases reported by Kondziolka and colleagues, the median marginal dose was 15 Gy. Sixteen percent of the patients developed symptomatic edema after radiosurgery.