Lasers in Neurosurgery

Developments in the field of instrumentation of innovative instrumentation. Although laser applications have permeated nearly every aspect are among the major contributions to human advancement. The history of surgery has seen of surgical therapy, the exp

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Foundations of Neurological Surgery Robertson and Clark, Lasers in Neurosurgery. ISBN 0-89838-966-6.

LASERS IN NEUROSURGERY Edited by

Jon H. Robertson, M.D. University of Tennessee , Memphis

w. Craig Clark, M.D., Ph.D. University of Tennessee, Memphis

" ~.

Kluwer Academic Publishers BOSTON

DORDRECHT

LANCASTER

DISTRIBUTORS for the United States and Canada: Kluwer Academic Publishers, 10 1 Philip Drive, Assinippi Park, Norwell, MA, 02061, USA for the UK and Ireland: Kluwer Academic Publishers, Falcon House, Queen Square, Lancaster LA1 lRN, UK for all other countries: Kluwer Academic Publishers Group, Distribution Centre, P.O. Box 322, 3300 AH Dordrecht, The Netherlands

Library of Congress Cataloging in Publication Data Lasers in neurosurgery. (Foundations of neurological surgery; FONS 1) Includes index. 1. Nervous system-Surgery. 2. Lasers in surgery. I. Robertson, Jon H. II. Clark, W. Craig. III. Series. {DNLM: 1. Laser Surgery. 2. Nervous Systemsurgery . WL 368 L343] 617' .48 87-23953 RD593.L35 1988 ISBN-13: 978-1-4612-8989-0

e-ISBN-13: 978-1-4613-1763-0

DOl: 10.1007/978-1-4613-1763-0

COPYRIGHT

© 1988 by Kluwer Academic Publishers, Boston. Softcover reprint of the hardcover I st edition 1988 All rights reserved. No part of this publication may be reproduced, scored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publishers, Kluwer Academic Publishers, 101 Philip Drive, Assinippi Park, Norwell, MA, 02061, USA.

CONTENTS

Contributing Authors

Vll

Preface John M. Tew, Jr. Acknowledgments XI Introduction X111

I. BACKGROUND

IX

9. Stereotactic Laser Resection of Deep-

1

Seated Tumors 1. The History of Lasers in 3 Neurosurgery John M. TeU'.Jr .. William D. Tobler

2. Laser Types

III. SPINAL APPLICATIONS

9

3. Fundamentals of Laser Physics

123

10. The Use of the Laser in the Operative Management of Intraspinal Tumors 125

Robert E. Breeze. Milhael L.}. Apuzzo

17

W. Crai/!, Clark. Jon H. Robertson

W. Craig Clark

11. Laser in Pain Management

4. The Interaction of Laser Light with Neural Tissue

115

Patrick}. Kelly. B. A. Kall, S.}. Goerss

137

Clark Wat/s. Walter}. Levy

29

James E. Boggan

IV. OTHER USES

II. INTRACRANIAL APPLICATIONS

12. Laser Surgery in Congenital Abnormalities 145

53

5. Benign Supratentorial Tumors

Her/or E.Ja11les

55

W. Craig Clark, Jon H. Robertson

13. Neurosurgical Applications of the Nd:YAG Laser for Vascular Lesions 159

6. Laser Surgery for Intracranial Glial Tumors

75

Robert E. Wharen.Jr .. Robert E. Anderson. ThorallM. Sundt. Jr.

Michael Salmum

7. Tumors of the Posterior Fossa and Skull Base in Adults 85

143

V.

EXPERIMENTAL TECHNIQUES

173

Jon H. Robertson. W. Crai/!, Clark

14. Investigational Applications 8. Using Lasers in Pediatric 101 Neurosurgery Marion L. Walker

w.

Index

175

Crai/!, Clark

181

v

CONTRIBUTING AUTHORS

Robert E. Anderson, B. S., Department of Neurological Surgery, Mayo Clinic, Mayo Medical School, Rocheste