Microneurosurgical Atlas

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Microneurosurgical Atlas With the Assistance of Shigeaki Kobayashi With 456 Figures (Including 202 Colored Illustrations by the Author)

Springer-Verlag Berlin Heidelberg NewYork Tokyo

KENICHIRO SUGITA,

M.D.

Professor and Head SHIGEAKI KOBAYASHI,

M.D.

Associate Professor Department of Neurosurgery School of Medicine Shinshu University Asahi 3-1-1, Matsumoto, 390 Japan

ISBN-13: 978-3-642-64906-6 DOl: 1O.l 007/978-3-642-61669-3

e-ISBN-13: 978-3-642-61669-3

Library of Congress Cataloging in Publication Date. Sugita, Kenichiro, 1932. Microneurosurgical atlas. Bibliography: p. . Includes index. 1. Nervous system-Surgery-Atlases. 2. Microsurgery-Atlases. I. Title. [DNLM: 1. Microsurgery-atlases. 2. Neurosurgeryatlases. WL 17 S947m] RD593.S77 1985 617'.48 85-2603 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use, a fee is payable to "Verwertungsgesellschaft Wort" Munich. © by Springer-Verlag Berlin Heidelberg 1985

Softcover reprint of the hardcover I st edition 1985 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Reproduction of the illustrations: Universitatsdruckerei H. Stiirtz AG, Wiirzburg.

Preface _____________________________________________________v The operations I perform every year never fail to provide me with new insights into the practice of neurosurgery, and lead me not infrequently to new ideas concerning surgical techniques or equipment. The present work is a kind of surgical diary of a neurosurgeon who, he would like to think, is ever improving his skills. Although there have already been many distinguished publications, the book will, I believe, be of particular help to young neurosurgeons. I perform only a hundred or so operations a year, selected because of their technical difficulty. As difficult or unusual cases are rather few, it is important that every practising neurosurgeon should record those he encounters in exact detail. I would like especially to suggest to young surgeons that they draw detailed operative pictures of such cases, as I have done. The collection will become an important and valuable private text in the future. In the past 18 years I have performed about 2000 operations under the microscope. I have selected for this atlas about 100 of the cases I have dealt with in the past 8 years. I treat the technical problems of each operation in considerable detail, and I have included all my unsuccessful cases as they taught me more than the successful ones. I drew each picture of the operative findings from memory soon after the operation, without the aid of photographs or