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