Strategies of Microsurgery in Problematic Brain Areas with Special R
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Strategies of Microsurgery in Problematic Brain Areas with Special Reference to NMR In Collaboration "nth H.-R. Eggert and W. Hassler
Springer-Verlag Wien New York
Prof. Dr. med. WOLFGANG SEEGER Medical Director of the Department of General Neurosurgery and Chairman of Neurosurgery of the Neurosurgical Clinic University of Freiburg i. Br., Federal Republic of Germany Priv.-Dozent Dr. HANS-RuDOLF EGGERT Neurosurgical Department Municipal Hospital, Kassel, Federal Republic of Germany Prof. Dr. WERNER HASSLER Neurosurgical Clinic, Tiibingen, Federal Republic of Germany
With 192 Figures
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, reuse of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks ISBN-13:978-3-7091-7438-8
e-ISBN-13:978-3-7091-6932-2
DOl: 10.1007/978-3-7091-6932-2
© 1990 by Springer-Verlag/Wien Softcover reprint of the hardcover 1st edition 1990
Printed on acid-free paper
Library of Congress Cataloging-in-Publication Data
Seeger, Wolfgang, 1929. Strategies of microsurgery in problematic brain areas with special reference to NMR / Wolfgang Seeger. p. cm. Includes bibliographical references. Includes index. 1. Brain-Surgery. 2. Microsurgery. 3. Brain-Magnetic resonance imaging. I. Title. [DNLM: 1. Brain-anatomy & histology. 2. Brain-surgery. 3. Microsurgery-methods. 4. Nuclear Magnetic Resonance. WL 368 S451s]. RD594.S4361990. 617.4'81059-dc20. 90-9825.
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PREFACE
Preface Supported by NMR it has become possible to carry out operations in socalled inoperable regions of basal ganglia, brainstem and problematic areas of the cortex as well as in the areas of limbic system. Thus the planning of an operation has become widely extended. A widening of the knowledge of the anatomical fundamentals is therefore indispensable and should be conveyed by means of this book. The last two volumes "Anatomical Dissections for Use in Neurosurgery Vol. 1 and 2" supply the morphological base for this book. The book itself is a continuation of "Planning Strategies of Intracranial Microsurgery" . Some very problematic operations were carried out by my co-worker, Priv.-Doz. Dr. Eggert, who is now the head of the neurosurgical department of the municipal hospital in Kassel and by my former coworker Prof. Dr. Hassler of the Neurosurgical Clinic in Tiibingen, both of whom I have to thank especially for their contributions. At the end of this work there is an illustrated index of all operations and their anatomical principles which were published by the author up to now in earlier volumes of this series. Moreover there will be a sche-
matic depiction of the NMR slices in three levels. The book is completed with selected technical tricks in problematic operation cases. Special appreciation is due to Prof. Dr. B. Volk, Director of the Institute of Neuropathology of the University of Freiburg, for his advice and help. For nearly all MRI-findings I have to
