Download Essential Neurosurgery by Andrew H. Kaye PDF

By Andrew H. Kaye

Crucial Neurosurgery offers a entire creation to neurosurgery for junior surgical trainees and clinical scholars. The booklet concentrates at the rules of neurosurgical prognosis and administration of the extra universal significant worried procedure difficulties, together with an figuring out of neurology and the pathological foundation of neurological sickness. there's additionally insurance of neurosurgical suggestions and postoperative sufferer administration. This new version brings the textual content absolutely brand new and contains some of the organic and technological advances made within the box of neurosurgery that experience more desirable surgical chances and sufferer results.

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Subsequently, the procedure was performed through the lamina terminalis. In 1939 Torkildsen introduced the ventriculocisternostomy to treat hydrocephalus caused by lesions obstructing the outflow from the 3rd ventricle. A thin rubber tube was inserted into the lateral ventricle through an occipital burr hole and passed subcutaneously into the cisterna magna. All these procedures had significant limitations, risk of morbidity and substantial failure rates. The extracranial shunting procedures relied on the development of flow-directed valves, allowing CSF to flow in one direction without reflux through the catheter.

This is now a relatively rare occurrence but recent studies have shown that an ‘occult’ venous sinus thrombosis may play a role in the development of benign intracranial hypertension. Presenting features Most patients are obese females who present with: • headaches • visual disturbance. The headaches have the features of raised intracranial pressure in that they are worse in the morning and exacerbated by straining, stooping and coughing. The visual problems result from: • papilloedema • secondary optic atrophy • diplopia due to 6th cranial nerve palsy.

Magnetic resonance imaging Magnetic resonance imaging (MRI) is a diagnostic radiological technique which utilizes the magnetic properties of the body’s hydrogen nuclei to produce cross-sectional images in any plane. A moving charged particle creates a small magnetic field. At equilibrium the multiple tiny magnetic fields created by the randomly spinning hydrogen nuclei (protons) within the body cancel each other out. If the body is placed within a strong external magnetic field, the protons tend to align themselves within that field.

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