Microsurgery of the Temporo-Medial Region

von Renzio-Raffaele Renella (Autor)

ISBN 10: 0387821449 / ISBN 13: 9780387821443

Published by Springer Verlag

About this Item

* Gebundene Ausgabe * Verlag: Springer-Verlag (Dezember 1990) * Sprache: Englisch * ISBN-10: 0387821449 * ISBN-13: 978-0387821443 Although in the last few years more experience in the field of epilepsy surgery with amygdalo-hippocampectomies was gained in several hos- pitals, a detailed microanatomical and microsurgical description meet- ing the requirements of the modern neurosurgeon has not been achieved so far. Recently the allocortex - the so-called "limbic system" - has doubtlessly received more attention, as can be gathered from the recently published monography by Duvernoy, which however only considers anatomical points of view. Lately not only epilepsies but also tumorsurgical operations on the border between temporal lobe and basal ganglia can be - thanks to modern MR-examinations - carried out more exactly. Here the tumor-conditioned deformations of the temporo-medial area and its connections with the adjacent basal gang- lia as well as their blood supply are of great importance. Using conven- tional techniques the postoperative morbidity was especially high until recently. The author has at the suggestion of his teacher G. M. Ya argil approached the problem first of all morphologically by developing his own techniques of brain dissection. After some developmental and topographic-anatomical descriptions he has described the vessel-supply by using injection-preparations. Particular aspects of A. chorioidea ant. with her lateral, medial and Tractus opticus penetrating perforat- ing arteries to the basal ganglia and Capsula into have never been described in such a convincing manner before. It is of great importance in the operative removal of the amygdalo- hippocampal area to realize that it is not sufficient to preserve the A. gutes Exemplar, Einband mit kleinen altersbedingten Spuren * Bindung: (Englisch) Gebundene Ausgabe Dezember 1990.

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Bibliographic Details

• Title: Microsurgery of the Temporo-Medial Region
• Publisher: Springer Verlag
• Language: English
• ISBN 10: 0387821449
• ISBN 13: 9780387821443
• Binding: Hardcover
• Weight: 400 grams

About this title

Synopsis

The differentiation of the temporal lobe into a lateral neocortical and a medial allocortical region is supported by developmental, anatomical and clinical evidence. Although this view of a dual temporal lobe is generally accepted by neurosurgeons dealing with functional surgery, it still receives little attention by those approaching structural abnormalities located or extending into the medio-basal region. Consequently, the characterization of the temporo-medial area as a distinct surgical region is still lacking. The major object of this study is to analyse the medial part of the temporal lobe as a distinct surgical region and to integrate the microsurgical and physiological aspects into a concept applicable to the several types of temporo-medial lesion. The study includes five sections. The first section is devoted to the morphological aspects; the second and the third sections present a simplified clinical approach to temporo-medial lesions and analyse the ancillary investigations which are indispensable for characterizing their structural and functional features. The fourth section deals with the surgical aspects of temporo-medial lesions, and especially with the selection of the optimal approach in regard to the location of a given process, and to the extent of the functional changes. The last section is devoted to commentaries concerning the neuropathological aspects and the outcome of surgery in the temporo-medial region.