By Klaus Joachim Zülch Professor Dr. (auth.)
This Atlas is one among a chain dedicated to neurosurgical and neuro logical stipulations and is complementary to Atlas of the Histology of mind Tumors (Springer-Verlag, Berlin-Heidelberg-New York 1971), which was once the 1st within the atlas sequence. The Atlas relies at the Handbuch der Neurochirurgie, Vols. I and III (Springer 1956, 1959) yet, while this can be a entire reference paintings, the current ebook is meant to offer the practising neurosurgeon, neuroradiolo gist, neuropathologist and neurologist the concise details they want for diagnostic reasons about the point, web site, and ma lignancy of tumors and different space-occupying lesions within the mind. The schematic diagrams displaying the websites of predilection of those tumors, in addition to a piOgnosis in line with the measure of malignancy, might be most dear right here. The early chapters talk about the overall principles governing displace ments as a result of space-occupying lesions and the manifestations of mind herniations. different neurosurgical stipulations, equivalent to localized inflammatory techniques, edema and obstructive hydrocephalus, are handled briefly chaptets; as a consequence i've got selected to teach the various rarer stipulations instead of the entire universal lesions. inspite of possible destiny alterations in terminology and class, we now have retained the class utilized in the Atlas of Histology of mind Tumors.
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They have been known to reach the size of a tennis ball. On the other hand, the ependymomas of the fourth ventricle are usually the size of a plum (Figs. 59-63) and are attached firmly to the floor of the ventricle (Figs. 62, 63). A portion of the tumor often extends into the cisterna magna or the lateral recess (Figs. 59, 60), occasionally reaching down to the midcervical cord (down to C 5 in one of our cases) (Fig. 60). Less frequently, ependymomas lie within the lateral ventricle at the foramen of Monro (Figs.
Fig. 41. ) of the anterior lobe of the cereb ellum in a case of a left sid ed cerebellar sp ongioblast oma. The brain-stem is m arkedly displaced a nd the a queduct dist orted . T here was clinical decerebration (" cereb ellar fits") (see Figs. 36, 39) 25 The Space-Occupying Lesions c Fig. 42. Various configurations of the cerebellar pressure cone 26 Manifestations of Brain Herniation Fig. 43. Particularly prominent cerebellar pressure con e (III degree) Fig. 44. Pea-sized h erniation of adjacen t brain substance into the burrhole for ventricular puncture in a case of increased intracranial pressure Fig.
Particularly prominent cerebellar pressure con e (III degree) Fig. 44. Pea-sized h erniation of adjacen t brain substance into the burrhole for ventricular puncture in a case of increased intracranial pressure Fig. 45 . Case of a simulated brain tumor in cat employing a paraffin inj ection . ). Note the absence of edema 27 The Space-Occup ying Lesions Fig. 46. Cross sectional view of the midbrain in a case with a space-occupy ing lesion in the right temporal lobe. T entorial herniation resulted, producing a deep hemorrhagic notch in the third nerve (" distal" notch, see arrow) due to a downward displacement of the brain stem ("axial shift") and a compression of t he nerve against t he medial petroclinoid ligament (see Fig.
Atlas of Gross Neurosurgical Pathology by Klaus Joachim Zülch Professor Dr. (auth.)