By L. I. Malis (auth.), Prof. Franco Pluchino M.D., Prof. Giovanni Broggi M.D. (eds.)
Technological advancements in neurosurgery are disussed. using surgical lasers, ultrasound aspirators, bipolar coagulator and operative microscopes for surgical procedure of deep-seated neoplasms and vascular malformations is mentioned. Intraoperative tracking, chronotherapy, power neurostimulation and stereotactic interstitial irradiation are lined and symptoms for interventional neuroradiology are reviewed.
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Extra resources for Advanced Technology in Neurosurgery
J Pediatr 43: 190-207 Areseni C, Horvath L, Illiescu D (1967) Intraspinal tumors in children. Psychiatr Neurol Neurochir 70: 123-133 Braun IF, Raghavendra BN, Kricheff II (1983) Spinal cord imaging using real-time high-resolution ultrasound. Radiology 147: 459--465 Bucy PC, Theiman PW (1968) Astrocytomas of the cerebellum. A study of a series of patients operated on over 28 years ago. Arch Neurol18: 14-19 Coxe WS (1961) Tumors of the spinal canal in children. Am Surg 27: 62-73 34 F. Epstein: Spinal Cord Astrocytomas of Childhood Epstein F (1984a) The cavitron ultrasonic aspirator in tumor surgery.
Even following careful consideration of the clinical and neuroradiologic examination, it is not possible to be certain that the laminectomy is of sufficient length to expose the entirety of the solid component of the neoplasm. -vis the bone removal. Therefore, after laminectomy is carried out, the wound is filled with saline and the head of the transducer probe is placed into gentle contact with the dura. Utilizing this technique, the spinal cord is viewed in both sagittal and transverse sections.
The rostral and caudal limits of the tumor, as well as the presence or absence of associated cysts are immediately obvious (Fig. I). Occasionally, an echogenic tumor provides a striking ultrasound image though, most commonly, the solid component of the neoplasm is only manifest as a widened spinal cord. If the laminectomy is not sufficiently long to expose the entirety of the solid component of the neoplasm it is lengthened, segment-by-segment, until the ultrasound discloses that the entire tumor mass is exposed.