Download Principles of Neurosurgery by Robert G. Grossman, Christopher M. Loftus PDF

By Robert G. Grossman, Christopher M. Loftus

Nice e-book for the first yr resident and 4th 12 months scientific pupil. Many radiographs, charts, tables, surgical line drawings, and strong references all through this textbook. it really is a sublime hardcover ca 1999 with huge print, hence more uncomplicated to learn at midnight on-call rooms. i'm hoping Drs. Loftus and Grossman choose to pop out with a third version quickly. you possibly can nonetheless examine alot of Neurosurgery from this publication. it truly is an funding worthy making.

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Principles of Neurosurgery

Nice e-book for the first yr resident and 4th yr scientific scholar. Many radiographs, charts, tables, surgical line drawings, and stable references all through this textbook. it really is a chic hardcover ca 1999 with huge print, hence more uncomplicated to learn at midnight on-call rooms. i'm hoping Drs. Loftus and Grossman choose to pop out with a third version quickly.

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Fig. 15 a, b In this image the pituitary gland can be seen, after moving the endoscope through the opticocarotid window. 1, pituitary stalk (attenuated by tumor); 2, pituitary gland. 14 - 13:12 An Atlas of Intracranial Endoscopy Fig. 16 a, b Angling the endoscope posteriorly, the basilar artery bifurcation comes into view. The Liliequist membrane is also seen. 1, L internal cerebral artery; 2, pituitary gland; 3, L posterior communicating artery; 4, P1 segment of the L posterior cerebral artery; 5, P1 segment of the R posterior cerebral artery; 6, basilar artery; DS, dorsum sellae.

1, L oculomotor nerve; 2, basilar artery bifurcation; 3, L superior cerebellar artery; 4, basilar artery; 5, R oculomotor nerve. Fig. 7 a, b The endoscope has been inserted into the cranial vault. The anterior skull base (ASB) can be seen forming the top of this image. In the midline the crista galli (CG) can be seen, and laterally, the lesser wing of the sphenoid bone (LSW) is visualized. 1, L optic nerve; 2, L internal carotid artery; 3, L frontal lobe. 14 - 13:11 An Atlas of Intracranial Endoscopy Fig.

5 a, b The effect of manual retraction to gain visualization of flat angles at the extremes of the resection. The desired viewing angle in image (a) is blocked by the skin edge and self-retaining retractor. Image (b) demonstrates the effect of having an assistant retract the self-retaining retractor to improve this viewing angle. The assistant’s hand is out of view, pulling the retractor backwards to temporarily permit this shallow angle of view. The endoscope is best used in situations when the bleeding is reasonably well controlled, and when very technically challenging bimanual maneuvers are not required, as the endoscope itself occupies some space, and difficult maneuvers are inherently even more difficult with angled instrumentation which is needed to take advantage of the view provided by angled endoscopes.

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