The Microsurgical Approaches to the Target Areas of the Brain

1. Front Matter

   Pages II-VIII

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2. General Aspects

   1. Front Matter

      Pages 1-1

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   2. Locations on Skull, Brain, and Surface of the Head

      • Wolfgang Seeger

      Pages 2-7

   3. Definition of Trepanations Dependent from Target Areas

      • Wolfgang Seeger

      Pages 8-53

   4. Special Aspects of MRI

      • Wolfgang Seeger

      Pages 54-108

3. Special Planning Strategies and Microsurgical Operative Procedures

   1. Front Matter

      Pages 111-111

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   2. Frontal Target Areas with Aspects of Suprasellar Approaches

      • Wolfgang Seeger

      Pages 112-125

   3. Pterional Target Areas (Details)

      • Wolfgang Seeger

      Pages 126-151

   4. Clinical Sample of a Frontobasal Frontomedial Approach with Alternative Pterional Approach for the Same Target Area: Olfactory Groove Meningeoma

      • Wolfgang Seeger

      Pages 152-175

   5. Temporal Target Areas

      • Wolfgang Seeger

      Pages 176-195

   6. Temporobasal Approaches

      • Wolfgang Seeger

      Pages 196-221

   7. Dorsal Midline Approaches

      • Wolfgang Seeger

      Pages 222-287

   8. Intracerebellar Target Areas

      • Wolfgang Seeger

      Pages 288-307

   9. Target Areas 4th Ventricle (Figs. 131 to 138)

      • Wolfgang Seeger

      Pages 308-325

   10. Lateral Extracerebral Infratentorial Target Areas

       • Wolfgang Seeger

       Pages 326-337

4. Back Matter

   Pages 339-352

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Preface Drawings and scripts were selected from those tion of the operative routes and their alternatives which were produced by the author in the last for well-defined anatomical target areas alone. This three years to help educate young neurosurgeons viewpoint becomes more and more important, be­ in Freiburg and in other clinics. cause today there is no anatomical structure of the This programm for education may be managed in 2 brain which cannot be approached with a minimal steps: risk for surviving the operation. But more and more - Learning techniques for performing of trepana­ the risk for neurologicalor psychological postopera­ tions from opening of the skin onto dura incision tive complications will rise if the anatomical and (step 1) neurophysiological knowledge is insufficient. These - Learning of techniques for routine operations viewpoints are most important in operations at the (e. g. , for extirpation of gliomas of cerebral lobes) cranial base and operations transcrossing midline (step 2) structures of the brain. An intensive anatomical - Learning of techniques for operative approach es training helps to understand MRI before opera­ in problematic areas of the cranial and cerebral tion. Often the modern MRI demonstrates more base and of the midline, especially for the often anatomical details than the unexperienced neurosur­ performed operations, e. g. for basal meningeo­ geon has understood.

• aneurysm
• brain
• head
• magnetic resonance imaging (MRI)
• nuclear magnetic resonance (NMR)
• tumor

• Department of General Neurosurgery, Neurosurgery of the Neurosurgical Clinic, University of Freiburg i. Br., Federal Republic of Germany

  Wolfgang Seeger

Policies and ethics