By James J. Evans, Tyler J. Kenning
Craniopharyngiomas: A complete consultant to prognosis, remedy and final result is a accomplished advisor to the technology, analysis and remedy of craniopharyngiomas, infrequent mind tumors that develop close to the pituitary gland. even supposing those tumors are typically benign, as a result of the position, diagnosis was once frequently bleak. This reference presents a source for experts requiring a accomplished assessment of this infrequent type of tumor, outlining new diagnostic, imaging and surgical recommendations, together with endoscopic endonasal cranial base surgical procedure, which allow winning neurosurgical intervention. With a greater analysis, sufferers require multidisciplinary administration from neurology, otolaryngology, radiation oncology, endocrinology, and neuropathology.
- The in simple terms entire consultant to the technological know-how, analysis and therapy of craniopharyngiomas
- Includes multidisciplinary administration from neurology, otolaryngology, radiation oncology, endocrinology, and neuropathology
- Detailed assurance of the affects of latest diagnostic, imaging and neurosurgical concepts together with endoscopic endonasal cranial base surgical procedure
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Extra info for Craniopharyngiomas: Comprehensive Diagnosis, Treatment and Outcome
The roof of the temporal bone, which forms the posterior part of the ﬂoor of the middle fossa, has been opened to expose the mastoid antrum, eustachian tube, semicircular canals, cochlea, nerves in the internal acoustic meatus, and the mandibular condyle. I, The trigeminal nerve has been reﬂected forward. The abducens nerve passes below the petrosphenoid ligament and through Dorello’s canal. The petrous segment of the carotid passes below the petrolingual ligament to enter the cavernous sinus. The greater petrosal nerve is joined by the deep petrosal branch of the carotid sympathetic plexus to form the vidian nerve, which passes forward in the vidian canal that has been unroofed.
I. INTRODUCTION CISTERNAL, NEURAL, AND VENTRICULAR ANATOMY 43 Optic Nerves and Chiasm The optic nerves and chiasm are often displaced or compressed by the tumor, which may result in progressive vision loss. Their location in relation to the tumor may play a major role in selecting the operative approach to a craniopharyngioma. 9). The optic nerves emerge from the optic canals medial to the attachment of the free edges of the tentorium to the anterior clinoid processes and are directed posteriorly, superiorly, and medially toward the optic chiasm.
9). It courses posterior, superior, and slightly lateral to reach the lateral side of the optic chiasm and bifurcates below the anterior perforated substance at the medial end of the sylvian ﬁssure to give rise to the anterior and middle cerebral arteries. The C4 is divided into three segments based on the site of origin of the ophthalmic, posterior communicating, and anterior choroidal arteries. The ophthalmic segment extends from the roof of the cavernous sinus and the origin of the ophthalmic artery to the origin of the posterior communicating artery; the communicating segment extends from the origin of the posterior communicating artery to the origin of the anterior choroidal artery; and the choroidal segment extends from the origin of the anterior choroidal artery to the terminal bifurcation of the internal carotid artery.
Craniopharyngiomas: Comprehensive Diagnosis, Treatment and Outcome by James J. Evans, Tyler J. Kenning