By Toshio Matsushima
This publication describes the anatomy of the posterior fossa, including the most linked surgical options, that are exact in different photos and step by step colour illustrations.
The publication offers methods and surgical concepts reminiscent of the trans-cerebellomedullary fissure method and its version to the fourth ventricle, in addition to the cerebellomedullary cistern, infratentorial lateral supracerebellar method of the 5th cranial nerve within the higher cerebellopontine attitude, infrafloccular method of the foundation go out region of the 7th cranial nerve, transcondylar fossa process in the course of the lateral a part of the foramen magnum, and the stitched sling retraction strategy applied in the course of microvascular decompression systems for trigeminal neuralgia and hemifacial spasm. It additionally describes intimately the bridging veins of the posterior fossa, particularly the petrosal vein, and bridging veins to the tentorial sinuses, that can block methods to the affected area.
Each bankruptcy starts with an anatomical description of the posterior fossa, and then the respective surgical techniques are defined in an easy-to-follow manner.
The unique jap model of this paintings used to be released eight years in the past, and has confirmed itself as a relied on advisor, in particular between younger neurosurgeons who have to research numerous surgical techniques and strategies. during being translated into English, a few sections were revised and new details has been extra. the writer hopes that the e-book might help neurosurgeons worldwide practice more secure operations with confidence.
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Additional info for Microsurgical Anatomy and Surgery of the Posterior Cranial Fossa: Surgical Approaches and Procedures Based on Anatomical Study
The vermian branches ascend the culmen after dipping caudally at the level of the declive and anastomose with the vermian branches of PICA on the tentorial cerebellar surface. The marginal artery is the most proximal of the cortical branches. It usually arises from the pontomesencephalic segment and courses along the anterolateral margin of the cerebellum; therefore, it is also called the anterolateral marginal artery (Fig. 2d). 4 Relationships to Cranial Nerves SCA passes near CNs III, IV, and V and frequently makes contact with them (Fig.
D) The bifurcation of SCA and its relationship to cranial nerve (CN) V. Left lateral view. (e) The circumflex perforating arteries of SCA. Left lateral view The anterior pontomesencephalic (pontine) segment begins at the origin of SCA, extending laterally below CNs III to the anterolateral margin of the brainstem (Fig. 2a, b). The lateral pontomesencephalic (ambient) segment begins at the anterolateral margin of the brainstem and travels along the lateral part of the pons, parallel to CN IV 24 3 Three Cerebellar Arteries: Superior Cerebellar Artery, Anterior Inferior.
Origin, the location of its caudal and/or cranial loops, how the segments travel, and where they form complexes with CNs to perform successful surgery for microvascular decompression or fourth ventricular tumors. 5 Representative Case This is a case of ruptured arteriovenous malformation (AVM) in the upper vermis. A 50-year-old woman was admitted to a hospital because of sudden-onset severe headache, vertigo, Fig. 7 Imaging in the case of ruptured AVM fed by superior cerebellar artery (SCA) and posterior inferior cerebellar artery (PICA).