Technological progress in neurosurgery - preoperative investigation of the exact anatomy of the patient, detailed planning of the procedure, and use of endoscopes and videosurgery -- have made approaches for intracranial microsurgical procedures smaller compared to historically standard neurosurgical approaches. Building on the previous works "Endoscopic Anatomy for Neurosurgery" and "Keyhole Concept in Neurosurgery," this book offers a systematic overview of keyhole approaches in the daily work of a neurosurgeon. The approaches, strategies, indications and technical details described here are complemented by anatomical pictures, schemes, and artists' illustrations, and analyzed with regard to geometric boundaries and the topography of the target structures.
Introduction Supraorbital approach: Laterial variation of the supraorbital craniotomy. - Medial modification of the supraorbital craniotomy. - Basal variation of the supraorbital approach: the supraorbito-orbital craniotomy Subtemporal approach: Posterior variation of the subtemporal craniotomy. - The combined posterior subtemporal-presigmoidal approach. - Extradural modification of the subtemporal craniotomy exposing the internal auditory canal. - Extended trans-petrous-apex modification exposing the posterior fossa Retrosigmoidal approach Suboccipital approach: Caudal variation of the median suboccipital approach Pineal approach Interhemispheric approach: The anterior (frontal) subcallosal variation of the interhemispheric approach. - The posterior (occipital) subcallosal modification of the interhemispheric approach Transcortical approach exposing the lateral and third ventricles
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