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3 matches in All Departments
This volume contains the papers presented at the 24th Annual
Meeting of the Deutsche Gesellschaft fur Neurochirurgie, held in
Mainz, Western Germany, on April 30 - May 3, 1973. Deliberate
choice was made of two crucial still hotly debated subjects which,
for ages, have meant a source of constant worry, and nights without
sleep to every neurosurgeon. Just as long as our special field
exists, there have been the problems of how to control brain edema
and .of how to reduce lethality and the secondary lesions in
surgery of cerebello-pontine angle tumors. Concerning the first
subject, new pathological, pathophysiological and chemical aspects,
the mechanisms of brain edema formation and resolution are
presented in the hope for better understanding. Furthermore, the
relationship between brain edema, intracranial pressure, cerebral
blood flow and metabolism are discussed. Finally, the therapeutical
consequences as well as the results of experimental and clinical
work are presented, and a comparison of effects between different
methods (hypertonic solutions, diuretics, steroids, controlled
hyperventilation, hyperbaric oxygen) is given. Concerning the
second main subject, any important contributions to the early
diagnosis of cerebello-pontine angle tumors have been included.
Nevertheless, it is of utmost interest for the neurosurgeon to know
which approach he is to prefer for the different stages of tumor
size and to be familiar with the trans labyrinthine approach or the
posterior craniotomy, as well as with the importance of the use of
the microscope in neurosurgery, the preservation of the facial
nerve and, in certain cases, its repair."
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