Download Atlas of Gross Neurosurgical Pathology by Klaus Joachim Zülch Professor Dr. (auth.) PDF

By Klaus Joachim Zülch Professor Dr. (auth.)

This Atlas is one among a sequence dedicated to neurosurgical and neuro­ logical stipulations and is complementary to Atlas of the Histology of mind Tumors (Springer-Verlag, Berlin-Heidelberg-New York 1971), which was once the 1st within the atlas sequence. The Atlas relies at the Handbuch der Neurochirurgie, Vols. I and III (Springer 1956, 1959) yet, while this can be a finished reference paintings, the current e-book is meant to provide the training neurosurgeon, neuroradiolo­ gist, neuropathologist and neurologist the concise info they wish for diagnostic reasons about the point, website, and ma­ lignancy of tumors and different space-occupying lesions within the mind. The schematic diagrams displaying the websites of predilection of those tumors, in addition to a piOgnosis in accordance with the measure of malignancy, can be most beneficial the following. The early chapters speak about the final ideas governing displace­ ments because of space-occupying lesions and the manifestations of mind herniations. different neurosurgical stipulations, resembling localized inflammatory approaches, edema and obstructive hydrocephalus, are handled briefly chaptets; for that reason i've got selected to teach many of the rarer stipulations instead of the entire universal lesions. even with possible destiny alterations in terminology and category, we've retained the type utilized in the Atlas of Histology of mind Tumors.

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44. Pea-sized h erniation of adjacen t brain substance into the burrhole for ventricular puncture in a case of increased intracranial pressure Fig. 45 . Case of a simulated brain tumor in cat employing a paraffin inj ection . ). Note the absence of edema 27 The Space-Occup ying Lesions Fig. 46. Cross sectional view of the midbrain in a case with a space-occupy ing lesion in the right temporal lobe. T entorial herniation resulted, producing a deep hemorrhagic notch in the third nerve (" distal" notch, see arrow) due to a downward displacement of the brain stem ("axial shift") and a compression of t he nerve against t he medial petroclinoid ligament (see Fig.

Thus, there is still" verbal confusion" regarding terminology in this field, which impedes the statistical studies of those clinicians who wish to investigate the value of a specific mode of therapy (operation, radiation, cytotoxic drugs). Consequently, we have chosen to adopt the compromise classification of the "Unio Internationalis Contra Cancrum" (UICC). Since the ultimate classification has not yet been agreed upon, I have chosen to use the classification of our Atlas of Histology to facilitate comparison of the histologic and gross aspects of tumor morphology.

This indicates the biological significance of this age period which represents the end of childhood and adolescence. We also see that certain tumor types show a predilection for the third and fourth decades and that the fifth and sixth decades, too, are preferred by certain kinds of tumors. We define childhood and adolescence as the ages between 1-20 years, middle age from 21 to 45, the age of involution from 46-65, and old age from 65 on. If we evaluate a large number of patients from the point of view of age incidence, we come to the following conclusions: in childhood and adolescence the most common tumors in the cerebral hemispheres are ependymomas, with the other gliomas and ganglion cell tumors appearing less frequently.

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