Brain Edema / Cerebello Pontine Angle Tumors: by I. Klatzo (auth.), K. Schürmann, M. Brock, H.-J. Reulen, D.

By I. Klatzo (auth.), K. Schürmann, M. Brock, H.-J. Reulen, D. Voth (eds.)

This quantity includes the papers awarded on the twenty fourth Annual assembly of the Deutsche Gesellschaft fur Neurochirurgie, held in Mainz, Western Germany, on April 30 - might three, 1973. planned selection was once made up of the most important nonetheless hotly debated matters which, for a long time, have intended a resource of continuing fear, and nights with no sleep to each neurosurgeon. simply so long as our specific box exists, there were the issues of ways to manage mind edema and ·of the way to lessen lethality and the secondary lesions in surgical procedure of cerebello-pontine attitude tumors. about the first topic, new pathological, pathophysiological and chemical elements, the mechanisms of mind edema formation and backbone are provided within the desire for greater knowing. additionally, the connection among mind edema, intracranial strain, cerebral blood movement and metabolism are mentioned. ultimately, the therapeutical effects in addition to the result of experimental and scientific paintings are awarded, and a comparability of results among assorted equipment (hypertonic strategies, diuretics, steroids, managed hyperventilation, hyperbaric oxygen) is given. in regards to the moment major topic, any very important contributions to the early prognosis of cerebello-pontine perspective tumors were incorporated. however, it's of extreme curiosity for the neurosurgeon to grasp which method he's to favor for different phases of tumor dimension and to be conversant in the trans­ labyrinthine technique or the posterior craniotomy, in addition to with the significance of using the microscope in neurosurgery, the maintenance of the facial nerve and, on occasion, its repair.

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Neurosurg. 32, 304 (1970) H. HASE: Energy InetabolisIn, lactate/pyruvate ratio and extracellular space in cortex and white Inatter adjacent and distant froIn a local freezing point. In: M. , Cerebral Blood Flow, Springer, Berlin 1969 12. SANDERS, A. , R. S. KRAMER, B. : Brain adenosin triphosphate, decreased concentration precedes convulsion. Science 169, 206-208 (1970) 13. SIESJ(j, B. K. and L. NILSSON: The influence of arterial hypoxeInia upon labile phosphates and upon extracellular and intracellular lactate and pyruvate concentration in the rat brain.

X - - - - ... 56 n 15 Fig. 98 29 24 16 7 SDays 41 mg·'. Uric Acid Dead y Surviving lC 10 8 ---"" , 6 .... " - --- - - - -- ---- -- -----y'f -- --- ---- - -- -- -- - --- o n Fig. 23'" 12 5 6 7 8 Days Consequences of Cerebral Edema and Increased Intracranial Pressure J. ' F. BEKS Already in 1881, two German scientists, NAUNYN and SCHREIBER, reported that as result of increasing intracranial pressure, changes of vegetative functions may occur. In 1902 these changes were described in detail by HARVEY CUSHING, pioneer of neurosurgery.

Naunyn-Schrniedeberg's Arch. expo Path. Pharmak. 14, 1 (1881) 9. PIA, H. : Die Schiidigung des Hirnstammes bei raurnfordernden Prozessen des Gehirns. Acta Neurochir. (Wi en) Suppl. 4 (1957) 10. PLUM, F. and H. W. BROWN: The effect on respiration of central nervous system disease. Sci. 109, 915 (1963) 11. : Transtentorial herniation of the brain stern. Arch. Neurol. Psychiat. 53, 289 (1945) 12. : Atemstorungen bei intrakraniellen Massenverschiebungen. Acta Neurochir. (Wien) Suppl.

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