Principles and practice of keyhole brain surgery [E-Book]

Includes index.

Principles and Practice of Keyhole Brain Surgery; Media Center Information; Title Page; Copyright; Dedication; Contents; Video Contents; Foreword; Preface; Acknowledgments; Contributors; Abbreviations; 1 An Introduction to the Keyhole Concept; 1.1 Introduction; 1.2 What Does the Term "Keyhole" Actually Mean?; 1.3 What Are the Properties of Keyhole?; 2 Cognitive Principles of Planning Keyhole Approaches; 2.1 Introduction; 3 Technical Principles of Operating in Keyhole Craniotomies; 3.1 Introduction; 3.2 Overall Flow of a Keyhole Operation; 3.3 Maximal Utilization of a Minimal Incision.

3.4 Frequent Microscope Adjustment3.5 Anticipatory Microscope Positioning; 3.6 When to Bring in the Endoscope; 3.7 Low-Profile Operative Field; 3.8 Make Space Early; 3.9 Use the Right Tools; 4 The Role of Endoscopy in Keyhole Surgery; 4.1 Introduction; 4.2 A Brief Introduction to the Endoscope; 4.3 Safe Endoscope Technique; 4.4 Endoscope Logistics; 4.5 When Is the Endoscope Useful?; 4.5.1 Inspection; 4.5.2 Clarification; 4.5.3 Intervention; 4.6 A Catalog of Common Endoscope Angles; 5 An Atlas of Intracranial Endoscopy; 5.1 Introduction; 5.2 Parasellar Endoscopy; 5.3 Endonasal Endoscopy.

5.3.1 Transcribriform Approach5.3.2 Transtubercular Approach; 5.4 Retrosigmoid Endoscopy; 5.4.1 Transclival Approach; 5.5 Transcallosal Endoscopy; 5.6 Suboccipital Endoscopy; 6 Steps in Common Keyhole Approaches; 6.1 Introduction; 6.2 The Basic Convexity Keyhole; 6.2.1 Basic Steps; 6.3 Eyebrow (Supraorbital) Craniotomy; 6.3.1 Basic Steps; 6.3.2 Closure; 6.3.3 The Four Pearls for Optimal Cosmetic Outcomes; 6.4 Mini-Pterional Craniotomy; 6.4.1 Basic Steps; 6.5 Mini-Subtemporal Craniotomy; 6.5.1 Basic Steps; 6.6 Retrosigmoid Approach; 6.6.1 Basic Steps; 6.7 Interhemispheric Approaches.

6.7.1 Basic Technique6.8 Suboccipital Approaches; 6.8.1 Limited Paramedian Suboccipital Approach; 6.8.2 Limited Vermian Approach; 6.8.3 Mini-Telovelar Approach; 7 Endonasal Surgery and Its Current Role in Neurosurgical Paradigms; 7.1 Introduction; 7.2 A Very Brief Introduction to Endonasal Approaches; 7.3 Where Do Endonasal Endoscopic Approaches Fit In?; 7.4 When Do We Use an Endonasal Approach?; 7.4.1 Sellar Pathology; 7.4.2 Craniopharyngiomas; 7.4.3 Medial Cavernous Sinus Pathology; 7.4.4 Clivus Pathology; 7.4.5 Petrous Apex; 7.4.6 Infratemporal Fossa/Parajugular Region.

7.4.7 Olfactory Groove8 Keyhole Surgery for Supratentorial Intra-Axial Tumors; 8.1 Introduction; 8.2 Keyhole Surgery; 8.3 How to Plan a Keyhole Approach to an Intra-Axial Brain Tumor; 8.4 Guideline 1: Determine the Size of the Keyhole Needed; 8.5 Guideline 2: The Two-Point Rule; 8.6 Guideline 3: View the Ideal Keyhole in the Context of Eloquent Brain Regions; 8.7 Guideline 4: View the Ideal Keyhole in the Context of Fissures; 8.8 Guideline 5: View the Ideal Keyhole in the Context of Surgical Intentions; 8.9 Guideline 6: Stick to Simple and Familiar Approaches Whenever Possible.

Developed 20 years ago by leading innovators in the field, the keyhole concept of brain surgery has become an integral part of the practice of neurosurgery. This timely and comprehensive book covers the thinking, philosophy, and techniques of modern keyhole brain surgery, including a realistic assessment of its benefits and limitations. Written by expert practitioners and highlighted by vivid surgical illustrations and procedural videos, Principles and Practice of Keyhole Brain Surgery functions as an experienced mentor work.