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

By Klaus Joachim Zülch Professor Dr. (auth.)

ISBN-10: 3642657281

ISBN-13: 9783642657283

ISBN-10: 3642657303

ISBN-13: 9783642657306

This Atlas is considered one of 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 used to be the 1st within the atlas sequence. The Atlas is predicated at the Handbuch der Neurochirurgie, Vols. I and III (Springer 1956, 1959) yet, while it is a accomplished reference paintings, the current booklet is meant to provide the practising neurosurgeon, neuroradiolo­ gist, neuropathologist and neurologist the concise info they wish for diagnostic reasons in regards to the element, website, and ma­ lignancy of tumors and different space-occupying lesions within the mind. The schematic diagrams exhibiting the websites of predilection of those tumors, in addition to a piOgnosis in line with the measure of malignancy, might be most respected the following. The early chapters speak about the overall ideas governing displace­ ments because of space-occupying lesions and the manifestations of mind herniations. different neurosurgical stipulations, resembling localized inflammatory tactics, edema and obstructive hydrocephalus, are handled briefly chaptets; consequently 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 now have retained the type utilized in the Atlas of Histology of mind Tumors.

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A morphological classification is of little value to the clinician if it does not include an estimate of clinical prognosis based on morphology. This is an old task of pathology. The work of BAILEY and CusHING (1926, 1930) might even be regarded as the precursor of a system of malignancy gradings, which they expressed in terms of post-operative survival time. However, one fundamental failing of such an abstract evaluation of biological behavior based solely on morphology is immediately apparent-it fails to account either for the effects of a space-occupying lesion within the closed confines of the intracranial cavity or for its vital position within the substance of the brain.

In the spinal cord there is often a cavity both above and below the tumor, resembling syringomyelia, but more closely corresponding to the cyst of the cerebral form; the elongated shape conforms to the longitudinal orientation of the spinal cord tracts. Generally, ependymomas grow by expansion, but in the marginal zone growth occasionally occurs by means of advancing papillae. Metastases occasionally occur spontaneously, but are not uncommon after operation on those of the cerebral hemisphere, in fact, the entire CSF circuit may be diffusely involved with nodules and plaques (Figs.

Large ependymoma of the fourth ventricle expanding into the cerebellopontine angle via the foramen of Luschka F ig. 60. Typical ependymoma of the four th ventricle extending through the lateral recess. Note the tumor expansion in the cisterna magna 55 Tumors of Nervous and Supporting Tissue Origin Fig. 61. Large ependymoma of the fourth ventricle which has massively expanded its lumen F ig. 62. Typical ependymoma of the fourth ventricle with a small process ext ending into the cisterna magna. Small cysts a nd hemorrhages have occurred.

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

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