By Klaus Joachim Zülch Professor Dr. (auth.)
This Atlas is certainly one of a chain 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 is predicated at the Handbuch der Neurochirurgie, Vols. I and III (Springer 1956, 1959) yet, while it is a complete reference paintings, the current ebook is meant to offer the training neurosurgeon, neuroradiolo gist, neuropathologist and neurologist the concise details they wish for diagnostic reasons about the point, web site, 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 response to the measure of malignancy, should be most dear right here. The early chapters talk about the final principles governing displace ments as a result of space-occupying lesions and the manifestations of mind herniations. different neurosurgical stipulations, comparable to localized inflammatory approaches, edema and obstructive hydrocephalus, are handled briefly chaptets; as a consequence i've got selected to teach many of the rarer stipulations instead of all of the universal lesions. even with possible destiny adjustments in terminology and type, we have now retained the type utilized in the Atlas of Histology of mind Tumors.
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Volume increases, including brain edema and even local obstructive hydrocephalus, can be expected to cause distortion and displacement of the adjacent brain tissue with increased intracranial pressure and with corresponding pressure zones ("herniations"). Thus, a morphologically benign frontal meningioma may prove to be fatal simply because of its location within the inelastic intracranial cavity, whereas most of the other body cavities are elastic. Therefore, both the site and the inherent growth potential of a brain tumor are of the utmost importance for the definition of its final overall malignancy.
63 Neurinoma of the cerebellopontine of the midbra in. 59 P inealoma . 60 Meningioma of the t entorial hiatus angle. 64 Neurinoma of t he cerebellopontine angle. 65 Meningioma, p eritorcular. ) Posterior Fossa Tumors (midline) 67 Spongioblast oma of the cerebellum. 68 Spongioblastoma of the cerebellum. 69 Medulloblastoma of the cerebellum. 70 Medulloblastom a of the cerebellum. 71 Ependymoma of the fourth 42 ventricle . 72 Angioblastoma in the fourth ventricle. 73 Angioblastoma of the cereb ellar hemisphere.
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. 70-72). Another characteristic of the ependymoma of the cerebral hemisphere is a tendency to recur even after "total" removal. The other ependymomas, fortunately, do not share these traits.