By Wolfgang Seeger
During this atlas anatomical features very important for mixtures of microsurgical and endoscopic techniques are provided and illustrated. glossy imaging suggestions are worthy for the three-d orientation yet don't express sufficient information for endoscopic interventions. The small visible fields want a mixture of the depiction of excellent information and of the 3-dimensional presentation of enormous parts. in addition, issues of little recognized anatomical commonplace editions of the objective components may possibly come up. as a result, a number of universal anatomical versions are verified almost about their impression for the surgical technique.
The foundation for Professor Seeger’s popular drawings were anatomical arrangements, cadaver dissections and intraoperative images. the right kind proportions are derived by way of measuring the distances of anatomical landmarks of cranial arrangements and from CT and MR pictures. The concise textual content helps the knowledge of the anatomical figures.
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R Colliculus inf. s N. IV t Splenium corporis callosi u A. cerebri post. v Lobulus centralis cerebelli w edge of Tentorium, enclosed by arachnoid fold x Tentorium y Culmen 24 25 FIG. 5 ANATOMICAL BACKGROUND 26 Fig. 6 Corpus callosum MRTs (copies, simplified). Common findings A Genu corporis callosi thickened, Rostrum thinwalled B Middle segment of Corpus callosum thickened, Splenium bulging into a dorsal direction C Rostrum thickened. If it should be splitted at surgery, then Fornices and Commissura ant.
Cerebri post. v Lobulus centralis cerebelli w edge of Tentorium, enclosed by arachnoid fold x Tentorium y Culmen 24 25 FIG. 5 ANATOMICAL BACKGROUND 26 Fig. 6 Corpus callosum MRTs (copies, simplified). Common findings A Genu corporis callosi thickened, Rostrum thinwalled B Middle segment of Corpus callosum thickened, Splenium bulging into a dorsal direction C Rostrum thickened. If it should be splitted at surgery, then Fornices and Commissura ant. may be endangered, if it would be mixed up with the thickwalled proximal located transition of Genu and Rostrum corporis callosi D Middle or posterior segment of Corpus callosum thinwalled E For comparison with C (and D) 27 FIG.
Subdural route along Falx. Presention of the fold of arachnoid layer along the margin of Falx (1st step) – Incision of the fold of arachnoid layer along the margin of Falx. Crossing of the small segment of Cisterna corporis callosi Incision of Corpus callosum. Crossing of the lateral ventricle Presentation of Foramen interventriculare (2nd step) – Crossing Foramen interventriculare Presentation of the anterior area of the 3rd ventricle (3rd step) Abbreviation a Arachnoid fold at the margin of Falx, enlarged before incision a’ as a, after incision b Foramen interventriculare b’ as b, after crossing c floor of the 3rd ventricle 56 57 FIG.