TUBERCULUM SELLAE MENINGIOMA SURGERY
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TUBERCULUM SELLAE MENINGIOMA SURGERY
Midline based meningioma arrised from the tuberculum sellae . The following are video recordings of surgical procedures from the Department of Neurosurgery of Saint John’s Hospital of Budapest. The videos were made to assist with the training of neurosurgery, residents. Modern optical systems using the Zeiss OPMI 6 microscope with a Contraves elektromagnetic stabilizer stative were used. The Riechert/Mundinger (F. L. Fischer) stereotaxic device and the Karl Storz endoscope were also used. The most significant portions of the procedures lasting only 3-6 minutes were recorded. With regard to quality, it AVI video with 720 x576 pixels and 72 dpi broadcast picture dimension were used. This is a brief overview of the significant portions of the operations and procedures with respect to the patient’s memory and recall status as they relate to their anatomical positions. The videos are presented in English and to a lesser degree Hungarian. The surgical portions and simultaneous video recordings and editing are my personal endeavors. Assistance in the preparation of the documents was provided. by Dr. János Hável, Dr. Tibor Kiss, Dr. Árpád Viola, surgical nurse Mária Skublics and assistant surgical nurse Norbert Nagy. For this I owe them my deepest gratitude for their support and help. In 1999, with the aid of the Japanese International Cooperation Agency (JICA) and a donation from the Japanese goverment we received video equipment consisting of SONY camera, video recorders, monitors, computerized editing equipment Prof. Shigeharu Suzuki, Dr. Islam (Hirosaki) and Prof. Masami Ishii (Iwaki City) provided invaluable instruction.and teaching of the techniques necessary for the video recording of neurosurgical procedures We offer this study as an adjunct to the medical board certification examinations. Those who would benefit most would be residents in neurosurgery, neurology, anatomy, pathology and radiology. Until this time only the surgical dictation was available to the resident, now the video recording will be the standard . Jeno Julow MD DSc, St. John’s Hospital Dept of Neurosurgery and SOTE Neurosurgery by generous and help of Japan International Cooperation Agency
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E-book of neurosurgical video for residents, Brain tumor surgery
Categories
Health sciences, Medical sciences, Medicine, Surgery, Neurosurgery
Keywords
tuberculum sellae, sphenoid bone, behind the chiasmatic groove, tubercle of sella turcica, optic nerves, chiasm, vision, visual symptoms, radiation therapy, recurrence, MRI, radical subtotal removal, microsurgical dissection, tuberculum sellae meningioma, MRI, gadolinium, enhancement operation, removal using, subfrontal approach, complete recovery , normal vision, internal carotid artery, considerations , removal, careful positioning, planned incision, adequate exposure, early interruption of the blood supply, internal decompression , cavitron, cautery loops, bipolar coagulation, dissection of the tumor capsule, dividing vascular arachnoid attachments, minimizing retraction, surrounding brain tissue, involved dura, involved bone, reconstruction of dural defects, free graft, pericranial tissue, fascia, brain edema. supratentorial operations , anticonvulsant medication, intravenous antibiotics, head elevated, malignant histology, lowly progressing symptoms, females , males, hyperostosis, matrix, terms, removal , total (T), visible tumor, radical subtotal (RST), small fragments, adherent to important structures, subtotal (ST), extensive removal but a portion of the capsule is lef, good (G), fair (F), independent , preoperative neurological deficit , recover, poor (P), major neurological deficit, MENINGIOMA, CAUSES, familial, radiation, scalp , genetic mutation, SIGNS, SYMPTOMS, image-guided craniotomies, brain tumor, small tumors (e.g., < 2.0 cm), larger , focal , neurological signs, sensory, aphasic, and seizure symptoms, increased intracranial pressure, mechanism, arachnoidal cells, venous sinuses, parasagittal , sphenoid ridge, olfactory grooves, Sylvian region, superior cerebellum along the falx cerebri, cerebellopontine angle, spinal cord, DIAGNOSIS, CT, MRI, gadolinium, WHO classification system, benign , Grade I, meningothelial, fibrous, transitional, psammomatous, angioblastic , atypical, Grade II, choroid, clear cell, atypical, includes brain invasion, anaplastic, malignant, Grade III, papillary, rhabdoid, anaplastic, most aggressive, TREATMENT, totally, safely, reacurrence, resected, mastoid, drilled, OBSERVATION,follow-up, growth, average, year, SURGICAL RESECTION, complete removal, resection of underlying bone, associated dura, complete removal , coagulation of dural attachment, complete removal , resection of dura or coagulation, subtotal resection ,RADIATION THERAPY, fractionated external beam radiation, Gamma Knife, radiosurgery , LINAC, CONVENTIONAL , SURGERY , craniotomy, craniectomy, air powered drill, footplate attachment, dura mater opened, operating microscope, gently retract the brain, image-guided craniotomies, matrix, external carotid artery feeder, supply, slow, water jet, Paccioni's granulations, pacchionian bodies, arachnoid layer protrudes through the dura, arachnoid granulations, sslow growing, extra-axial, arise from arachnoid, completely removed, falx, convexity, sphenoid, calcified, psammoma bodies, cap cell, en plaque, adolescent, Recklinghausen’s, tuberculum sellae, lateral ventricle, tentorial, middle fossa, orbital, spinal, extracalvarial, multiple, torcular Herophili, anosmia, Foster-Kennedy, pupilledema, visual impairtment, dural tail, enhancing, hyperostosis, blistering, embolisation, peeled away, debulking, bifrontal craniotomy, sinus, feeding artery, dissected, carefully, optic nerve, chiasm, sinus, patency, Simpson, recurrence, XRT, Julow, Jeno Julow , Dr, DSc, med. habil. dr, St. John’s Hospital, Department of Neurosurgery, Budapest, Hungary, h102494jul@ella.hu, h12494jul@t-online.com, julow9@gmail.com, Dr.Julow Jenő Viktor, Szent János Kórház, Szt. János Kórház, neurosurgery, idegsebészet, JICA, video, resident, E-book, St. John Hospital, idegsebészeti osztály, neurosurgical video movies, idegsebészeti video, 脳神経外科, Julow ないジェノサボー オルザグ, 神经外科的视频电影, 住院医师, vídeos de Neurocirugía, enseña a cirugías de cráneo, جراحة الأعصاب وأشرطة الفيديو, يعلم جراحات الجمجمة, Нейрохирургия видео, giải phẫu hộp sọ dạy, ngôn ngữ thiểu số neurosurgical
3:59
Date of recording
4 December, 2012
Uploaded by
Prof. Jeno Julow
Date of uploading
4 December, 2012
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MP3