PONTIN_CAVERNOME_SURGERY

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PONTIN_CAVERNOME_SURGERY


Cavernoma microsurgery from the pons of the brain stem.

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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Cerebrovascular surgery, Posterior scale aneurysms surgery

Medical sciences, Medicine, Surgery, Neurosurgery

pontin cavernoma, intracranial cavernoma, cavernous hemangioma, vascular entity, lesio, small compartments, lobules, like a bunch of small mulberry , emorrhagic, sinusoidal compartments, fragile endothelialized walls, unlike an arteriovenous malformation, unlike an AVM, no large feeding artery, no large draining vein, venous angioma, supratentorial, infratentorial, spinal cord, pons, pontine, aneurysms, sporadically, familial, familial cases, chromosome 7, common in hispanic , common Mexican-American, multiple, CCM1, band 7q11.2-q21, KRIT 1, CCM 2 , band 7p15-p13, malcavernin, CCM 3, chromosome 3q, symptoms, asymptomatic, seizures ,neurological impairment, deficits, hydrocephalus, raised intracranial pressure, headache, nausea, vomiting, visual disturbance, sleepiness, size, location, catastrophic, devastating, progressive brain, disabling, hemorrhage, blood products, walls are fragile, micro blood vessels, blood product, hemosiderin, leeching around, rehemorrhage, risk of hemorrhage, eloquent, progressive neurological impairment, MRI, angiographically, angiogram, T2 popcorn appearance, gradient echo, GRE, india ink blotch appearance, treatment, surgery, radiation, autosomal dominant, thyroid gland, liver, gamma knife, stereotactic radiosurgery, strictly congenital, de novo, dilated blood vessels, thinly-walled vessels, cerebellar pedunculotomy, safer entry for mid-pontine, transpetrosal approach, trans-4th ventricular route, mid-pontine cavernomas, presigmoid approach, anterolateral pontine cavernomas, surgically removed, perpendicular trajectory, safe zone, between the trigeminal nerve and the facial/vestibulocochlear nerve complex, recurrent events, Rankin scale, brain stem syndrome, corticospinal tract, deficit, decreased hearing, hearing aid, cerebral hemorrhage, hemorrhagic stroke, even death, focal neurological deficits, FLAIR imaging, MRA, cerebellar retraction, peripheral facial paralysis, diplopia, rehabilitation, Millard-Gubler Syndrome, MGS, cerebral cavernous malformation, CCM, between the CN V and CN VI , temporal craniotomy, zygomatic osteotomy, subtemporal-infratemporal approach, pial surface, mid-pontine, lower pontine, petrous carotid artery, petroclival bone was drilled, small incision, resolved, work, year later, complete excision, subtemporal-infratemporal approach, surgical microscope, neuro-endoscope, abducens palsy, hemiparesis, anterior transpetrosal, subtemporal transtentorial approaches, anterior petrosal approach, suboccipital approach, retromastoid approach, transclival approach, facial parestesias, tinnitus, audiometry, sensorineural hipacusia, neurosurgery, surgical treatment, mesencephalon, medulla oblongata, dysarthria, Julow, Jeno Julow MD DSc, St. John’s Hospital Dept of Neurosurgery, Budapest, Hungary, h102494jul@ella.hu, h12494jul@t-online.com, julow9@gmail.com, Dr Julow Jenő Viktor, Szent János Kh Idegsebészeti Osztály by generous help of Japan International Cooperation Agency (2001) 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

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4 December, 2012

Prof. Jeno Julow

4 December, 2012

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