CRANIOPHARYNGIOMA_YTTRIUM_90_IRRADIATION

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CRANIOPHARYNGIOMA_YTTRIUM_90_IRRADIATION


Intracavital Yttrium-90 isotope irradiation~brachytherapy of cystic brain tumor (craniopharyngiomas and gliomas)

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, Brachitherapy of brain tumor

Health sciences, Medical sciences, Medicine, Nuclear medicine, Surgery, Neurosurgery

adamantinomatous craniopharyngioma, adult type, squamous, papillary, old, CT, scan, cystic craniopharyngioma, frontal , trans-sphenoidal , surgery , intra-cystic, long-term follow, intracavitary irradiation, stereotactically applied, beta-emitting treatment, craniopharyngioma cysts, beta-emitting isotope, inner surface of the cyst wall, 200 Gy, shrink, yttrium-90-labeled silicate, yttrium-90-labeled citrate, phosphorous-32, rhenium-186, mean survival, intracavitary irradiation, visual deficits , blindness , worsening of visual field cuts, third nerve palsy, diabetes insipidus , panhypopituitarism , highly effective, solitary cysts, therapy, long period, multiple cyst, pituitary stalk, tuber cinereum, surface of the cyst, stereotactically, late complication, retrosellar, presellar, prechiasmatic, suprasellar, neuroophthalmological complications, internal carotid artery, injury, retrochiasmatic, hypothalamic, pontomesencephalothalamic damage , perforating arteries, multimodality management, precarious surgical cases, male, female, mean age, range, adults, children, iInitial symptom, headache, visual disturbance, lethargy, nausea, vomiting , memory disturbance, amenorrhea, obesity, growth retardation, mental disorder, seizure , optic disc, stereotactic puncture, BrainLab PatXfer 4.21, Target 1.9 software, Ultravist 300 contrast, medium, Riechert-Mundinger stereotactic, radioactivity, dosage formulas, not recurrent cysts, subsequent cysts, recurrent cyst, shrinkage, histopathological examinations, calcified wall, postoperative, gamma camera, Bremsstrahlung, isotope instillation, β rays, volume reduction, CT, MRI, neuroophthalmological examination, endocrinological assessment, Kaplan-Meier, survival, mean survival, retrospective analysis, hydrocephalus, implanted iodine-125 seeds, pulmonary embolism, cardiac and renal insufficiency, other neoplasms, tereotactically applied, tumor control, surgical removal, hypothalamic/thalamic region, blind , optic disc, normal, temporal pallor, atrophy, visual field lesions, chiasmal, optic tract, pseudointraventricular cysts, pituitary gland, hormonal disorders, fornices, thalamoperforating, posterior chorioidea, perforating arteries , posterior cerebral artery, superior cerebellar artery, postirradiation vasculopathy, radionecrosis, oculomotor palsy, conjugate upgaze palsy, absent oculocephalic reflexes, decorticated type of rigidity, bilateral paralysis of the limbs, pyramidal signs, marked disturbances, consciousness, hypersomnia, deep coma, akinetic mutism, memory disturbances, 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

3:09

4 December, 2012

Prof. Jeno Julow

4 December, 2012

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