REMOVED AND IRRADIATED PINEAL A3 GLIOMA

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REMOVED AND IRRADIATED PINEAL A3 GLIOMA


Infratentorial tumor surgery, for the removal of irradiated pinealoma and radionecrosed cerebellum.

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

Health sciences, Medical sciences, Medicine, Surgery, Neurosurgery

Infratentorial tumor surgery for the removal of irradiated pinealoma and radionecrosed cerebellum, glioma, central nervous system-tumor, CNS cysts, cysts-general, no solid nodule of tissue, commonly cystic, pilocytic astrocytoma, craniopharyngioma, ganglioglioma, hemangioblastoma, occasionally metastatic carcinoma, abscess (granulation tissue and fibrosis, inflammation), tumors with cystic areas (pilocytic astrocytoma, hemangioblastoma, meningeal cyst (on spinal surface, syncytial type cells, collagen+), pineal cyst, arachnoid cyst, subdural cyst, subarachnoid cyst, containing CSF, , leptomeninges, leptomeningitis, symptomatic, MRI, spinal cord cyst, CT, temporal lobe cyst, variable size, large, thin, transparent , clear, colorless fluid, connective tissue, meningothelial cells, thin cyst wall, meningothelial cells, choroid plexus cyst, frequent in children, fetuses, radiologic images, MR , small cyst, choroid cyst, colloid cyst, maldevelopment, headache, nuchal rigidity, round, unilocular, gelatinous cyst, fibrous wall, columnar epithelium, flattened, cuboidal, squamous, mucin, ghost cells, Rathke cleft cyst, dermoid cyst, epidermoid cyst, midline cerebellum, fourth ventricle, skull, spinal dura, cauda equina, well defined, round, oval, opaque, pearly, variable size, variable wall thickness, greasy material, solid components, ependymal cyst, pineal cyst, hydrocephalus, sudden death, thalamic glial cyst, hemorrhage, gliosis, Rosenthal fibers, hemosiderin, no epithelial lining, meningeal cyst, neuroepithelial cyst, pineal cyst, compress aqueduct, needle aspiration , pineal gland, dark calcifications, glial cyst in cerebellum, no communication with ventricles, expected length of survival, shrinkage, tumour volume measured, intraoperative biopsy, Iodine-125 interstitial irradiation, planning interstitial irradiation, postirradiation cyst, stereotactic brachytherapy, dosimetrically, surgically precise, image fusion, leukoencephalopathy, radiation necrosis, neurological deterioration, dementia, tectum, Parinaud syndrome, pineal Gr III astrocytoma, ataxia, cyst,vein of Galeni, vena magna Galeni, vena interna cerebri, tentorial edge marsupialisation, mesencephalic cyst, pineal body, corpus , pineal gland, epiphysis cerebri, epiphysis or the "third eye", endocrine gland, serotonin , melatonin, wake/sleep patterns , superior colliculus, inferior colliculus, cerebellar vermis, 3d ventricle, falx cerebri, lateral mesencephalic vein, superior cerebellar artery, circadian rhythms, low dose radiation brachytherapy, iodine-125 brachytherapy , IBT, dosimetry, image fusion, seed, catheter, stereotaxy, CT , MR, PET, recurrent glioblastoma, encapsuIated, meningioma, permanently implanted , titanium seeds, temporary irradiation, Gamma knife , multileaf collimator, LINAC, vestibular Schwannomas, shrinkage, tumor volume measured, intervention, radiotherapy, radiosurgery, malignant astrocytoma, glioblastoma, radiation fibrosisa multiforme, interstitial irradiation, brain stem glioma, intracranial neoplasia, intratumoral chemotherapy, bleomycin, Ommaya reservoir, cystic craniopharyngioma, solid , Gray, Gy, tumor volume, GTV, CTV, dosis volume, histogram, confomity, radionecrosis, stereotaxy, isotope removal, catheter removal, long check up, minimal invasivity, exscellent results, pinealoma, radiosensitive tumor, gamma irradiation, LDR brachytherapy, surrounding radiation dose, three dimensions, prescribed radiation dose, dose volume histogram, normal tissues, Riechert Mundinger stereotaxy, image fusion, radioactive energy, half-life, decay, seed implantation, radioactive material, low-energy x-rays, plastic catheters, teflon catheter, Pastyr, physician, dose calculation, treatment planning, interstitial brachytherapy , placing radioactive material, ionizing radiation, failure, biopsy, irradiation, volumetric changes, triple ring, prescribed dose, BrainLab-Target 1.19 software, Alfa 430 (Digital) workstation, image fusion verification, 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

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4 December, 2012

Prof. Jeno Julow

4 December, 2012

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