Microneuroanatomy and Surgery: A Practical Anatomical Guide

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Microneuroanatomy is essential to understanding the brain. In many cases, passing on neuroanatomical knowledge is a difficult task to accomplish, yet this is chiefly due to those who are tasked with conveying this knowledge in classes and lectures, or in books.

In reality, neuroanatomy is simple and needs to be understood as a tool for approaching the different areas of the brain, not as an obstacle, and the only way to overcome this problem is to correlate neuroanatomy with various types of disease (arteriovenous malformations, aneurysms, tumors, cavernomas, hydrocephalus, etc.)

This book provides a novel approach to the relation between microneuroanatomy and brain diseases. Each chapter addresses a specific neuroanatomical region, and correlates all the key neuroanatomical aspects with diseases that affect it; further, each chapter provides detailed insights into safely performing brain surgery in the respective region.   

Author(s): Feres Chaddad-Neto, Marcos Devanir Silva da Costa
Publisher: Springer
Year: 2022

Language: English
Pages: 354
City: Cham

Foreword
Foreword
Foreword
Preface
Acknowledgments
Contents
Chapter 1: Surgical Anatomy of the Sulci and Gyri of the Brain
1.1 Definitions
1.2 Superolateral Surface
1.3 So How to Differentiate the Precentral from the Postcentral Sulcus?
1.4 Frontal Lobe
1.5 Is There a Cranial Landmark for the Inferior Frontal Gyrus?
1.6 Temporal Lobe
1.7 Parietal Lobe
1.8 Occipital Lobe
1.9 Insular Lobe
1.10 Medial Surface
1.11 Basal Surface
Suggested Bibliography
Chapter 2: Surgical Anatomy of the Frontal Lobe
2.1 The Superolateral Surface
2.1.1 Surgical Case 1
2.2 The Medial Surface
2.2.1 Surgical Case 2
2.2.2 Surgical Case 3
2.3 The Basal Surface
2.3.1 Surgical Case 4
Suggested Bibliography
Chapter 3: Surgical Anatomy of the Parietal and Occipital Lobes
3.1 Introduction
3.1.1 The Superolateral Surface
3.1.2 Case 1 Lateral Surface
3.2 Key Questions Regarding Case 1
3.2.1 What Is the Location of the Arteriovenous Malformation AVM? Which Landmarks Should Be Intraoperatively Identified to Guide Resection?
3.2.2 What Is the Appropriate Craniotomy to Approach Such Pathology? Which Craniometric Landmarks Can Be Used to Plan It?
3.2.3 Which Deep Structures Are Involved in This Lesion? What Are the Functions Related to It? Is It Compatible with the Neuropsychological Evaluation?
3.2.4 Regarding Case 1 (Figs. 3.2, 3.4, 3.5, and 3.6), on the Lateral Surface, Considering the Angiographic Images Shown Below, What Is the Related Vascularization?
3.3 Case 2 Lateral Surface
3.3.1 Based on the Figure, What Is the Location of the AVM?
3.3.2 Are There Any Craniometric Points Relevant to the Inferior Parietal Lobule?
3.3.3 Which Are the Deep Structures Related to the Inferior Parietal Lobule?
3.3.4 Finally, Still Regarding Case 2, What Is the Vascularization of This AVM?
3.4 Medial Surface
3.4.1 Where Is the AVM Located?
3.4.2 Which Arteries Supply This AVM?
3.5 Sylvian Surface
3.6 Occipital Lobe
Suggested Bibliography
Chapter 4: Surgical Anatomy of the Temporal Lobe
4.1 Introduction
4.2 Inferior Horn of the Lateral Ventricle and Boundaries
4.3 Temporal Stem
4.4 Sagittal Stratum
4.5 Functions of the Temporal Lobe
4.5.1 Lateral Surface of the Temporal Lobe
4.5.1.1 Surface Anatomy and Delimitation
4.5.2 Vascularization of the Lateral Temporal Surface
4.5.2.1 Arterial Supply
4.5.2.2 Venous Drainage
4.5.3 Approaches to the Lateral Surface of the Temporal Lobe
4.5.3.1 Anterior Part of Lateral Surface
4.6 Planning the Surgery
4.6.1 Posterior Part of Lateral Surface
4.7 Planning the Surgery
4.8 The Medial Surface of the Temporal Lobe
4.8.1 Surface Anatomy
4.8.2 Vascularization of the Medial Temporal Surface
4.8.2.1 Arterial Supply
4.9 PCA Branches to the Medial Temporal Lobe
4.9.1 Venous Drainage
4.10 Basal Surface of the Temporal Lobe
4.10.1 Surface Anatomy
4.10.2 Vascularization of Basal Temporal Surface
4.10.2.1 Arterial Supply
4.10.2.2 Venous Drainage
4.10.3 Approaches to the Medial and Basal Temporal Lobe
4.10.3.1 Transcortical Transventricular Approach to the Temporal Horn
4.10.3.2 Supracerebellar Infratentorial Approach to a Posterior Parahippocampus AVM
4.11 Sylvian Surface of the Temporal Lobe
4.11.1 Surface Anatomy
4.11.2 Vascularization of the Sylvian Surface of the Temporal Lobe
4.11.2.1 Arterial Supply
4.11.2.2 Venous Drainage
4.11.3 Approaches to the Sylvian Surface of the Temporal Lobe
Suggested Bibliography
Chapter 5: Surgical Anatomy of the Central Core of the Brain
5.1 Introduction
5.2 Insular Cortex
5.3 Extreme Capsule, Claustrum, and External Capsule
5.4 Lentiform Nucleus
5.5 Caudate Nucleus
5.6 Internal Capsule
5.7 Thalamus
Suggested Bibliography
Chapter 6: Surgical Anatomy of the Lateral Ventricles
6.1 Fornix
6.2 Corpus Callosum
6.3 Foramen of Monro
6.4 Vascularization
6.5 Frontal Horn
6.6 Body of the Lateral Ventricle
6.7 Atrium and Posterior Horn
6.8 Temporal Horn
Suggested Bibliography
Chapter 7: Surgical Anatomy of the Third Ventricle
7.1 Anterior Wall
7.2 Floor
7.3 Roof
7.4 Posterior Wall
7.5 Lateral Wall
7.6 Vascularization
Suggest Bibliography
Chapter 8: Surgical Anatomy of the Cerebellum and the Fourth Ventricle
Suggested Bibliography
Chapter 9: Surgical Anatomy of the Midbrain
9.1 Introduction
9.2 Cisternal Relationships
9.3 Vascular Relationships
9.4 Cranial Nerve Relationships
9.5 Cisternal Relationships
9.6 Vascular Relationships
9.7 Cranial Nerve Relationships
9.8 Cisternal Relationships
9.9 Vascular Relationships
9.10 Cerebellomesencephalic Fissure
Suggested Bibliography
Chapter 10: Surgical Anatomy of the Pons
10.1 Introduction
10.2 Illustrative Case 1
10.2.1 Anterior Surface: Cisternal, Vascular, and Cranial Nerve Relationships
10.2.2 Lateral Surface: Cisternal, Vascular, and Cranial Nerve Relationships
10.3 Illustrative Case 2
10.4 Illustrative Case 3
10.5 Illustrative Case 4
Suggested Bibliography
Chapter 11: Surgical Anatomy of the Medulla Oblongata
11.1 Introduction
11.2 External Configuration
11.2.1 Ventral Surface
11.2.2 Lateral Surface
11.2.3 Dorsal Surface
11.3 Internal Configuration
11.3.1 Gray Matter
11.3.2 White Matter
11.4 Vascular Anatomy of the Medulla
11.5 Surgical Considerations
11.5.1 Anterolateral Medulla
11.5.2 Posterior Medulla
11.6 Far Lateral Approach
11.6.1 Positioning
11.7 Trichotomy
11.7.1 Marking, Antisepsis, and Scalp Incision
11.8 Craniotomy
11.9 Illustrative Case
Suggested Bibliography
Chapter 12: Surgical Anatomy of the Anterior Basal Cisterns
12.1 Introduction
12.2 The Cisterns
12.2.1 Hemispheric Cistern
12.2.2 Carotid Cistern
12.2.2.1 Anterior Compartment
12.2.2.2 Posterior Compartment
12.2.3 Chiasmatic Cistern
12.2.4 Sylvian Cistern
12.2.4.1 Sphenoidal Compartment
12.2.4.2 Opercular-Insular Compartment
12.2.5 Olfactory Cistern
12.2.6 Lamina Terminalis Cistern
12.2.7 Pericallosal Cistern
12.3 Conclusion
Suggested Bibliography
Chapter 13: Surgical Anatomy of the Posterior Basal Cisterns
13.1 Interpeduncular Cistern
13.1.1 Clinical Case 1
13.2 Crural Cistern
13.3 Ambient Cistern
13.3.1 Clinical Case 2
13.4 Quadrigeminal Cistern
13.5 Cistern of the Velum Interpositum
13.6 Tentorial Incisura Relations
13.7 Arterial Relations
13.8 Venous Relations
Suggested Bibliography
Chapter 14: Surgical Anatomy of the Posterior Fossa Cisterns
14.1 Posterior Fossa Cisterns
14.1.1 Cisterna Magna
14.1.2 Interpeduncular Cistern
14.1.3 Prepontine Cistern
14.1.4 Premedullary Cistern
14.1.5 Quadrigeminal Cistern
14.2 Superior Cerebellar Cistern
14.2.1 Cerebellopontine Cistern
14.2.2 Cerebellomedullary Cistern
14.3 Conclusion
Suggested Bibliography
Chapter 15: Surgical Anatomy of the Sellar Region
15.1 Osseous Relationships
15.2 Sphenoid Bone
15.3 Sphenoid Sinus
15.4 Pituitary Gland and Diaphragma Sellae
15.5 Sella and Carotid Artery
15.6 Suprasellar Relationships
15.7 Final Considerations
Suggested Bibliography
Chapter 16: Surgical Anatomy of the Parasellar Region
16.1 Sphenoid Bone
16.2 Cavernous Sinus
16.3 Trigeminal Nerve
16.4 Ophthalmic Artery
16.5 Anterior Clinoid Process
16.6 Optic Strut
16.7 Anterior Clinoidectomy
Suggested Bibliography
Chapter 17: Surgical Anatomy of the Foramen Magnum
17.1 Surgical Case 1
17.2 Surgical Case 2
17.3 Surgical Case 3
17.4 Conclusion
Suggested Bibliography
Chapter 18: Surgical Anatomy of the Pineal Region
18.1 Anatomy of the Pineal Region or Posterior Incisural Space
18.1.1 Introduction
18.1.2 Neural Relationships
18.1.3 Cisternal Relationships
18.1.4 Ventricular Relationships
18.1.5 Arterial Relationships
18.1.6 Venous Relationships
18.2 Surgical Considerations
18.3 Illustrative Case
Suggested Bibliography
Index