Download Advances and Technical Standards in Neurosurgery by L. Jutila, A. Immonen, K. Partanen, J. Partanen, E. PDF

By L. Jutila, A. Immonen, K. Partanen, J. Partanen, E. Mervaala, A. Ylinen, I. Alafuzoff (auth.), J. D. Pickard, V. V. Dolenc, J. Lobo Antunes, H.-J. Reulen, M. Sindou, A. J. Strong, N. de Tribolet, C. A. F. Tulleken, M. Vapalahti (eds.)

As an addition to the ecu postgraduate education approach for younger neurosurgeons, we started to put up in 1974 this sequence of Advances and Technical criteria in Neurosurgery which was once later subsidized through the ecu organization of Neurosurgical Societies. This sequence was once first mentioned in 1972 at a mixed assembly of the Italian and German Neurosurgical Societies in Taormina, the founding fathers of the sequence being Jean Brihaye, Bernard Pertuiset, Fritz Loew and Hugo Krayenbuhl. hence have been verified the rules of eu co­ operation that have been born from the ecu spirit, flourished within the ecu organization, and feature been linked all through with this senes. the truth that the English language is now the overseas medium for verbal exchange at eu clinical meetings is a brilliant asset by way of mutual figuring out. as a result we've got made up our minds to post all contri­ butions in English, whatever the local language of the authors. All contributions are submitted to the total editorial board prior to booklet of any quantity for scrutiny and proposals for revision. Our sequence isn't really meant to compete with the courses of unique medical papers in different neurosurgical journals. Our goal is, fairly, to give fields of neurosurgery and similar parts during which very important contemporary advances were made. The contributions are written by way of experts within the given fields and represent the 1st a part of every one volume.

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An understanding of this biomechanical framework is fundamental for a better comprehension of the injuring forces that the trauma initiates. The whole model has been updated by Ommaya in a recent article (Ommaya AK 1995) and will be briefly summarized in the following paragraphs. Characteristics of Mechanical Loading In accidents the head is only one part of a collision that results in an impact that generally lasts between 5-200 ms (Stalhammar D 1990). Direct impacts generate contact forces of high magnitude and short duration, which at the same time accelerate the body.

The Reticular Formation and the Primary Brainstem Damage Saga The fact that many patients without skull fractures or those with apparently minor injuries to the brain presented coma immediately on impact and showed clinical signs suggesting severe structural brainstem lesions (decerebration rigidity, protracted coma and so on), disoriented both clinicians and investigators. Many of these patients had a poor outcome or remained vegetative. These intriguing findings were considered by many as clear evidence of what was called "primary brainstem damage".

Adv Neurol 79: 583-590 43. Houser CR (1990) Granule cell dispersion in the dentate gyrus of humans with temporal lobe epilepsy. Brain Res 535: 195-204 44. Houser CR, Miyashiro JE, Swartz BE, Walsh GO, Rich JR, DelgadoEscueta A V (1990) Altered patterns of dynorphin immunoreactivity suggest mossy fiber reorganization in human hippocampal epilepsy. J Neurosci 10: 267-282 45. Hudson LP, Monoz DG, Miller L, McLachlan RS, Girvin JP, Blume WT (1993) Amygdaloid sclerosis in temporal lobe epilepsy. Ann Neurol 33: 622631 46.

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