By Vinko V. Dolenc M.D., Ph.D. (auth.)
The determination of Harvey Cushing to go away common surgical procedure and focus on the newborn box of relevant anxious approach surgical procedure was once on reflection a landmark within the historical past of neurosurgery. His targeted paintings, and likewise that of his colleague Walter Dandy, originated with the needs of either pioneers to appreciate surgical anatomy and neurophysiology. the basic wisdom and surgical techni ques that they supplied turned the traditional of excellence for numerous generations of neurosurgeons; quite a bit in order that the overall trust used to be that the surgical strategies couldn't be more desirable upon. Twenty-five to thirty years in the past microtechniques started to appear in a number of surgical study facilities, they have been then steadily utilized to scientific neurosurgery and feature contributed to a brand new point of realizing in surgical anatomy and neurophysiology. we're now lucky to have a brand new common of morbidity and mortality within the surgical operation of intrathecal aneurysms, angiomas, and tumors. it's been acknowledged that microneurosurgery was once attaining its limits, specifically while treating lesions in and round the cavernous sinus and cranium base; these lesions infamous for involvement of the dural and extradural booths, with a bent to infiltrate adjoining nerves and blood vessels. the risks of uncontrollable hemorrhage from the basal sinuses and post-operative CSF rhinorrhea seemed unsurmountable. The lateral elements of the petro-clival quarter were of curiosity to some pioneering ENT surgeons and neurosurgeons however the cavernous sinus in so much respects has remained the ultimate unconquered summit.
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