Clinical Imaging of the Cerebello-Pontine Angle

Clinical Imaging of the Cerebello-Pontine Angle

Paperback(Softcover reprint of the original 1st ed. 1987)

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Clinical Imaging of the Cerebello-Pontine Angle by Anton Valavanis, Othmar Schubiger, Thomas P. Naidich

The cerebello-pontine angle has always posed a challenge to the neurosurgeon, the otoneurosurgeon, and the neuroradiologist. Angle masses which are very small and difficult to detect frequently produce symptoms, but may remain silent while growing to exceptional size. The neuroradiologist must have firm knowl­ edge of the clinical manifestations of the diverse angle lesions in order to tailor his studies to the patients' needs. The majority of angle lesions are benign; thus successful surgery has the potential for complete cure. Angle lesions typically arise in conjunction with vital neurovascular structures, and often displace these away from their expected positions. Large lesions may attenuate the vestibulocochlear and facial nerves and thin them over their dome. Since the nerves often remain functional, the surgeon then faces the need to separate the tumor from the contiguous nerve, with preservation of neurological function. Depending on the exact location and extension of the lesion, resection may best be attempted via otologic or neurosurgical approaches. The neuroradiologist must determine - precisely -the presence, site, size, and extension( s) of the lesion and the displacement of vital neurovascular structures as a guide to selecting the line of surgical attack. Since the arteries, veins, and nerves that traverse the angle are fine structures, the neuroradiologist must perform studies of the highest quality to do his job effectively.

Product Details

ISBN-13: 9783642712067
Publisher: Springer Berlin Heidelberg
Publication date: 11/17/2011
Edition description: Softcover reprint of the original 1st ed. 1987
Pages: 202
Product dimensions: 6.69(w) x 9.61(h) x 0.02(d)

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