By Klaus Joachim Zülch Professor Dr. (auth.)
This Atlas is one in all a chain dedicated to neurosurgical and neuro logical stipulations and is complementary to Atlas of the Histology of mind Tumors (Springer-Verlag, Berlin-Heidelberg-New York 1971), which was once the 1st within the atlas sequence. The Atlas is predicated at the Handbuch der Neurochirurgie, Vols. I and III (Springer 1956, 1959) yet, while this can be a complete reference paintings, the current e-book is meant to provide the training neurosurgeon, neuroradiolo gist, neuropathologist and neurologist the concise info they wish for diagnostic reasons about the point, website, and ma lignancy of tumors and different space-occupying lesions within the mind. The schematic diagrams exhibiting the websites of predilection of those tumors, in addition to a piOgnosis in response to the measure of malignancy, can be most dear right here. The early chapters speak about the overall ideas governing displace ments because of space-occupying lesions and the manifestations of mind herniations. different neurosurgical stipulations, similar to localized inflammatory methods, edema and obstructive hydrocephalus, are handled in short chaptets; hence i've got selected to teach the various rarer stipulations instead of all of the universal lesions. regardless of possible destiny adjustments in terminology and class, we have now retained the category utilized in the Atlas of Histology of mind Tumors.
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Prognosis. A morphological classification is of little value to the clinician if it does not include an estimate of clinical prognosis based on morphology. This is an old task of pathology. The work of BAILEY and CusHING (1926, 1930) might even be regarded as the precursor of a system of malignancy gradings, which they expressed in terms of post-operative survival time. However, one fundamental failing of such an abstract evaluation of biological behavior based solely on morphology is immediately apparent-it fails to account either for the effects of a space-occupying lesion within the closed confines of the intracranial cavity or for its vital position within the substance of the brain.
70 Medulloblastom a of the cerebellum. 71 Ependymoma of the fourth 42 ventricle . 72 Angioblastoma in the fourth ventricle. 73 Angioblastoma of the cereb ellar hemisphere. 74 Astrocyt oma of the pons . ) Spinal Tumors 76 Neurinoma, spinal. 77 Meningioma, spinal. 78 Ependymoma of the spinal cord Table 6. ------------------------------------------- --------- 43 Tumor and Related Processes Sex Distribution of Patients with Brain Tumors Age Incidence Sex distribution and the discovery of a clear sex predilection for of certain tumor types has proven to be particularly noteworthy.
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