The microneurosurgical anatomy legacy of Albert L. Rhoton Jr., MD: an analysis of transition and evolution over 50 years

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Dr. Albert L. Rhoton Jr. was a pioneer of the study of microneurosurgical anatomy. Championing this field over the past half century, he produced more than 500 publications. In this paper, the authors review his body of work, focusing on approximately 160 original articles authored by Rhoton and his microneuroanatomy fellows. The articles are categorized chronologically into 5 stages: 1) dawn of microneurosurgical anatomy, 2) study of basic anatomy for general neurosurgery, 3) study for skull base surgery, 4) study of the internal structures of the brain by fiber dissection, and 5) surgical anatomy dealing with new advanced surgical approaches. Rhoton introduced many new research ideas and surgical techniques and approaches, along with better microsurgery instruments, through studying and teaching microsurgical anatomy, especially during the first stage. The characteristic features of each stage are explained and the transition phases of his projects are reviewed.

ABBREVIATIONS AANS = American Association of Neurological Surgeons; CN = cranial nerve; ICA = internal carotid artery; MVD = microvascular decompression.
Article Information

Contributor Notes

Correspondence Toshio Matsushima: Fukuoka Sanno Hospital, Fukuoka, Japan. matsuto@kouhoukai.or.jp.INCLUDE WHEN CITING Published online February 2, 2018; DOI: 10.3171/2017.7.JNS17517.Disclosures Dr. Morcos reports an ownership interest in Kogent.

© AANS, except where prohibited by US copyright law.

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References
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    Rhoton AL Jr: Microsurgery of the internal acoustic meatus. Surg Neurol 2:3113181974

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    Rhoton AL Jr: Microsurgical anatomy of the posterior fossa cranial nerves. Clin Neurosurg 26:3984621979

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    Rhoton AL JrFujii KFradd B: Microsurgical anatomy of the anterior choroidal artery. Surg Neurol 12:1711871979

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    Rhoton AL JrYamamoto IPeace DA: Microsurgery of the third ventricle: part 2. Operative approaches. Neurosurgery 8:3573731981

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    Rosner SSRhoton AL JrOno MBarry M: Microsurgical anatomy of the anterior perforating arteries. J Neurosurg 61:4684851984

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    Rubino PARhoton AL JrTong XOliveira Ed: Three-dimensional relationships of the optic radiation. Neurosurgery 57 (4 Suppl):2192272005

  • 110

    Russel DSRubinstein LJ: Pathology of Tumours of the Nervous Systemed 3. London: Edward Arnold1971

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  • 112

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  • 113

    Sen CNSekhar LN: An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum. Neurosurgery 27:1972041990

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    Seoane ERhoton AL Jrde Oliveira E: Microsurgical anatomy of the dural collar (carotid collar) and rings around the clinoid segment of the internal carotid artery. Neurosurgery 42:8698861998

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  • 115

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  • 117

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    Takemura YInoue TMorishita TRhoton AL Jr: Comparison of microscopic and endoscopic approaches to the cerebellopontine angle. World Neurosurg 82:4274412014

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  • 119

    Tanriover NAbe HRhoton AL JrKawashima MSanus GZAkar Z: Microsurgical anatomy of the superior petrosal venous complex: new classifications and implications for subtemporal transtentorial and retrosigmoid suprameatal approaches. J Neurosurg 106:104110502007

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  • 120

    Tanriover NKawashima MRhoton AL JrUlm AJMericle RA: Microsurgical anatomy of the early branches of the middle cerebral artery: morphometric analysis and classification with angiographic correlation. J Neurosurg 98:127712902003

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  • 121

    Tanriover NRhoton AL JrKawashima MUlm AJYasuda A: Microsurgical anatomy of the insula and the sylvian fissure. J Neurosurg 100:8919222004

  • 122

    Tanriover NUlm AJRhoton AL JrYasuda A: Comparison of the transvermian and telovelar approaches to the fourth ventricle. J Neurosurg 101:4844982004

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  • 123

    Tedeschi HRhoton AL Jr: Lateral approaches to the petroclival region. Surg Neurol 41:1802161994

  • 124

    Timurkaynak ERhoton AL JrBarry M: Microsurgical anatomy and operative approaches to the lateral ventricles. Neurosurgery 19:6857231986

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    Wen HTRhoton AL JrKatsuta Tde Oliveira E: Microsurgical anatomy of the transcondylar, supracondylar, and paracondylar extensions of the far-lateral approach. J Neurosurg 87:5555851997

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    Yagmurlu KRhoton AL JrTanriover NBennett JA: Three-dimensional microsurgical anatomy and the safe entry zones of the brainstem. Neurosurgery 10 (Suppl 4):6026202014

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    Yagmurlu KVlasak ALRhoton AL Jr: Three-dimensional topographic fiber tract anatomy of the cerebrum. Neurosurgery 11 (Suppl 2):2743052015

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