Search Results

You are looking at 1 - 10 of 338 items for :

  • "subtemporal approach" x
Clear All
Restricted access

Gilbert Horrax

, whereas by the older methods, removal almost always had been either incomplete or uncertain. The operation described in this article is, to all intents and purposes, the same subtemporal approach which is used today for division of the sensory root behind the ganglion. Cushing's illustrations show that not only the ganglion but also the sensory root of the trigeminal nerve was extirpated, but it was not realized until the work of Spiller and Frazier 34 a year later that it was necessary only to divide the root, thus making removal of the ganglion superfluous. During

Restricted access

Antonio Gonzalez Revilla

white male aged 60, was admitted July 11, 1932 with the chief complaint of tic douloureux on the right, affecting the 3 branches equally with trigger zones in the 1st, for 18 years. Six years previously section of the 5th nerve on the right by the subtemporal approach had been done elsewhere with relief of symptoms for 2 years, after which pain recurred affecting only the 1st branch on the same side. He also complained of an intermittent bad taste on the right side of the tongue. Twenty years previous to admission he had punctured his right ear drum in attempting to

Restricted access

Beniamino Guidetti

performed at a level corresponding to the lower end of the 4th ventricle. This modification has practically eliminated the danger of laryngeal palsy, and the disturbances of gait and station. Considering that the trigeminal tractotomy is an intervention which is potentially more dangerous than section of the sensory fibers by the subtemporal approach, and because it is followed by a relatively great number of recurrences, it cannot be used as a routine measure. It is indicated in a restricted number of subjects in whom preservation of the tactile sensation in the face

Restricted access

Intracranial Actinomycosis

Report of an Unusual Case

George L. Maltby

, 1949, the region of the left gasserian ganglion was explored by the standard subtemporal approach. The landmarks were slightly distorted. When the ganglion was opened, a mass filling Meckel's cave and within the dura over the ganglion was disclosed. Grossly it appeared neoplastic. Frozen section diagnosis: Acute and chronic infection. The mass was completely removed, and the fibers of the 3rd division were divided. Postoperative Course . He was completely free of pain. The area supplied by the left 3rd division was anesthetic. He was discharged markedly improved

Restricted access

Charles A. Carton

I n a study of patients with trigeminal neuralgia in whom sensory root section had been performed via the extradural, subtemporal, approach, the incidence of postoperative herpes simplex infection in the denervated areas was surprisingly high, 16 of 17 patients in the initial series having had this complication. 3 Since this report, 28 of 30 patients have shown typical homolateral herpetic lesions postoperatively, a total of 44 of 47 cases (93.6 per cent). It was established that this clinical eruption was without doubt caused by herpes simplex virus. ** It

Restricted access

Aqueduct Stenosis

Clinical Aspects, and Results of Treatment by Ventriculo-Cisternostomy (Torkildsen's Operation)

Kenneth W. E. Paine and Wylie McKissock

this new method in a series of 34 patients. In this series 4 patients died postoperatively and 1 died 6 months after operation. Of the remaining 12, 11 were relieved of their intracranial hypertension for periods varying from 2 months to 14 years. Only 1 survivor was not relieved by operation. Dandy 4 had earlier experimented with the operation of third ventriculostomy, his method being to puncture the posterolateral wall of the third ventricle through a subtemporal approach. He reasoned that the falling back of the medial portion of the temporal lobe would close

Restricted access

E. H. Botterell, W. M. Lougheed, J. W. Scott and S. L. Vandewater

additional 40 minutes, reaching 30.6°C. (87.1°F.) where it remained till she was rewarmed by water at 40.0°C. (104.0°F.). She returned to the recovery room with a temperature of 32.7°C. (90.9°F.) recovering consciousness some 8 hours postoperatively, when her temperature was 36.6°C. (97.9°F.). There were no cardiac irregularities during the operation. Operation . Through a subtemporal approach the neck of the aneurysm was defined without difficulty. Using hexamethonium 15 minutes before the exposure the mean blood pressure was reduced from 120 to 80. As a clip was

Restricted access

Carl H. H. Baumann and Paul C. Bucy

relieved by antibiotics, the tumors of the breasts were removed on Oct. 17, 1954 and found to be benign adenomas. Operation . On Oct. 18, 1954, under general anesthesia, a left osteoplastic craniotomy was performed. An intradural subtemporal approach was made to the petrous apex. However, it was readily seen that the mass lay extradurally. The tumor was exposed by elevating the dura mater from the floor of the temporal fossa. The tumor capsule was opened and the contents were found to be dry, cheesy, grey material. This was removed without difficulty. Approximately 30

Restricted access

Manucher Javid

be kept under careful observation with special attention to accurate measurement of fluid intake, urinary output, as well as daily serum-electrolyte studies and adequate replacement of water. 3 Experimental Neurosurgery We have observed shrinkage of brain in monkeys, cats, and dogs 6 following the use of urea. This agent is useful in various experimental procedures when reduction of brain volume is desirable, especially when it is important to gain access to deeper structures of brain, e.g., removal of mammillary bodies by direct subtemporal approach. 1

Restricted access

Bleeding Aneurysms of the Basilar Artery

Direct Surgical Management in Four Cases

Charles G. Drake

lesions, it seemed proper to present and discuss 4 cases in which a basilar aneurysm was attacked directly in urgent fashion because of repeated bleeding. Three patients were operated upon within 24 hours of the last haemorrhage, and the other 36 hours after. The surgical method was similar in each case. Through dissection of a cadaver, it was seen that the upper one-third of the basilar artery and its bifurcation are exposed simply by an anterior subtemporal approach, through the tentorial opening into the interpeduncular cistern. During induction of artificial