By Griffith R. Harsh, Ivo P. Janecka, Henry J. Mankin, Robert G. Ojemann, Herman Suit

Written through a world-class staff of multidisciplinary specialists, this is the
first definitive reference on those hugely tough tumors taking place in
the cranium base and backbone. masking every little thing from their embryology and
pathology, medical presentation and prognosis, radiologic visual appeal, surgical
treatment, radiation treatment, and analysis, it's the such a lot accomplished booklet
ever written at the subject.

Special features:

  • All to be had details on those tumors packed into
    a unmarried quantity
  • top quality illustrations that make anatomy and
    surgical technique crystal-clear
  • participants comprise: Albert Rhoton Jr., Harry Van
    Loveren, Laligam Sekhar, Robert Spetzler, and Chandranath Sen
  • contains substitute tools of remedy, ranging
    from surgical procedure to radiation modalities, with recurrence and end result assessment

For all experts
who deal with tumors of the cranium base and backbone, together with neurosurgeons,
otolaryngologists-head and neck surgeons, ophthalmologic surgeons, and
orthopedic surgeons.

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Extra resources for Chordomas and chondrosarcomas of the skull base and spine

Example text

Of these, 35 (63%) occurred at the skull base, 12 (21%) were in the sacrococcyx, a n d 9 (16%) were within the vertebral column. 2 Memorial Hospital reported on 46 patients, only three of w h o m were younger than 20 years at diagnosis. T h e youngest was a 21-year-old child with vertebral involvement; the other two had sphenoid tumors. In a Swedish series totaling 51 patients, only three were younger than 20 years at diagnosis. Two of these three had vertebral tumors, and the third h a d a sphenooccipital tumor.

Case report. J Neurosurg. 1991;75:800–803. 26. Menezes AH, Sato Y. Primary tumors of the spine in children—natural history and management concepts. Pediatr Neurosurg. 1990;10:30–53. 27. DiLorenzo N, Palatinsky E, Bardella L, et al. Benign osteoblastoma of the clivus removed by a transoral approach: case report. Neurosurgery. 1987;20:52–55. 28. Janin Y, Epstein JA, Carras R, et al. Osteoid osteoma and osteoblastoma of the spine. Neurosurgery. 1981 ;8:31–38. 29. Marsh BW, Bonfiglio M, Brady LP, et al.

T h e clinical entity of "cruciate paralysis" stems f r o m pressure on the u p p e r portion of the pyramidal tract. 8 T h e sensory modalities most frequently affected are pain a n d temperature, followed by a loss of proprioception a n d patchy hypesthesia. Suspended sensory loss with regions of relatively preserved sensation in the upper extremities adds confusion to the presentation. T h e disassociated sensory loss that often accompanies an intramedullary process has been described in fully one fourth of patients with extraaxial lesions of the craniocervical junction.

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