Operative Cranial Neurosurgical Anatomy

One-of-kind textbook provides comprehensive tutorial on cranial anatomy with step-by-step text and visuals

Dissection in the anatomical laboratory is a mandatory component of training for neurosurgeons. Acquisition of highly
technical skills is a long and arduous task, requiring knowledge of complex surgical anatomy and basic steps for
single surgical approaches. Unlike dense textbooks, Operative Cranial Neurosurgical Anatomy by Filippo Gagliardi,
Cristian Gragnaniello, Pietro Mortini, and Anthony Caputy provides readers with a user-friendly tutorial on cranial
approaches, clearly delineated through concise written instructions and serial images.

Essential procedural aspects are discussed in 53 chapters, starting with sections on pre-surgical training and
planning, patient positioning, and basic techniques. Subsequent sections detail cranial approaches; transpetrosal
approaches; endonasal, transoral, and transmaxillary procedures; vascular procedures; and ventricular shunts
procedures. Surgical technique fundamentals and basic variants, including surgical anatomy and landmarks, are
highlighted in 500 figures and illustrations.

Key Features

　•　Summaries, graphics, and schematic drawings provide immediate access to salient information to utilize
　　 during surgical dissections and for surgical preparation
　•　A wide spectrum of cranial procedures covered in 23 chapters – from the precaruncular approach to the
　　 medial orbit and central skull base – to surgical anatomy of the petrous bone
　•　Diverse endonasal procedures including sublabial, transphenoidal, modified lothrop, odontoidectomy, and
　　 endoscopic endonasal transmaxillary
　•　Vascular procedures such as middle cerebral artery bypass and internal maxillary artery bypass

This reader-friendly handbook is a must-have resource for every neurosurgical resident and an excellent refresher
for all neurosurgeons. It will help residents and fellows optimize the time and quality of practical training in the
cadaver lab, learn fundamental surgical techniques in cranial neurosurgery, and thoroughly prepare for cranial
neurosurgical cases.

This book includes complimentary access to a digital copy on https://medone.thieme.com.




Part I: Presurgical Training
　1 Training Models in Neurosurgery
　2 Assessment of Surgical Exposure

Part II: Planning, Patient Positioning, and Basic Techniques
　3 Anatomical Landmarks and Cranial Anthropometry
　4 Presurgical Planning By Images
　5 Patient Positioning
　6 Fundamentals of Cranial Neurosurgery
　7 Skin Incisions, Head and Neck Soft-Tissue Dissection
　8 Techniques of Temporal Muscle Dissection
　9 Intraoperative Imaging

Part III: Cranial Approaches
　10 Precaruncular Approach to the Medial Orbit and Central Skull Base
　11 Supraorbital Approach
　12 Trans-Ciliar Approach
　13 Lateral Orbitotomy
　14 Frontal and Bifrontal Approach
　15 Frontotemporal and Pterional Approach
　16 Mini-Pterional Approach
　17 Combined Orbito-Zygomatic Approaches
　18 Midline Interhemispheric Approach
　19 Temporal Approach and Variants
　20 Intradural Subtemporal Approach
　21 Extradural Subtemporal Transzygomatic Approach
　22 Occipital Approach
　23 Supracerebellar Infratentorial Approach
　24 Endoscopic Approach to Pineal Region
　25 Midline Suboccipital Approach
　26 Retrosigmoid Approach
　27 Endoscopic Retrosigmoid Approach
　28 Far Lateral Approach and Principles of Vertebral Artery Mobilization
　29 Trans-Frontal-Sinus Subcranial Approach
　30 Transbasal and Extended Subfrontal Bilateral Approach
　31 Trauma Flap and Osteo-Dural Decompression Techniques
　32 Surgical Anatomy of the Petrous Bone

Part IV: Transpetrosal Approaches
　33 Anterior Petrosectomy
　34 Presigmoid Retrolabyrinthine Approach
　35 Translabyrinthine and Transcochlear Transpetrosal Approach

Part V: Endonasal, Transoral, and Transmaxillary Procedures
　36 Nasal Surgical Anatomy
　37 Microscopic Endonasal and Sublabial Approach
　38 Endoscopic Endonasal Transphenoidal Approach
　39 Expanded Endoscopic Endonasal Approach
　40 Endoscopic Endonasal Modified Lothrop Approach to Anterior Cranial Fossa
　41 Endoscopic Endonasal Odontoidectomy
　42 Endoscopic Transoral Approach
　43 Transmaxillary Approaches
　44 Transmaxillary Transpterygoid Approach
　45 Endoscopic Endonasal Transclival Approach with Transcondylar Extension
　46 Endoscopic Endonasal Transmaxillary Approach to the Vidian Canal And Meckel's Cave

Part VI: Vascular Procedures
　47 Superficial Temporal Artery & Middle Cerebral Artery Bypass
　48 High Flow Bypass (Common Carotid Artery & Middle Cerebral Artery)
　49 Middle Cerebral Artery & Internal Maxillary Artery Bypass

Part VII: Ventricular Shunts Procedures
　50 Anthropometry for Ventricular Puncture
　51 Ventricular-Peritoneal Shunt
　52 Endoscopic Septostomy
　53 Endoscopic Third Ventriculostomy and Biopsy of Pineal Region