Microsurgical Anatomy and Surgery of the Posterior Cranial Fossa: Surgical Approaches and Procedures Based on Anatomical Study

328 Pages·2015·41.46 MB·English

by  Toshio Matsushima (auth.)

Toshio Matsushima
Microsurgical Anatomy
and Surgery of the
Posterior Cranial Fossa
Surgical Approaches
and Procedures Based on
Anatomical Study
123
Microsurgical Anatomy and Surgery
of the Posterior Cranial Fossa

Toshio Matsushima
Microsurgical Anatomy
and Surgery of the Posterior
Cranial Fossa
Surgical Approaches and Procedures
Based on Anatomical Study
ToshioMatsushima
DepartmentofNeurosurgery
FacultyofMedicine,SagaUniversity
Saga,Japan
ThisEnglishtranslationisbasedontheJapaneseOriginal“KouzugaikanoBishougekakaiboto
Shujyutsu”byToshioMatsushima#SciMedPublications,2006
OriginallypublishedinJapanin2006
ISBN978-4-431-54182-0 ISBN978-4-431-54183-7(eBook)
DOI10.1007/978-4-431-54183-7
SpringerTokyoHeidelbergNewYorkDordrechtLondon
LibraryofCongressControlNumber:2014947536
#SpringerJapan2015
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Foreword
Itisagreathonortohavebeenaskedtowritetheforewordtothistextthatbringsordertoone
ofthemostcomplexareastheneurosurgeonfaces.Neurosurgeonsarefortunatetohaveaccess
tothisbookbyoneoftheworld’sgreatmastersofposteriorfossasurgery.Thisvolumestands
as a tribute to Dr. Matsushima’s dedication to academic excellence and operative neurosur-
gery.ProfessorMatsushimahascompletedmorethan40yearsofintensivestudyofposterior
fossa anatomy and has translated that information into accurate, gentle, and safe surgical
approaches tothisdelicate area. Ihave learned much fromhis previous workand know that
neurosurgeons around the world will benefit greatly from this volume. Dr. Matsushima
presents a wealth of information in a concise, well organized format. This book provides a
detailedreviewoftheanatomyoftheposteriorfossafollowedbydescriptionsoftheoperative
approaches. I found the contents of this book to be interesting, enlightening, and beneficial
evenafterdecadesofneurosurgicalpractice.CongratulationstoProfessorMatsushima,oneof
the world’s greatest authorities on the posterior fossa, for this outstanding contribution. The
study of this volume will make the neurosurgeon’s work more accurate, gentle, precise and
safe.
Gainesville,FL,USA AlbertL.Rhoton,Jr.,M.D.
v

Foreword
Iwouldliketocongratulatethatthisbook,originallypublishedinJapanese,isnowavailable
in English to benefit neurosurgeons worldwide. It is a compilation of many years’ work by
Dr.ToshioMatsushima,focusingonthemicrosurgicalanatomyoftheposteriorfossa.
Dr.Matsushimabegan hisneurosurgicalcareer atKyushuUniversity,Japan in1974,and
wasoneofthepioneeringresearcherstostudyabroadatDr.AlbertL.Rhoton’slaboratoryat
theUniversityofFloridain1980.Hispassionformicrosurgicalanatomywasinspiredbyhis
mentorDr.Rhoton’sworkduringhistimeatGainsville,andhehascontinuedtopursuethis
subjecteversince.
AfterreturningtoKyushu,hecontinuedhisworkonmicrosurgicalanatomy,exploringthe
many challenges and issues he confronted in his clinical neurosurgical practice. This time
roughlycoincidedwiththeperiodoftherapiddevelopmentofmicroneurosurgeryaroundthe
worldincludingJapan.Throughoutthesecriticalyears,hemaintainedacloserelationshipwith
Dr. Rhoton, sending a stream of excellent young neurosurgeons from Kyushu University to
studyatRhoton’slaboratory,wheretheycontributedgreatlytothefield,producingnumerous
publications.IconsiderDr.Matsushimatobeoneofthemostinfluentialfiguresinthefieldof
microneurosurgicalanatomy,alongwithDr.EvandrodeOliveirafromSa˜oPaulo,whohave
helped Dr. Rhoton develop this new field over the past several decades and spread their
knowledgetotheworld.
Dr.MatsushimaendeavoredtofoundtheSocietyofMicroneurosurgicalAnatomyinJapan
in 1986. The Society’s annual meeting is counting its 28th anniversary, with its contents
published as a book every year. In 2002, Dr. Matsushima partnered with Dr. Rhoton as Co-
President to organize the first International Symposium on Microneurosurgical Anatomy in
Matsumoto,Japan;thesymposiumhassincebeenheld4timesinlocationsaroundtheworld.
Hisfieldsofinterestcoverabroadrangeofneurosurgery,andhehasbeenespeciallykeen
in microsurgical anatomy and surgical approaches to the posterior fossa. His initial work
focused on the venous system of the posterior fossa including the venous sinuses of the
tentorium. Understanding the anatomy of the venous system including collaterals and
variations is important to avoid postoperative complications, especially as we do not have
effective means to monitor venous circulation. As for surgical approaches, I believe his
naming of the trancondylar fossa approach is the most appropriate among other proposed
terminologies.Additionally,hisproposalofatranscerebellomedullaryfissureapproachtothe
fourth ventricle, as well as the infraflocular approach to the root exit zone of the seventh
cranialnerveareamonghismostimportantresearchcontributions.
Becausetheposteriorfossarepresentsarelativelysmallvolumeconfinedwithintheskull
that includes numerous vital structures such as the brainstem, cranial nerves, and arteries,
surgical approaches are very difficult. One of my interests has also been the posterior fossa,
andIwasonceinvolvedinthestudyoftheNervusintermediuswithDr.RhotonattheMayo
Clinicinthelate1960’sbeforehemovedtoGainesville;wewroteapaperonthenerve.This
inspiredmetotakeupvestibularschwannomasurgeryasoneofmycareerspecialties.
vii
viii Foreword
Ihighlyrecommendthisuniqueandcondensedbookonmicroneurosurgicalanatomyand
surgical approaches of the posterior fossa to neurosurgeons wishing to accomplish accurate
andsafeoperationsforvariousposteriorfossalesions.
Matsumoto,Japan ShigeakiKobayashi,M.D.
Foreword
This anatomical book on “Microsurgical Anatomy and Surgery of the Posterior Cranial
Fossa” published by Toshio Matsushima is a magnificent complement to the study and
comprehensionoftheposteriorfossa.
In this book Toshio shows a clear vision of all his experience and the importance of the
microanatomyintheneurosurgery.
Thisissuenotonlypresentsanexcellentanatomicalmaterialaswellascorrelatedwiththe
RM/CTimagesandsurgeries.
This is a super work and certainly an extraordinary support to residents or senior
neurosurgeons.
NowpublishedinEnglishitcanbereadforallaroundtheworld.Ihavenodoubtthatitwill
beofagreatimportanceforalllevelsofclinicalandneurosurgicalpractices.
Sa˜oPaulo,SP,Brazil EvandrodeOliveira,M.D.
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