This edition is a logic continuation of the textbook and monograph, published by the authors some years ago and describing particular aspects of treatment of patients with intracranial meningiomas. The present monograph is the most complete and comprehensive book in Russian, dedicated to a rather extensive field of neurooncology. Works by the leading neurosurgeons of the world, written during the last decade are analyzed; an experience of twenty years, gained by the specialists of the Polenov Research Neurosurgical Institute is summarized and systematized. The material is presented in a clear and step-by-step form and supplied with a lot of original illustrations.
Epidemiology and the role of some factors in development of meningiomas are described in section I. Besides, it contains various classifications of intracranial meningiomas; information on their pathomorphology and histobiological properties; systemic and local changes in the blood coagulation system in response to appearance and development of meningiomas; hemocoagulation disorders, arising during their removal. Up-to-date data on causes of changes in a perifocal zone of intracranial meningiomas are given in chapter III. The authors emphasize, that successful diagnosis depends not only on perfect technical means (CT and MRI), but also craniography, which has not lost its diagnostic significance especially at a polyclinic stage. The section, dedicated to angiographic examination, contains detailed information on blood supply of tumors of different localization and its sources, relationships between a tumor and vessels, a degree of venous sinuses damage.
Main principles of support in operations for intracranial meningiomas are presented in detail in section II. It describes theoretical and practical aspects of anesthesiologic support, typical of a preoperative preparation, at each stage of an intervention and a postoperative period. Electrophysiologic methods, used for intraoperative control of a functional state of the brain and cranial nerves, and design of an operating room, equipment and microsurgical instruments are discussed.
The main section (III) of the monograph is dedicated to surgery of intracranial meningiomas. Some of its chapters contain information on a head position, its fixing, surgical approaches with their advantages and disadvantages, described in detail and illustrated by color photographs and diagrams, depicting microanatomy of different areas of the brain and skull base.
A clinical picture, diagnosis and surgical treatment of meningiomas with supra-, subtentorial and supra-subtentiroal localization are discussed profoundly in chapters 9-14. As for chapter 16, it is dedicated to meningiomas in children. The last section of the monograph describes tactics of treatment of postoperative complications, the nearest and remote results of surgery of patients with intracranial meningiomas.
The monograph under review is of great importance for both practical neurosurgeons and lecturers, engaged in the system of postgraduate education. We hope, that it will become a handbook of permanent use not only for neurosurgeons, but also for other specialists, interested in diagnosis and treatment of patients with intracranial meningiomas.
Head of the Chair of Neurosurgery of the Russian
Chief Neurosurgeon of the Russian Ministry of Defense
Doctor of Medical Science, Professor