Endoscopic and microsurgical anatomy of the upper basal cisterns
Microsurgical technique of preparing basal arachnoid cisterns has become a basis of modern neurosurgery since publication of fundamental works by M.G. Yasargil. Wide use of operative endoscopy and endoscopic assistance causes necessity of more profound anatomical studies, concerning this peculiar surgical technique.
The book under discussion is aimed at description of anatomical aspects of supratentorial basal cisterns from the point of view of endoscopic neurosurgery. The decision to write this book has been made by the author under pressure of the fact, that precise MRI and CT cannot be a substitute for direct visualization and dissection, carried out on cadavers and during experimental operations, is a mandatory element of training.
The monograph design does not differ from that of the majority of books by W. Seeger. It is an atlas, which contains figures and diagrams, depicting endoscopic aspects of basal cisterns organization.
The book contains three parts. The first two describe both general notions (basal structures of the brain, forming basal cisterns, their structure and topography) and special aspects (anatomy of the terminal plate, carotid, lateral, chiastic, interpeduncular and ambient cisterns, etc.). The third part brings together existing information on interrelations between separate cisterns, arteries, veins, cranial nerves and adjacent structures.
The textual part is rather compact and occupies only 25 pages. The rest of the book is diagrammatic illustrations, reflecting main aspects of endoscopic anatomy of basal cisterns.
A relative shortcoming of the book is some “moral obsolescence”, i.e. absence of any visual comparison of diagrams with intrascopic and endoscopic views, which makes the book a bit alienated from real anatomy.
Thus, this new monograph by W. Seeger is a useful manual on surgical and endoscopic anatomy of basal cisterns. First of all, it is important for neurosurgeons, being in the process of training and only starting to penetrate into the world of those anatomic diagrams, within which they are to manipulate both with their hands and endoscopic devices.