By Vinko V. Dolenc M.D., Ph.D. (auth.)
The selection of Harvey Cushing to go away basic surgical procedure and focus on the baby box of relevant anxious procedure surgical procedure was once looking back a landmark within the historical past of neurosurgery. His centred paintings, and likewise that of his colleague Walter Dandy, originated with the wishes of either pioneers to appreciate surgical anatomy and neurophysiology. the basic wisdom and surgical techni ques that they supplied turned the traditional of excellence for numerous generations of neurosurgeons; a lot in order that the overall trust used to be that the surgical innovations couldn't be more advantageous upon. Twenty-five to thirty years in the past microtechniques started to appear in a couple of surgical examine facilities, they have been then progressively utilized to medical neurosurgery and feature contributed to a brand new point of knowing in surgical anatomy and neurophysiology. we're now lucky to have a brand new commonplace of morbidity and mortality within the surgery of intrathecal aneurysms, angiomas, and tumors. it's been acknowledged that microneurosurgery used to be achieving its limits, in particular while treating lesions in and round the cavernous sinus and cranium base; these lesions infamous for involvement of the dural and extradural booths, with an inclination to infiltrate adjoining nerves and blood vessels. the risks of uncontrollable hemorrhage from the basal sinuses and post-operative CSF rhinorrhea seemed unsurmountable. The lateral features of the petro-clival area were of curiosity to a couple pioneering ENT surgeons and neurosurgeons however the cavernous sinus in so much respects has remained the ultimate unconquered summit.