PubMed · 5298536
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H Miller. 1967-09-30. Facial paralysis.. https://doi.org/10.1136/bmj.3.5569.815
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This article gives descriptions and measurements of the cerebral ventricles, especially our measurements of the interventricular foramen and the third ventricle. Included are measurements of previous and recent research. The results of endoscopic reviews of the lateral, third and fourth ventricles are also discussed. The subarachnoid spaces are described and illustrated by our corrosion casts. During endoscopic inspection of the subarachnoid spaces, the transcisternal veins are extremely vulnerable. Therefore, these veins in the anterior, middle and posterior cranial fossae are described.
The principal non-glial tumors of the brain are meningiomas and acoustic schwannomas. Advances in the management of meningiomas have included endovascular techniques for embolization to reduce blood loss, radical surgical approaches, and the recognition of the high recurrence rate of these tumors. Advances in the management of acoustic tumors have been in preservation of VIIth nerve function, improved preservation of hearing, and the availability of stereotactic radiosurgical techniques as an alternative. There is still a substantial discussion concerning the route of surgery for acoustic tumors and not all agree that hearing preservation is a reasonable goal at present.
The translabyrinthine approach remains an excellent technique for the management of large tumors of the cerebellopontine angle. It will likely remain a favorite approach for tumors in which hearing preservation is not possible. The suboccipital approach will continue to remain the favorite approach for hearing preservation in tumors that extend outside the limits of the internal auditory canal.