RHOTON CRANIAL ANATOMY AND SURGICAL APPROACHES PDF

It will ultimately include all of his slides, his video lectures and an interactive atlas - all in 2-D and 3-D formats. The collection also includes thousands of drawings created by volunteers that highlight anatomical structures in the interactive atlas and in the videos. The main goal of Dr. The Rhoton Collection is designed to make this as efficient as possible. How do I access The Rhoton Collection? Once there, you can set up a username and password or, if you already have credentials, log in to the site.

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Rhoton Jr. Rhoton, Jr. It is the concrete legacy of his character and persona. In the progress of refinement of our surgical discipline over the centuries, the comprehension of anatomy, its quintessential building block, has been central to any surgical endeavor. The challenge of the microneurosurgical era requires precise comprehension of the microsurgical anatomic substrate.

In an effort spanning more than 40 years, Dr. The work clearly stands alone as a remarkable contribution and accomplishment by an individual in this or any era. As a unique addition to the content of this volume, Dr. Rhoton for affording us the singular privilege of publishing this composite classic work. We are likewise indebted to Carl Zeiss Surgical and Medtronic Midas Rex for their generous and insightful support of this important project.

Michael L. No caption avaiable. Portrait of Thornas Willis by Vertue, , printed by Knapton. It is a copy of the earlier Loggan engraving done in when Willis was 45 years old.

Apuzzo for their magnificent academic and scientific contributions to our specialty. Neurosurgery has elevated the care of neurosurgical patients everywhere. I am deeply appreciative to Dr.

Apuzzo and the Editorial Board for giving me the opportunity to work with them on this book, which was formed by the union of the Millennium and 25th Anniversary issues of Neurosurgery 3, 4. I also salute Carl Zeiss, Inc. The increased safety and accuracy and the improved results obtained with the Zeiss microscope are some of my greatest professional blessings and a great contributor to the quality of life of my patients.

Medtronic Midas Rex, through the increased ease and delicacy of bone removal made possible with the use of their drills, has also made a contribution to the care of neurosurgical patients worldwide and has allowed neurosurgeons to focus on operating accurately and precisely in the delicate neural tissue that is the basis of our specialty. Both Midas Rex and Zeiss have continued to invest in modifying and upgrading their instruments by integrating them with modern technological advances to aid us in our work and provide new benefits for our patients.

Both Zeiss and Midas Rex have assisted with educational endeavors, such as this book, that have improved neurosurgical care on every continent and have made the academic aspects of my career much more rewarding. I am grateful for their support of the publication of our studies on microsurgical anatomy and for partnering with neurosurgeons throughout the world to improve neurosurgical care. As stated in the Millennium and 25th Anniversary Issues of Neurosurgery, this work on microsurgical anatomy has grown out of my personal desire to improve the care of my patients 3, 4.

Before proceeding with some additional thoughts about the role of microsurgical anatomy in neurosurgery, I would like to share some thoughts about neurosurgery, some of which were included in my addresses as president of the AANS and CNS 1, 2.

Neurosurgeons share a great professional gift; our lives have yielded an opportunity to help mankind in a unique and exciting way. In my early years, I never imagined that my life would hold as gratifying, exciting, and delicate a challenge as that of being a physician or a neurosurgeon.

Our training brings into harmony a knowledgeable mind, a skilled set of hands, and a well-trained eye, all of which are guided by a caring human being. The skills that we use have been described as the most delicate, the most fateful, and, to the layperson, the most awesome of any profession. The Gallup Poll has reported that neurosurgeons are among the most prestigious and highly skilled members of American society. We share the opportunity to serve people in a unique way, dealing surgically with the most delicate of tissues.

Our ranking among the most highly skilled members of society tends to lead us to forget that our work and success are made possible by the benevolent order built into the universe around us. That people heal and survive after surgery provides us with our work and serves as a constant reminder of this benevolent, protective order.

We are surrounded by biological and physical forces that could overcome us, outstripping our finest medical and scientific achievements. That humanity survives and that neurosurgeons can play a role in the process of healing are examples of the compassion and love that surround us.

A patient who writes a thank-you note or praises my efforts leads me to inwardly reflect that one of our greatest gifts is that we were created to help each other.

I am grateful for the opportunity to be a participant in the miracle we call neurosurgery. Neurosurgery Books Full Another gift we share is a historical one based on the standards set by early physicians. Hippocrates taught that medicine is a difficult art that is inseparable from the highest morality and love of humanity.

The noble values and loyal obedience of generations of physicians since Hippocrates have raised the calling to the highest of all professions.

Many of us were attracted to neurosurgery by both the meticulousness of surgical craftsmanship and the intellectual challenge posed by modern clinical neurology and neurophysiology.

All of us have submitted ourselves to the discipline of rigorous training, possibly the most demanding in modern society, and are capable of giving a great deal of ourselves. Our work has grown out of the belief in absolute standards of value and worth in humanity. These values are reflected in the increasing importance of one man, one woman, or one child in American society and throughout the world. An example of the evolving importance of the individual is found in examining great human creations such as the Egyptian pyramids and the Great Wall of China.

Through the decades and P. Issues related to the dignity and worth of a single man, woman, and child are clearer to us now than they were a century or two ago and provide the driving force behind our work. These values and standards, which are inseparable from the highest morality and love of humanity, are built into us just as the process of healing is built into our nature. It is important that we grow in compassion just as we grow in competence.

Competence is the possession of a required skill or knowledge. Compassion, on the other hand, does not require a skill or knowledge; it requires an innate feeling, commonly called love, toward someone else. Both competence and compassion need to be developed simultaneously, just as the giant oak develops its root system along with its leaves and branches. Competence without compassion is worthless. Compassion without competence is meaningless. It is a great challenge to guide patients competently and compassionately through neurosurgery.

Death and darkness crowd near to our patients as we help them search for the correct path. Neurosurgical illness threatens not only their physical but also their financial security, because it is so expensive and the potential for disability is so great.

The Saints and Buddhas taught that compassion and wisdom, which lead to competence, are one. Our patients are looking for help from someone who is knowledgeable, patient, and wise and who can provide clarity, wisdom, and enlightenment so that they can face life after surgery on the brain.

That is the essence of integrating competence and compassion. There is no substitute for an honest, concerned, and sympathetic attitude.

Success Neurosurgery Books Full may not mean that every patient survives or is cured, because some problems are insolvable and some illnesses are incurable. Instead, success should mean giving every patient the feeling that he or she is cared about, no matter how desperate their situation, that their pain is felt, that their anger is understood, and that we care and will do our best.

The greatest satisfaction in life comes from offering what you have to give. Devotion and giving to others gives purpose and meaning to life. Another circumstance leading to the esteem that neurosurgeons enjoy is the magnificent tissue with which we work. The brain is the crown jewel of creation and evolution. It is a source of mystery and wonder. Of all of the natural phenomena to which science can draw attention, none exceeds the fascination of the workings of the human brain.

The brain holds our greatest unexplored biological frontiers. It is the only organ that is hidden and completely enclosed within a fortress of bone. It is the most frequent site of crippling, incurable disease. It is exquisitely sensitive to touch, anoxia, and derangements of its internal environment. Its status determines whether the humanity within us lives or dies. It yields all we know of the world. It controls both the patient and the surgeon. Brain accounts for the mind, and through the mind, we are lifted from our immediate circumstances and are given an awareness of ourselves, our universe, our environment, and even the brain itself.

Here, in two handsful of living tissue, we find an ordered complexity sufficient to preserve the record of a lifetime of the richest human experience and create computers that can store amounts of data that can be comprehended only by the mind. Perhaps the most significant achievement of this tissue is the ability, on the one hand, to conceive of a universe more than a billion light-years across and, on the other, to conceptualize a microcosmic world out of the reach of the senses and to model words completely separate from the reality that we can see, hear, smell, touch, and taste.

Mind and brain are the source of happiness, knowledge, and wisdom. The brain is not the seat of the soul, but it is through the brain and mind that we become aware of our own souls. In my early years, never in my wildest flights of imagination did I consider that life would yield such rewarding and challenging work as that of being a physician, and I was unaware that neurosurgery even existed.

My early life was without exposure to physicians, hospitals, or other modern conveniences Fig. My birth was aided by a midwife in exchange for a bag of corn. As I entered college, the goal of being a physician seemed so unattainable that I had not considered that possibility.

I first pursued chemistry, but the missing human element led me to major in social work. Social work also failed to satisfy me because it lacked the opportunity to touch and help others by working with my hands.

That I might become a physician did not enter my mind until a psychology instructor invited me to see a brain operation P. That day, I sensed some of the amazement that must have been experienced in the s when Broca presented his early observations regarding the cerebral localization of speech in his patient, Tan, and when Fritsch and Hitzig described their experiments on the cerebral motor cortex. On that day in the psychology laboratory, I learned that surgery based on these concepts was possible, and I knew that I had found my calling.

I know that many neurosurgeons have had a similar meaningful experience. In medical school, I began to work in a neuroscience laboratory in my spare time. At the end of my residency, I completed a fellowship in neuroanatomy. It was during this fellowship that I realized the potential for greater knowledge of microneurosurgery and microneurosurgical anatomy to improve the care of my patients. I resolved early in my career to incorporate this new technique into my practice, because it seemed to increase the safety with which we could delve deep into and under the brain.

One of my favorite personal goals has been to find images of a single operation performed perfectly, because the inner discipline of striving toward perfection leads to improvement. Such images are the essential building blocks for the improvement of operative techniques. During my training and thereafter, I lay awake many nights, as I know all neurosurgeons have, worrying about a patient who was facing a necessary, critical, high-risk operation the next day.

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