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Advances and Technical Standards in Neurosurgery. Vol 25.
  1. ROBERT MACFARLANE

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    Advances and Technical Standards in Neurosurgery. Vol 25. Editor in Chieff cohadon. (Pp 241). Published by Springer-Verlag, Wien, 1999. ISBN 3-211-83217-3.

    Advances and Technical Standards in Neurosurgery was created in 1974 as an adjunct to the European postgraduate training system for young neurosurgeons. It has also proved popular with accredited neurosurgeons wishing to keep up to date with recent developments in the field. The first half of each volume reviews topics in which important advances have been made, and this is followed by in depth reviews of topical subjects from experienced clinicians.

    The advances section begins with a review from Lausanne of the delivery of neuroactive substances to the CNS using the technique of encapsulation of xenogenic cells to avoid the problems of immune rejection. Possible applications in pain relief and amyotrophic lateral sclerosis are discussed. Fries and Perneczky then present the Mainz experience with rigid endoscopes, both for conventional procedures such as third ventriculostomy, cyst drainage, and tumour biopsy, and then discuss newer applications such as endoscope assisted microneurosurgery of aneurysms, tumours, and as an aid to microvascular decompression of cranial nerves in the posterior fossa. The final chapter in the first section presents the history and technique of chronic deep brain stimulation for movement disorders, reviews the results from Grenoble, Lille, and Creteil, and compares the outcomes with ablative surgery and neural transplantation. In the technical standards section there are reviews of recent advances in the treatment of CNS germ cell tumours, the surgery of hypothalamic gliomas, and approaches to the anterior cranial fossa with preservation of olfaction.

    The quality of reviews in this book is excellent. Each is by a renowned expert in the field, and is well referenced for further reading. Those not already familiar with this series will find it both informative and thought provoking.

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