Microsurgical Techniques in Neurosurgery

Microsurgery has a very wide application in neurosurgery, for example, in operations involving the cerebral vessels, spinal vessels, tumours of the brain and the spine, and in operations for pain and peripheral nerves, etc. Operations on intracranial vessels include those involving the narrowing and obstruction of the cranial arteries, carvernous haemangiomas, malformation of the arteries and veins, etc. Microsurgery for brain tumour has its main application in operations for tumours at the base of the brain and the deep part of the cerebrum, for example, pituitary tumours, pineal body tumours, acoustic neuroma, sphenoidal meningioma, intra-ventricular tumours and brain stem tumours. Microsurgical procedures for pain and peripheral nerves include operations for trigeminal neuralgia, Meniere Syndrome and facial nerve lesions. Following the rapid development of microsurgery, the area of application has become wider and wider. We shall discuss some of the main areas here.