GIMMI Neurosurgery

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7/23/2019 GIMMI Neurosurgery http://slidepdf.com/reader/full/gimmi-neurosurgery 1/222 Oeurgmfirurlie Oeurgsurlery Oeurgmirulih Oeurgmfirurlih Mht/ Og/ 48: ® Eodgsmgpim Temfogcgly

Transcript of GIMMI Neurosurgery

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    OeurgmfirurlieOeurgsurleryOeurgmirulihOeurgmfirurlih

    M ht / O g/ 48:

    Eodgsmgpim Temfogcgly

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    zertiaiziert ohmf0I]G 8=465# EO 41::8# I]G 9::8# ^imftcioie Or/ 9='4>'E\L

    mertiaied hmmgrdiol tg0I]G 8=465# EO 41::8# I]G 9::8# Mguomic Diremtive 9='4>'EEM

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    3/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy I

    Temfoismfe oderuoleo vgrnefhcteoDieses Zrgspekt'Khthcgl dhra hussmfciecimf zur Honietuol uoddeb Ho" uod Qerkhua uoserer Erzeuloisse dieoeo/ Ohmfdrumk#humf huszulsweise# verngteo/Nei Bissnrhumf nefhcteo wir uos ^mkohfbe der Khthcgle uod

    Zreiscisteo sgwie ^elressbhohfbeo vgr/

    Temfoimhc bgdia imhtigos reserved/Tfis nrgmfure'mhthcgl is ioteoded agr tfe prephrhtigo ga ga aers hodtfe purmfhse hod shce ga gur prgdumts gocy/ Hoy reprgdumtigo ga itsmgoteots# hs h wfgce gr io phrt# is ogt perbitted/Io mhse ga bisuse we bhy remchib tfe mhthcgl hod prime cists hodreserve tfe rilft tg thke celhc hmtigos/

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    4/222II LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Mht/ Og/ 48:OeurgmfirurlieOeurgsurleryOeurgmirulihOeurgmfirurlih

    Mfirurlie ' ]urlery ' Mirulh ' Mfirurlih

    LIBBI KHTHCGLE ' LIBBI M HTHCGLUE] ' LIBBI MHTCGLG] ' LIBBI M HTHCGLFI

    Mht/ Og/ >>:Nhumf uod Tfgrhxriol"]ysteb ar dieKiodermfirurlie uod Bioi"Chphrgtgbieo ohmf MhrngoHndgbeo hod Tfgrhx ^iol ]ysteb agr Zedihtrim ]urlery

    hod Bioi"Chphrgtgby hmm/ Mhrngo]ephrhdgr hndgbiohc ' tgrmimg phrh mirulh peditrimh yBioi"Chphrgtgbhs selo MhrngoDivhrimhtgre hddgbiohce ' tgrhmimg per mfirurlih pedihtrimhe per Bioi"Chphrgtgbie semgodg Mhrngo

    Mht/ Og/ >4:Dgunce McipperDgunce McipperDgunce McipperDgunce Mcipper

    Mht/ Og/ >5:LIBBI Hoeurysbeo"Mcips

    LIBBI Hoeurysb McipsLIBBI Mcips phrh hoeurisbhLIBBI Mcips per hoeurisbh

    Mht/ Og/ 8::Mfirurlismfe Iostrubeote]urlimhc IostrubeotsIostrubeothc quirrlimg]trubeoti mfirurlimi

    Mht/ Og/ >6:FA"Mfirurlie PunefrEcemtrgsurlimhc hmmessgriesHmmesgrigs phrh ecemtrgnisturesHmmessgri per ecettrgnisturi

    Mht/ Og/ >9:\HYOE Chbioektgbiesthoze\HYOE Chbioemtgby"Zuomf\HYOE Ziozh mgrthote phrh chbioemtgbh\HYOE Ziozh per chbioemtgbih

    Mht/ Og/ =8:]teric Mgothioer ]ysteb]teric Mgothioer ]ysteb]istebh de mgoteoedgres phrh estericizhmio

    ]istebh di mestecci per stericizzhzigoe

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    5/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy III

    Eodgskgpie ' Eodgsmgpy ' Eodgsmgpih ' Eodgsmgpih

    LIBBI KHTHCGLE ' LIBBI M HTHCGLUE] ' LIBBI MHTCGLG] ' LIBBI M HTHCGLFI

    Mht/ Og/ 8>:LerteUoitsEquipgsHpphremmfihture

    Mht/ Og/ 8>>LerteUoitsEquipgsHpphremmfihture

    Mht/ Og/ :6:Nhrihtrim Iostrubeoteo ]ysteb NI]Nhrihtrim Iostrubeot ]ysteb NI]]istebh de Iostrubeothc Nhrihtrimg NI]]trubeoti per mfirurlih dgnesit NI]

    Mht/ Og/ 84:Mfirurlie]urleryMirulhMfirurlih

    Mht/ Og/ 85:LyokgcglieLyohemgcglyLioemgcglhLioemgcglih

    Mht/ Og/ 81:UrgcglieUrgcglyUrgcglhUrgcglih

    Mht/ Og/ 8=:Gptikeo ' KhctcimftkhnecEodgsmgpes ' Ainre gptim cilft mhncesptimhs ' Mhnce de ainrh ptimhGttimfe ' Mhvi cume areddh

    Mht/ Og/ 88:Bioi" uod Bikrg Iostrubeote ar dieBioibhc Iovhsive Mfirurlie ohmf MhrngoBioi hod Bimrg Iostrubeots agr tfeBioibhccy Iovhsive ]urlery hmm/ MhrngoIostrubeothc Bioi y Bimrg phrh chMirulh Bioi Iovhsivh selo Mhrngo]trubeoti Bioi e Bimrg per chMfirurlih Bioi Iovhsivh semgodg Mhrngo

    Mht/ Og/ 8>8HCZFHOGQGMHB II

    Dilithce AhrnaerosefkhberhDilithc"Mgcgur"TQ"Mhberh

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    ]khcpecce# ]khcpecclriaae / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 8 " 1Koives# ]mhcpec Fhodces / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 8 " 1Nistures# Bholgs de nistures / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 8 " 1Nisturi# Bhomioi per nisturi / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 8 " 1

    ]mfereo / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite < " >>]missgrs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle < " >>Ti`erhs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh < " >>Agrnimi / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh < " >>

    Ziozetteo / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite >= " =:Agrnimi / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle >= " =:Ziozhs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh >= " =:Zioze / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh >= " =:

    Hoeurysbeo Mcips / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite =8 " 51Hoeurysb Mcips / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle =8 " 51

    Mcips phrh hoeurisbh / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh =8 " 51Mcips per hoeurisbh / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh =8 " 51

    Hrterieokcebbeo / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 5< " 14Fhebgsthtim Agrmeps / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 5< " 14Ziozhs febgsttimhs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 5< " 14Zioze ebgsthtimfe / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 5< " 14

    \uodspreizer / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 15 " 6:^etrhmtgrs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 15 " 6:]ephrhdgres / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 15 " 6:Divhrimhtgri / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 15 " 6:

    Ohdecfhcter / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 68 " 9:Oeedce Fgcders / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 68 " 9:Zgrth"hlu`hs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 68 " 9:Zgrthlfi / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 68 " 9:

    Ecevhtgrieo# hsphtgrieo / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 98 " 96Ecevhtgrs# hsphtgries / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 98 " 96Ecevhdgres# Zerigsttgbgs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 98 " 96Ecevhtgri# Zerigstgtgbi / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 98 " 96

    IofhctsnersimftThnce ga MgoteotsIodimeIodime

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    7/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy Q

    ]huler uod Khoceo / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 99 " 8:4]umtigo Tunes hod Mhoouchs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 99 " 8:4Tungs de hspirhmigo y mhouchs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 99 " 8:4Tuni dhspirhzigoe e mhoouce / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 99 " 8:4

    Fypgpfysektgbie"Iostrubeote / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 8:5 " 88:Fypgpfysemtgby Iostrubeots / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 8:5 " 88:Iostrubeotgs phrh ch fipgaisemtgbih / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 8:5 " 88:]trubeoti per ipgaisemtgbih / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 8:5 " 88:

    Chbioektgbie"]thozeo uod Pholeo / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 888 " 8>6Chbioemtgby Zuomfes hod goleurs / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 888 " 8>6Ziozhs mgrthotes phrh chbioemtgbh / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 888 " 8>6Zioze per chbioemtgbih / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 888 " 8>6

    Fgfcbeieczholeo / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 8>9 " 8=1Ngoe ^goleurs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 8>9 " 8=1Ziozhs Lunihs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 8>9 " 8=1Zioze ]lgrnie / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 8>9 " 8=1

    Fhkeo# Dissektgreo / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 8=< " 844Fggks# Dissemtgrs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 8=< " 844]ephrhdgres# Disemhdgres / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 8=< " 844Uomioi# Dissettgri / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 8=< " 844

    ]mfhrae Caaec / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 845 " 846Ngoe Murettes / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 845 " 846Mumfhricchs mgrthotes / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 845 " 846Murette thlcieoti / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 845 " 846

    Gstegtgbe# Achmf" uod Fgfcbeiec / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 849 " 854Gstegtgbes# Mfisecs hod Lgules / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 849 " 854Miomeces y lunihs phrh fuesgs / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 849 " 854]mhcpecci ed Gstegtgbi / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 849 " 854

    Iostrubeote zur ]mfdecaaouol / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 855 " 814Iostrubeots agr Mrhoihc Gpeoiol / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 855 " 814Iostrubeotgs phrh hperturh mrhoehoh / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 855 " 814]trubeoti per chperturh dec mrhoig / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 855 " 814

    IofhctsnersimftThnce ga MgoteotsIodimeIodime

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    FA"Mfirurlie Punefr / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite 815 " >::

    Ecemtrgsurlimhc Hmmessgries / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle 815 " >::

    Hmmesgrigs phrh ecemtrgnistures / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh 815 " >::

    Hmmessgri per ecettrgnisturi / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh 815 " >::

    ]piohce Eodgskgpie / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite >:8 " >8:

    ]piohc Eodgsmgpy / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle >:8 " >8:

    Eodgsmgpih de mgcuboh / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh >:8 " >8:

    Oeurg"Eodgsmgpih / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh >:8 " >8:

    Iofhctsverzeimfois / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite >8> " >>5

    Iodex / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle >8> " >>5

    Iodime hcahnetimg / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh >8> " >>5

    Iodime hcahntimg / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh >8> " >>5

    Oubberoverzeimfois / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /]eite >>1 " >=5

    Iodex ga Oubners / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhle >>1 " >=5

    Iodime ouberimg / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zlioh >>1 " >=5Iodime oubrimg / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / /Zhlioh >>1 " >=5

    Iofhctsnersimft

    Thnce ga Mgoteots

    Iodime

    Iodime

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    ]KHCZECCE# ]KHCZECCL^IAAE

    KOIQE]# ]MHCZEC FHODCE]NI]TU^E]# BHOLG] DE NI]TU^E]NI]TU^I# BHOIMI ZE^ NI]TU^I

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    10/222> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ^hsierkcioleo# ^hsierkcioleofhcter uod "nremfer^hzgr Nchdes# ^hzgr Nchde Fgcders hod NrehkersFg`hs de haeithr# Ziozhs phrh su`ethr y rgbper fg`hs de haeithrChbette dh rhsgig# Zioze per haaerrhre e rgbpere ce chbette

    Zhmkuol 8: KcioleoZhmkhle ga 8: nchdesZhquete de 8: fg`hs]mhtgch mgo 8: chbe

    HH/:6

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    Bikrg"IostrubeoteBimrg IostrubeotsIostrubeotgs phrh bimrgmirulh]trubeoti per bimrgmfirurlih

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    LeabesserQessec koiaeMumficcg phrh vhsgs

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    13/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 5

    Bikrg"IostrubeoteBimrg IostrubeotsIostrubeotgs phrh bimrgmirulh]trubeoti per bimrgmfirurlih

    YH]H^LICMY/865:/89

    865 bb ' < 84

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    Mumfhricch mgrthoteMuretth thlcieote

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    Bikrg"IostrubeoteBimrg IostrubeotsIostrubeotgs phrh bimrgmirulh]trubeoti per bimrgmfirurlih

    MY/866:/>=>=: bb ' 9

    Chozetteobesser# nielshbChomet koiae# bhccehnceChometh mumficcg bhcehnceNisturi per chozetth bhccehnice

    MY/866>/>=>=: bb ' 9

    Dissektgr# nielshbDissemtgr# bhccehnceDisemhdgr# bhcehnceDissettgre# bhccehnice

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    Mfirurlismfe ]mfereoGperhtiol ]missgrsTi`erhs phrh mirulhAgrnimi per mfirurlih

    HH/88:5/8: 8:: bb ' 4 84HH/88:5/88 88: bb ' 4 8>HH/88:5/8= 8=: bb ' 5HH/88:5/84 84: bb ' 5 8>

    HH/88:5/85 85: bb ' 1HH/88:5/81 81: bb ' 1 8>HH/88:5/8< 8:: bb ' 6

    ]THODH^DHH/88:5/8: " HH/88:5/>:

    HH/888:/88 88: bb ' 4 8>HH/888:/8= 8=: bb ' 5HH/888:/84 84: bb ' 5 8>HH/888:/85 85: bb ' 1HH/888:/81 81: bb ' 1 8>HH/888:/8< 8:: bb ' 6

    ]THODH^DHH/888:/88 " HH/888:/>:

  • 7/23/2019 GIMMI Neurosurgery

    17/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 9

    ZrphriersmfereoGperhtiol ]missgrsTi`erhs phrh prephrhmigoesAgrnimi per dissezigoe

    HH/8>5=/8484: bb ' 5 8>

    BETPEONHUBHH/8>5=/84 " HH/8>56/84

    HH/8>56/8484: bb ' 5 8>

    HH/8=>9/8484: bb ' 5 8>

    BETPEONHUB"AIOGHH/8=>9/84 " HH/8==:/84

    HH/8==:/8484: bb ' 5 8>

    HH/8>1

  • 7/23/2019 GIMMI Neurosurgery

    18/2228: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ZrphriersmfereoGperhtiol ]missgrsTi`erhs phrh prephrhmigoesAgrnimi per dissezigoe

    BETPEONHUB " OEC]GOHH/8>6=/86 " HH/8>66/>:

    HH/8>6=/86 86: bb ' 6=/>: >:: bb ' 6

    HH/8>66/86 86: bb ' 66/>: >:: bb ' 6

    KICOE^ &^HLOECC)HH/8=1>/88 " HH/8=1>/85

    HH/8=1>/88 88: bb ' 4 8>HH/8=1>/8> 8>: bb ' 4 =4HH/8=1>/85 85: bb ' 1

    ^EYOGCD]HH/8=16/85 " HH/8=16/86

    HH/8=16/85 85: bb ' 1HH/8=16/86 86: bb '

  • 7/23/2019 GIMMI Neurosurgery

    19/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 88

    ]mfereo ar die LeamfirurlieQhsmuchr ]missgrsTi`erhs phrh ch mirulh mhrdigvhsmuchrAgrnimi per ch mfirurlih mhrdigvhsmgchre

    DIETF^IMFHH/8=6=/9: " HH/8=64/::

    HH/8=6=/9:85

    ZGTT] " ]BITFHH/8=94/1: " HH/8=94/1>

    1: 1:

    HH/8=94/1:89: bb ' < 8>

    HH/8=94/1889: bb ' < 8>

    HH/8=94/1>89: bb ' < 8>

    HH/8=95/1:86: bb '

  • 7/23/2019 GIMMI Neurosurgery

    20/2228> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ]mfereo ar OeurgmfirurlieOeurgsurlimhc ]missgrsTi`erhs phrh oeurgmirulhAgrnimi per oeurgmfirurlih

    ]T^UCCY

    HH/8446/>>>>: bb ' 6 =4

    HH/845:/>>>>: bb ' 6 =4

    ]MFBIEDEO " THYCG^

    HH/8456/8/8

    spitz ' sfhrp ' hludhs ' hmute

    ]TEQEO]HH/8165/88 " HH/8161/88

    HH/8165/8888: bb ' 4 8>

    HH/8161/8888: bb ' 4 8>

    stubpa ' ncuot ' rgbhs ' sbusse

  • 7/23/2019 GIMMI Neurosurgery

    23/222

  • 7/23/2019 GIMMI Neurosurgery

    24/22281 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    LGBECHH/8

    HH/8

  • 7/23/2019 GIMMI Neurosurgery

    25/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8

    HH/8

  • 7/23/2019 GIMMI Neurosurgery

    26/22286 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Titho Bikrg ]mfereoTithoiub Bimrg ]missgrsBimrg Ti`erhs io tithoigBimrg"Agrnimi io tithoig

    HH/8

  • 7/23/2019 GIMMI Neurosurgery

    27/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 89

    HH/86::/8> " HH/86::/9:

    HH/86::/>5865 bb ' < 84

    HH/86::/45865 bb ' < 84

    HH/86::/1:865 bb ' < 84

    HH/86::/9:865 bb ' < 84

    HH/86::/8>865 bb ' < 84

    TITHOIUB

    >5 451:

    9: 8>:

    Titho Bikrg ]mfereoTithoiub Bimrg ]missgrsBimrg"ti`erhs io tithoigBimrg"Agrnimi io tithoig

  • 7/23/2019 GIMMI Neurosurgery

    28/222>: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Ohftsmfereo]uture ]missgrsTi`erhs phrh suturhAgrnimi per suturh

    HH/8985/85 85: bb ' 1HH/8985/86 86: bb ' = >=: bb ' 9HH/8985/>1 >1: bb ' 8: 8>

    ]mfereo bit Fhrtbethcceiostzeo]missgrs witf Tuolsteo Mhrnide IosertsTi`erhs mgo aicgs de mhrnurg de tuolsteogAgrnimi mgo ioserti hc mhrnurg di tuolsteog

    BETPEONHUB

    HH/8941/8686: bb '

  • 7/23/2019 GIMMI Neurosurgery

    29/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy >8

    BETPEONHUB " AIOGHH/891=/86 " HH/891=/>=

    HH/891=/86 86: bb ' : >:: bb ' 6HH/891=/>= >=: bb ' 9

    BETPEONHUB " AIOGHH/8914/86 " HH/8914/>6

    HH/8914/86 86: bb ' : >:: bb ' 6HH/8914/>= >=: bb ' 9HH/8914/>5 >5: bb ' 8:HH/8914/>6 >6: bb ' 88

    TGEOOI] " HD]GO

    HH/8919/8> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

  • 7/23/2019 GIMMI Neurosurgery

    31/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy >=

    ZIOPETTEO

    AG^MEZ]ZIOPH]ZIOPE

  • 7/23/2019 GIMMI Neurosurgery

    32/222>4 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    TubgrpiozetteoTubgr AgrmepsZiozhs phrh tubgresZioze per tubgri

    YH]H^LICHN/8::5/:= " HN/8::5/:5

    HN/8::5/:=>>: bb ' 6 =4

    HN/8::5/:5>>: bb ' 6 =4

    FUOT

    HN/8::4/:8>:: bb ' 6

    =bb

    5bb

    YH]H^LICHN/8::1/:= " HN/8::1/:5

    HN/8::1/:=>>: bb ' 6 =4

    HN/8::1/:5>>: bb ' 6 =4

    =bb

    5bb

    YH]H^LICHN/8::6/:= " HN/8::6/:5

    HN/8::6/:=>>: bb ' 6 =4

    HN/8::6/:5>>: bb ' 6 =4

    =bb

    5bb

  • 7/23/2019 GIMMI Neurosurgery

    33/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy >5

    HN/8:8:/8> " HN/8:8:/86

    LGBEC

    HN/8::9/:881: bb ' 1 8>

    LGBEC

    HN/8::9/:>81: bb ' 1 8>

    LGBEC

    HN/8:89/8181: bb ' 1 8>

    Bikrg " Ohdecfhcter

    Bimrg " Oeedce FgcdersBimrg " Zgrth"hlu`hsBimrg " Zgrthlfi

    HN/8:8:/8> 8>: bb ' 4 =4HN/8:8:/85 85: bb ' 1HN/8:8:/86 86: bb ' 8>: bb ' 4 =4HN/8:88/85 85: bb ' 1HN/8:88/86 86: bb ' /8> " HN/8:8=/86

    HN/8:8>/85 85: bb ' 1HN/8:8>/86 86: bb '

  • 7/23/2019 GIMMI Neurosurgery

    34/222>1 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Bikrg"ZiozetteoBimrg"AgrmepsBimrg"ZiozhsBimrg"Zioze

    HN/8:>>/:8 " HN/8:>>/:=

    HN/8:>>/:8865 bb ' < 84

    HN/8:>>/:>865 bb ' < 84

    HN/8:>>/:8 " HN/8:>>/:=

    HN/8:>=/:8>=: bb ' 9

    HN/8:>=/:>>=: bb ' 9

    HN/8:>>/:=865 bb ' < 84

    HN/8:84/85 " HN/8:85/>>

    HN/8:84/85 85: bb ' 1HN/8:84/86 86: bb ' 8 >8: bb ' 6 84

    HN/8:85/85 85: bb ' 1HN/8:85/86 86: bb ' 8 >8: bb ' 6 84

    TITHOIUB

    8 bb > bb

  • 7/23/2019 GIMMI Neurosurgery

    35/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy >

    HN/88:=/86 86: bb ' : >:: bb ' 6HN/88:=/>5 >5: bb ' 8:HN/88:=/=: =:: bb ' 8>

    HN/88:4/8: 8:: bb ' 4 84HN/88:4/88 88: bb ' 4 8>HN/88:4/8= 8=: bb ' 5HN/88:4/84 84: bb ' 5 8>

    HN/88:4/81 81: bb ' 18

    >HN/88:4/86 86: bb ' : >:: bb ' 6HN/88:4/>5 >5: bb ' 8:HN/88:4/=: =:: bb ' 8>

    ]THODH^DHN/88:6/8: " HN/88:6/=:

    HN/88>9/8= " HN/88>9/84

    HN/88:6/8: 8:: bb ' 4 84HN/88:6/88 88: bb ' 4 8>HN/88:6/8= 8=: bb ' 5HN/88:6/84 84: bb ' 5 8>HN/88:6/85 85: bb ' 1HN/88:6/81 81: bb ' 1 8>HN/88:6/86 86: bb ' : >:: bb ' 6HN/88:6/>5 >5: bb ' 8:HN/88:6/=: =:: bb ' 8>

    smfbhcohrrgwestremfhsstrette

    HN/88>9/8=8=: bb ' 5

    HN/88>9/8484: bb ' 5 8>

  • 7/23/2019 GIMMI Neurosurgery

    36/222

  • 7/23/2019 GIMMI Neurosurgery

    37/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy >9

    Mfirurlismfe ZiozetteoTissue AgrmepsZiozhs de disemmio mgo dieotesZioze mfirurlimfe

    HN/8=:1/84 " HN/8=:1/81

    =x4 Pfoe# Teetf# Dieotes# Deoti

    HN/8=:1/84 84: bb ' 5 8>HN/8=:1/81 81: bb ' 1 8>

    HN/8=:9/8= 8=: bb ' 5HN/8=>9/84 84: bb ' 5 8>

    HN/8=>4/8= " HN/8=>4/>:

    8x> Pfoe# Teetf# Dieotes# Deoti

    HN/8=>4/8= 8=: bb ' 5HN/8=>4/84 84: bb ' 5 8>HN/8=>4/81 81: bb ' 1 8>HN/8=>4/>: >:: bb ' 6

  • 7/23/2019 GIMMI Neurosurgery

    38/222=: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

  • 7/23/2019 GIMMI Neurosurgery

    39/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy =8

    HOEU^Y]BEO MCIZ]

    HOEU^Y]B MCIZ]MCIZ] ZH^H HOEU^I]BHMCIZ] ZE^ HOEU^I]BH

  • 7/23/2019 GIMMI Neurosurgery

    40/222=> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Mht/ Og/@/6:4:/:: @/694>/:: @/695>/:: @/691>/:: @/696>/:: @/6995/::

    @/6:4:/::T @/694>/::T @/695>/::T @/691>/::T @/696>/::T @/6995/::T

    bhx/aaouol ' bhx/ gpeoiol8=#= bb 1#: bb 1#6 bb :: lbs 85: lbs 86: lbs 86: lbs >:: lbs >:: lbspresio ' pressigoe

    Mht/ Og/@/6944/:: @/6954/:: @/6914/:: @/6964/:: @/6:91/::

    @/6944/::T @/6954/::T @/6914/::T @/6964/::T @/6:91/::T

    bhx/aaouol ' bhx/ gpeoiol5#5 bb 1#8 bb 1#5 bb :: lbs >:: lbspresio ' pressigoe

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips ]thodhrd LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips ]thodhrd LIBBI YH]H^LIC Mcips phrh hoeurisbh ]thodhrd LIBBI YH]H^LIC Mcips per hoeurisbh ]thodhrd

    Mht/ Og/@/694:/:: @/695:/:: @/691:/:: @/696:/:: @/699>/:: @/699:/::

    @/694:/::T @/695:/::T @/691:/::T @/696:/::T @/699>/::T @/699:/::T

    bhx/aaouol ' bhx/ gpeoiol1#> bb :: lbs >:: lbs >:: lbspresio ' pressigoe

    ar perbhoeoteo Qersmfcuagr perbhoeot mcgsurephrh gmcusio perbhoeoteper gmmcusigoe perbhoeote

    TITHOIUB

  • 7/23/2019 GIMMI Neurosurgery

    41/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy ==

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips ]thodhrd LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips ]thodhrd LIBBI YH]H^LIC Mcips phrh hoeurisbh ]thodhrd LIBBI YH]H^LIC Mcips per hoeurisbh ]thodhrd

    Mht/ Og/@/699=/:: @/691=/::

    @/699=/::T @/691=/::T

    bhx/aaouol ' bhx/ gpeoiol88#9 bb 8=#: bb 1#> bb 1#5 bb :: lbs >:: lbs >:: lbs >:: lbspresio ' pressigoe

    Mht/ Og/@/6:89/:: @/6:>:/:: @/6:>>/:: @/6:5:/:: @/6:58/:: @/6:=:/::

    @/6:89/::T @/6:>:/::T @/6:>>/::T @/6:5:/::T @/6:58/::T @/6:=:/::T

    bhx/aaouol ' bhx/ gpeoiol5#1 bb 5#1 bb 5#1 bb 5#4 bb 5#1 bb bb

    hperturh ' hperturh

    Drumk ' Zressure >:: lbs >:: lbs >:: lbs >:: lbs >:: lbs >:: lbspresio ' pressigoe

    ar perbhoeoteo Qersmfcuagr perbhoeot mcgsurephrh gmcusio perbhoeoteper gmmcusigoe perbhoeote

    TITHOIUB

    Mht/ Og/@/6:>=/:: @/6:>4/:: @/6:>5/:: @/6946/:: @/6956/:: @/6959/::

    @/6:>=/::T @/6:>4/::T @/6:>5/::T @/6946/::T @/6956/::T @/6959/::T

    bhx/aaouol ' bhx/ gpeoiol5#4 bb 5#6 bb 1#> bb bb

    hperturh ' hperturh

    Drumk ' Zressure 86: lbs 86: lbs 86: lbs >:: lbs >:: lbs >:: lbspresio ' pressigoe

  • 7/23/2019 GIMMI Neurosurgery

    42/222=4 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Mht/ Og/@/6:=>/:: @/6:==/:: @/6941/:: @/6918/:: @/694:/:: @/66:>/:: @/668>/:: @/66>>/::

    @/66::/::T @/668:/::T @/66>:/::T @/66:>/::T @/668>/::T @/66>>/::T

    bhx/aaouol ' bhx/ gpeoiol

  • 7/23/2019 GIMMI Neurosurgery

    43/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy =5

    Mht/ Og/@/664:/:: @/665:/:: @/661:/:: @/664>/:: @/665>/:: @/661>/::

    @/664:/::T @/665:/::T @/661:/::T @/664>/::T @/665>/::T @/661>/::T

    bhx/aaouol ' bhx/ gpeoiol

  • 7/23/2019 GIMMI Neurosurgery

    44/222=1 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips ]thodhrd LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips ]thodhrd LIBBI YH]H^LIC Mcips phrh hoeurisbh ]thodhrd LIBBI YH]H^LIC Mcips per hoeurisbh ]thodhrd

    Mht/ Og/@/69

  • 7/23/2019 GIMMI Neurosurgery

    45/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy =1/:: @/66>1/:8 @/66>1/:> @/66>1/:= @/66>1/:4 @/66>1/:5

    @/66>1/::T @/66>1/:8T @/66>1/:>T @/66>1/:=T @/66>1/:4T @/66>1/:5T

    bhx/aaouol ' bhx/ gpeoiol1#> bb

  • 7/23/2019 GIMMI Neurosurgery

    46/222=6 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips ]thodhrd LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips ]thodhrd LIBBI YH]H^LIC Mcips phrh hoeurisbh ]thodhrd LIBBI YH]H^LIC Mcips per hoeurisbh ]thodhrd

    Mht/ Og/@/66>1/8< @/66>1/86 @/66>1/89 @/66>1/>: @/66>1/>8 @/66>1/>>

    @/66>1/81/86T @/66>1/89T @/66>1/>:T @/66>1/>8T @/66>1/>>T

    bhx/aaouol ' bhx/ gpeoiol5#4 bb 5#6 bb 1#> bb bb

    hperturh ' hperturh

    Drumk ' Zressure 88: lbs 88: lbs 88: lbs 9: lbs 9: lbs 9: lbspresio ' pressigoe

    Mht/ Og/@/66>1/>= @/66>1/>4 @/66>1/>5 @/66>1/>1 @/66>1/>< @/66>1/>6

    @/66>1/>=T @/66>1/>4T @/66>1/>5T @/66>1/>1T @/66>1/>1/>6T

    bhx/aaouol ' bhx/ gpeoiol88#9 bb 8=#: bb 1#> bb 1#5 bb

  • 7/23/2019 GIMMI Neurosurgery

    47/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy =9

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips ]thodhrd LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips ]thodhrd LIBBI YH]H^LIC Mcips phrh hoeurisbh ]thodhrd LIBBI YH]H^LIC Mcips per hoeurisbh ]thodhrd

    Mht/ Og/@/66>1/=5 @/66>1/=1 @/66>1/=< @/66>1/=6 @/66>1/=9 @/66>1/4:

    @/66>1/=5T @/66>1/=1T @/66>1/=1/=6T @/66>1/=9T @/66>1/4:T

    bhx/aaouol ' bhx/ gpeoiol bb 6#> bb 5#< bb 6#: bb 1#> bb

  • 7/23/2019 GIMMI Neurosurgery

    48/2224: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips ]thodhrd LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips ]thodhrd LIBBI YH]H^LIC Mcips phrh hoeurisbh ]thodhrd LIBBI YH]H^LIC Mcips per hoeurisbh ]thodhrd

    Mht/ Og/@/66>6/:: @/66>6/:8 @/66>6/:> @/66>6/:= @/66>6/:4 @/66>6/:5

    @/66>6/::T @/66>6/:8T @/66>6/:>T @/66>6/:=T @/66>6/:4T @/66>6/:5T

    bhx/aaouol ' bhx/ gpeoiol

  • 7/23/2019 GIMMI Neurosurgery

    49/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 48

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips ]thodhrd LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips ]thodhrd LIBBI YH]H^LIC Mcips phrh hoeurisbh ]thodhrd LIBBI YH]H^LIC Mcips per hoeurisbh ]thodhrd

    Mht/ Og/@/66>6/8> @/66>6/8= @/66>6/84 @/66>6/85 @/66>6/81 @/66>6/86/8>T @/66>6/8=T @/66>6/84T @/66>6/85T @/66>6/81T @/66>6/86/86 @/66>6/89 @/66>6/>: @/66>6/>8 @/66>6/>> @/66>6/>=

    @/66>6/86T @/66>6/89T @/66>6/>:T @/66>6/>8T @/66>6/>>T @/66>6/>=T

    bhx/aaouol ' bhx/ gpeoiol bb 5#1 bb 5#1 bb 5#1 bb 5#1 bb

    hperturh ' hperturh

    Drumk ' Zressure 88: lbs 88: lbs 88: lbs 88: lbs 88: lbspresio ' pressigoe

    ar tebpgrreo Qersmfcu leaeostert 5#: bbagr tebpgrhry mcgsure aeoestrhted 5#: bbphrh gmcusio tebpgrhc aioestrhdg 5#: bbper gmmcusigoe tebpgrhce aioestrhtg 5#: bb

    TITHOIUB

  • 7/23/2019 GIMMI Neurosurgery

    50/2224> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Mht/ Og/@/666:/:: @/669:/:: @/69::/:: @/698:/:: @/69>:/:: @/666>/::

    @/666:/::T @/669:/::T @/69::/::T @/698:/::T @/69>:/::T @/666>/::T

    bhx/aaouol ' bhx/ gpeoiol=#= bb 4#: bb =#= bb 4#: bb 4#1 bb =#> bb

    hperturh ' hperturh

    Drumk ' Zressure 88: lbs 88: lbs 88: lbs 88: lbs 88: lbs 88: lbspresio ' pressigoe

    Mht/ Og/@/669>/:: @/6988/:: @/698>/:: @/698=/:: @/69>1/:: @/69>>/::

    @/669>/::T @/6988/::T @/698>/::T @/698=/::T @/69>1/::T @/69>>/::T

    bhx/aaouol ' bhx/ gpeoiol=#6 bb =#1 bb =#6 bb =#1 bb 4#: bb 4#4 bb

    hperturh ' hperturh

    Drumk ' Zressure 88: lbs 88: lbs 88: lbs 88: lbs 88: lbs 88: lbspresio ' pressigoe

    Mht/ Og/@/6694/:: @/6984/:: @/69>4/:: @/6981/:: @/6984/::T @/6981/::T @/6986/:: @/6::1/::

    @/69>6/::T @/6::1/::T

    bhx/aaouol ' bhx/ gpeoiol5#< bb 4#5 bb

    hperturh ' hperturh

    Drumk ' Zressure 8=: lbs 8=: lbs

    presio ' pressigoe

    LIBBI YH]H^LIC Hoeurysbeo"Lea"Mcips Bioi LIBBI YH]H^LIC Hoeurysb"Qessec"Mcips Bioi LIBBI YH]H^LIC Mcips phrh hoeurisbh Bioi LIBBI YH]H^LIC Mcips per hoeurisbh Bioi

  • 7/23/2019 GIMMI Neurosurgery

    51/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 4=

    Mht/ Og/@/66>9/:: @/66>9/:8 @/66>9/:> @/66>9/:= @/66>9/:4 @/66>9/:5

    @/66>9/::T @/66>9/:8T @/66>9/:>T @/66>9/:=T @/66>9/:4T @/66>9/:5T

    bhx/aaouol ' bhx/ gpeoiol=#= bb 4#: bb =#= bb 4#: bb 4#1 bb =#> bb

    hperturh ' hperturh

    Drumk ' Zressure 9: lbs

  • 7/23/2019 GIMMI Neurosurgery

    52/22244 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ]TH^^E Hocelezholeo bit ^uodlriaa^ILID Hppcyiol agrmeps witf rguod fhodceZiozhs phrh mcips mgo bholg redgodg# ^ILIDH]Zioze per mcips mgo bhoimg tgodg# ^ILIDE

    BIOI ]THODH^D

    oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol

    og rgthnce ' ogo rgthote rgthnce ' rgthote og rgthnce ' ogo rgthote rgthnce ' rgthoteColeCeoltf

    CgolitudCuolfezzh

    >> ='4

    9: bb @/68>9/:: @/68>9/8: @/6>>9/:: @/6>>9/8:= 8'>

    88: bb @/68=8/:: @/68>8/8: @/6>=8/:: @/6>>8/8:4 8'=

    BIOI ]THODH^D

    oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol

    og rgthnce ' ogo rgthote rgthnce ' rgthote og rgthnce ' ogo rgthote rgthnce ' rgthoteColeCeoltf

    CgolitudCuolfezzh

    ='4

    9: bb @/6=>9/:: @/6=>9/8: @/64>9/:: @/64>9/8:= 8'>

    88: bb @/6==8/:: @/6=>8/8: @/64=8/:: @/64=8/8:4

    8

    '=

    Neispiec ar DrefbemfhoisbusExhbpce ga rgthtigo

    E`ebpcg dec bemhoisbg de rgthmioEsebpig dec bemmhoisbg di rgthzigoe

    88:bb

    48'=

    88:bb

    48'=

    ACEVINCE Hocelezholeo bit ^uodlriaa

    ACEVINCE Hppcyiol agrmeps witf rguod fhodceZiozhs phrh mcips mgo bholg redgodg# ACEVINICEZioze per mcips mgo bhoimg tgodg# ACE]]INICE

    Hocelezholeo bit ^uodlriaaHppcyiol Agrmeps witf rguod fhodceZiozhs phrh mcips mgo bholg redgodgZioze per mcips mgo bhoimg tgodg

  • 7/23/2019 GIMMI Neurosurgery

    53/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 45

    ]TH^^E Hocelezholeo bit ^uodlriaa drefnhrer ]mfhat

    ^ILID Hppcyiol agrmeps witf rguod fhodce revgcviol sfhatZiozhs phrh mcips mgo bholg redgodg# ^ILIDH]# vhsthlg rgthnceZioze per mcips mgo bhoimg tgodg# ^ILIDE# mhbimih rgthote

    NH@GOETT Hocelezholeo bit ^uodlriaaNHYGOET Hppcyiol agrmeps witf rguod fhodceZiozhs phrh mcips mgo bholg redgodg# bgdecg de nhygoethZioze per mcips mgo bhoimg tgodg# bgdeccg h nhigoetth

    BIOI ]THODH^D

    oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol

    og rgthnce ' ogo rgthote rgthnce ' rgthote og rgthnce ' ogo rgthote rgthnce ' rgthoteColeCeoltf

    CgolitudCuolfezzh

    : @/64=8/45 @/64=8/5:> ='4

    9: bb @/64=8/>5 @/64=8/=: @/64=8/55 @/64=8/1:= 8'>

    88: bb @/64=8/=5 @/64=8/4: @/64=8/15 @/64=8/

  • 7/23/2019 GIMMI Neurosurgery

    54/22241 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ]TH^^E Hocelezholeo bit ^iollriaa drefnhrer ]mfhat^ILID Hppcyiol Agrmeps witf riol fhodces revgcviol sfhatZiozhs phrh mcips# ^ILIDH] vhsthlg rgthnceZioze per mcips# ^ILIDE mhbimih rgthote

    BIOI ]THODH^D

    oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol

    og rgthnce ' ogo rgthote rgthnce ' rgthote og rgthnce ' ogo rgthote rgthnce ' rgthoteColeCeoltf

    CgolitudCuolfezzh

    88: bb @/6:/:: @/6=/:: @/6

  • 7/23/2019 GIMMI Neurosurgery

    55/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 4

  • 7/23/2019 GIMMI Neurosurgery

    56/22246 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    HocelezholeoHppcyiol AgrmepsZiozhs phrh mcipsZioze per mcips

    BIOI ]THODH^D

    oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol oimft drefnhr ' ogo rgthtiol drefnhr ' rgthtiol

    og rgthnce ' ogo rgthote rgthnce ' rgthote og rgthnce ' ogo rgthote rgthnce ' rgthoteColeCeoltf

    CgolitudCuolfezzh

    8

  • 7/23/2019 GIMMI Neurosurgery

    57/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 49

    Hocelezholeo nh`goettarbil# dgppectnersetzt# bit ]perreHppcyiol Agrmeps nhygoet"sfhped# dgunce"hmtigo# witf rhtmfetZiozhs phrh mcips# nhygoeth# mgo mierre# mgo dgnce hrtimuchtioZioze per mcips# nhigoetth# mgo ncgmmhllig# mgo dgppig hrtimgchzigoe

    Bhucteice nei drefnhreo Bgdecceo whfcweise hus TITHO# ebpagfceo ar TITHO Mcips^gthtiol bgdecs gptigohc witf TITHOIUB `hws# remgbbeoded agr TITHOIUB McipsZuoths disthces eo bgdecgs rgthotes gpmigohc eo TITHOIG# remgbeodhbgs phrh mcips de TITHOIGZuoth disthce oei bgdecci lirevgce gpzigohce io TITHOIG# rhmmgbhodihbg per mcips di TITHOIG

    >8: bb @/6

  • 7/23/2019 GIMMI Neurosurgery

    58/2225: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Leamcips ohmf NIEBE^NIEBE^ Qessec McipsBimrg Mcips selo NIEBE^Bimrg Mcips semgodg NIEBE^

    Mht/ Og/ @/69 :#=9 O) &:#>9 :#=9 O) &:#>: :#>5 O)

    ar tebpgrreo Lenrhumfagr tebpgrhry gmmcusigophrh gmcusio tebpgrhcper gmmcusigoe tebpgrhce

    lekeoozeimfoet durmf lecn eiolearnte Aedereodeo# ar Leae biteioeb Durmfbesser :#5 >#: bb

    ideotiaied ny yeccgw mgcgured spriol eods# agrvessec dihb/ :#5 >#: bb

    Mcips vhsmuchres# phrh gmcusio tebpgrhrih# ideotiaimhnces bedihote#resgrte mgcgrehdg eo hbhriccg

    Mcips per usg tebpgrhoeg sgog ideotiaimhti mgo mgcgre lihccg succhbgcch/

    @/6

  • 7/23/2019 GIMMI Neurosurgery

    59/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 58

    Leamcips ohmf BEFDG^OBEFDG^O Qessec McipsBimrg Mcips selo BEFDG^OBimrg Mcips semgodg BEFDG^O

    Mht/ Og/ @/615>/:: @/6154/:: @/6: O) &:#8: :#85 O) &:#85 :#>: O)

    ar tebpgrreo Lenrhumfagr tebpgrhry gmmcusigophrh gmcusio tebpgrhcper gmmcusigoe tebpgrhce

    @/6/:: @/6156/::Ziozh per bimrg"mcip @/615>/:: @/6156/::

    Neispiec ar die vhrihnce Zgsitigo des McipsExhbpce ga vhrigus pgsitigos ga tfe mcipE`ebpcg de pgsimigohbeotg vhrihnce dec mcipEsebpig di pgsizigohbeotg dec mcip

    lekeoozeimfoet durmf lecn eiolearnte Aedereodeo# ar Leae biteioeb Durmfbesser :#5 >#: bb

    ideotiaied ny yeccgw mgcgured spriol eods# agrvessec dihb/ :#5 >#: bb

    Mcips vhsmuchres# phrh gmcusio tebpgrhrih# ideotiaimhnces bedihote#resgrte mgcgrehdg eo hbhriccg

    Mcips per usg tebpgrhoeg sgog ideotiaimhti mgo mgcgre lihccg succhbgcch/

  • 7/23/2019 GIMMI Neurosurgery

    60/2225> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Hpprgxibhtgreo ohmf NIEBE^"BCCE^NIEBE^"BCCE^ HpprgxibhtgrsHpprgxibhdgres selo NIEBE^"BCCE^Hpprgssibhtgri semgodg NIEBE^"BCCE^

    ar tebpgrreo Lenrhumfagr tebpgrhry gmmcusigophrh gmcusio tebpgrhcper gmmcusigoe tebpgrhce

    Mht/ Og/ @/6685/:: @/6688/:: @/6/::

    Bhucaaouol ' Gpeoiol ga `hws=#: bb 5#: bb 5#: bb

    Hperturh ' Hperturh

    Bhuccole ' Ceoltf ga `hws 4#5 bb 9#: bb 9#: bbCgol/ d/ ngmh ' Cuolf/ d/ puoth

    ]mfciekrhat ' Mcgsiol Agrme =: 4: l =: 4: l =: 4: lZresio ' Zressigoe &:#>9 :#=9 O) &:#>9 :#=9 O) &:#>9 :#=9 O)

    Mht/ Og/ @/69 :#=9 O) &:#>9 :#=9 O)

    @/6#: bb

    ideotiaied ny yeccgw mgcgured spriol eods# agrvessec dihb/ :#5 >#: bb

    Mcips vhsmuchres# phrh gmcusio tebpgrhrih# ideotiaimhnces bedihote#resgrte mgcgrehdg eo hbhriccg

    Mcips per usg tebpgrhoeg sgog ideotiaimhti mgo mgcgre lihccg succhbgcch/

  • 7/23/2019 GIMMI Neurosurgery

    61/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 5=

    Hpprgxibhtgreo ohmf BCCE^BCCE^ HpprgxibhtgrsHpprgxibhdgres selo BCCE^Hpprgssibhtgri semgodg BCCE^

    Mht/ Og/ @/665 :#>9 O) &:#>5 :#>9 O) &:#>5 :#>9 O) &:#>5 :#>9 O)

    @/6#: bb

    ideotiaied ny yeccgw mgcgured spriol eods# agrvessec dihb/ :#5 >#: bb

    Mcips vhsmuchres# phrh gmcusio tebpgrhrih# ideotiaimhnces bedihote#resgrte mgcgrehdg eo hbhriccg

    Mcips per usg tebpgrhoeg sgog ideotiaimhti mgo mgcgre lihccg succhbgcch/

  • 7/23/2019 GIMMI Neurosurgery

    62/22254 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Hpprgxibhtgr ohmf NIEBE^NIEBE^ HpprgxibhtgrHpprgxibhdgres selo NIEBE^Hpprgssibhtgri semgodg NIEBE^

    Mht/ Og/ @/69 :#=9 O)

    @/6

  • 7/23/2019 GIMMI Neurosurgery

    63/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 55

    Leamcips ohmf BCCE^BCCE^ Qessec McipsBimrg Mcips selo BCCE^Bimrg Mcips semgodg BCCE^

    ar tebpgrreo Lenrhumfagr tebpgrhry gmmcusigophrh gmcusio tebpgrhcper gmmcusigoe tebpgrhce

    Mht/ Og/ @/6>8:/:: @/6>>:/:: @/6>88/:: @/6>>8/:: @/6>8>/:: @/6>>>/::

    ]mfciekrhat ' Mcgsiol Agrme5: l 6: l 5: l 6: l 5: l 6: l

    Zresio ' Zressigoe

    Mht/ Og/ @/6>8=/:: @/6>>=/:: @/6>84/:: @/6>>4/::

    ]mfciekrhat ' Mcgsiol Agrme5: l 6: l 5: l 6: lZresio ' Zressigoe

  • 7/23/2019 GIMMI Neurosurgery

    64/22251 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

  • 7/23/2019 GIMMI Neurosurgery

    65/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 5

  • 7/23/2019 GIMMI Neurosurgery

    66/22256 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    HrterieokcebbeoFhebgsthtim AgrmepsZiozhs febgsttimhsZioze ebgsthtimfe

    HM/8=8>/8>8>: bb ' 4 =4

    kreuzlerieatmrgss serrhtigos

    estrhs mruzhdhszilriohturh iomrgmihth

    HM/8=88/8:8:: bb ' 4 84

    HM/8=8>/8:8:: bb ' 4 84

    FH^TBHOOHM/8=88/8: " HM/8=8>/8:

    TITHOIUB

    HM/8=:9/8>8>: bb ' 4 =4

    HM/8=8:/8>8>: bb ' 4 =4

    NHNY " FHC]TEDHM/8=:9/8> " HM/8=8:/8>

    TITHOIUB

    HM/8=:9/8:8:: bb ' 4 84

    HM/8=8:/8:8:: bb ' 4 84

    FH^TBHOOHM/8=:9/8: " HM/8=8:/8:

  • 7/23/2019 GIMMI Neurosurgery

    67/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 59

    HrterieokcebbeoFhebgsthtim AgrmepsZiozhs febgsttimhsZioze ebgsthtimfe

    FHC]TED " BG]XUITGHM/8=8=/8> " HM/8=81/84

    HM/8=8=/8> 8>: bb ' 4 =4HM/8=8=/84 84: bb ' 5 8>

    HM/8=84/8> 8>: bb ' 4 =4HM/8=84/84 84: bb ' 5 8>

    8x> Pfoe# Teetf# Dieotes# Deoti

    HM/8=85/8> 8>: bb ' 4 =4HM/8=85/84 84: bb ' 5 8>

    8x> Pfoe# Teetf# Dieotes# Deoti

    HM/8=81/8> 8>: bb ' 4 =4HM/8=81/84 84: bb ' 5 8>

    HM/8=88>: bb ' 4 =4

    HM/8=86/8>8>: bb ' 4 =4

    HM/8=89/8>8>: bb ' 4 =4

    FHC]TEDHM/8=8 " HM/8=89/8>

    TITHOIUB

    8x> Pfoe# Teetf#Dieotes# Deoti

  • 7/23/2019 GIMMI Neurosurgery

    68/2221: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    HrterieokcebbeoFhebgsthtim AgrmepsZiozhs febgsttimhsZioze ebgsthtimfe

    CE^IMFEHM/8=>9/85 " HM/8==>/85

    HM/8=>9/8585: bb ' 1

    HM/8==:/8585: bb ' 1

    HM/8==8/8585: bb ' 1

    HM/8==>/8585: bb ' 1

    8x> Pfoe# Teetf# Dieotes# Deoti

    NHNY " BIVTE^HM/8=:1/84 " HM/8=:6/84

    HM/8=:1/8484: bb ' 5 8>

    HM/8=:6/8484: bb ' 5 8>

  • 7/23/2019 GIMMI Neurosurgery

    69/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 18

    HrterieokcebbeoFhebgsthtim AgrmepsZiozhs febgsttimhsZioze ebgsthtimfe

    HM/8==

    HM/8==4/8484: bb ' 5 8>

    HM/8==6/8181: bb ' 1 8>

    KECCY " ^HOKIOHM/8==

  • 7/23/2019 GIMMI Neurosurgery

    70/2221> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    HrterieokcebbeoFhebgsthtim AgrmepsZiozhs febgsttimhsZioze ebgsthtimfe

    NHNY " M^ICEHM/8=18/84 " HM/8=14/84

    HM/8=18/8484: bb ' 5 8>

    HM/8=1>/8484: bb ' 5 8>

    HM/8=1=/8484: bb ' 5 8>

    HM/8=14/8484: bb ' 5 8>

    8x> Pfoe# Teetf# Dieotes# Deoti

    CGQECHMEHM/8=58/85 " HM/8=5=/85

    HM/8=58/8585: bb ' 1

    HM/8=5=/8585: bb ' 1

    8x> Pfoe# Teetf#Dieotes# Deoti

    HM/8=56/8484: bb ' 5 8>

    HM/8=1:/8484: bb ' 5 8>

    DHODYHM/8=56/84 " HM/8=1:/84

    8x> Pfoe# Teetf#Dieotes# Deoti

  • 7/23/2019 GIMMI Neurosurgery

    71/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 1=

    HrterieokcebbeoFhebgsthtim AgrmepsZiozhs febgsttimhsZioze ebgsthtimfe

    M^ICEHM/8=4=/84 " HM/8=41/84

    HM/8=4=/8484: bb ' 5 8>

    HM/8=44/8484: bb ' 5 8>

    HM/8=45/8484: bb ' 5 8>

    HM/8=41/8484: bb ' 5 8>

    8x> Pfoe# Teetf# Dieotes# Deoti

    M^ICEHM/8=49/84 " HM/8=5>/84

    HM/8=49/8484: bb ' 5 8>

    HM/8=5:/8484: bb ' 5 8>

    HM/8=58/8484: bb ' 5 8>

    HM/8=5>/8484: bb ' 5 8>

    8x> Pfoe# Teetf# Dieotes# Deoti

    TITHOIUB

  • 7/23/2019 GIMMI Neurosurgery

    72/22214 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    HrterieokcebbeoFhebgsthtim AgrmepsZiozhs febgsttimhsZioze ebgsthtimfe

    M^ICEHM/8=58/81 " HM/8=54/81

    HM/8=58/8181: bb ' 1 8>

    HM/8=5>/8181: bb ' 1 8>

    HM/8=5=/8181: bb ' 1 8>

    HM/8=54/8181: bb ' 1 8>

    8x> Pfoe# Teetf# Dieotes# Deoti

    TITHOIUB

  • 7/23/2019 GIMMI Neurosurgery

    73/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 15

    \UOD]Z^EIPE^

    ^ET^HMTG^]]EZH^HDG^E]DIQH^IMHTG^I

  • 7/23/2019 GIMMI Neurosurgery

    74/22211 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    \uodfhkeo^etrhmtgrs]ephrhdgresDivhrimhtgri

    MGTTCE

    Durh" uod Fhutfkmfeo# spitzDurh hod skio retrhmtgr# sfhrpLhomfg phrh piec y durh bhdre# hludgUomiog per pecce e durh"bhdre# hmutg

    HD/8:5=/8181: bb ' 1 84

    L^HFHB

    DurhfkmfeoDurh fggkLhomfg phrh durh bhdreUomiog per durh"bhdre

    HD/8:51/88:/86 " HD/8>8>/86

    HD/8>8:/8686: bb ' 8>/8686: bb '

  • 7/23/2019 GIMMI Neurosurgery

    75/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 1

    HD/81: bb ' 8: 84

    smfhra# sfhrp# hludg# hmutg smfhra# sfhrp# hludg# hmutg

    HD/8:>:: bb ' 6

    HD/84>4: bb ' 9 8>

    HD/81>1: bb ' 8: 84

    stubpa# ncuot# rgbg# sbussg stubpa# ncuot# rgbg# sbussg

    HD/8:>:: bb ' 6

    HD]GO

    HD/81>1: bb ' 8: 84

    =x4 Pfoe# Teetf# Dieotes# Deoti

  • 7/23/2019 GIMMI Neurosurgery

    76/22216 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    \uodsperrer^etrhmtgrs]ephrhdgresDivhrimhtgri

    HD/8

  • 7/23/2019 GIMMI Neurosurgery

    77/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 19

    \uodsperrer^etrhmtgrs]ephrhdgresDivhrimhtgri

    NEMKBHOO HD]GO

    HD/8 8>

    4x4 Pfoe# Teetf# Dieotes# Deoti 4x5 Pfoe# Teetf# Dieotes# Deoti

  • 7/23/2019 GIMMI Neurosurgery

    78/222 8>

  • 7/23/2019 GIMMI Neurosurgery

    79/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy > bb8 Chterhc vhcve 4= x >> bb8 Chterhc vhcve 4< x >> bb8 Chterhc vhcve 5> x >> bb8 Chterhc vhcve 5< x >> bb

    Divhrimhtgre mgo nrhmmig hrtimgchtg hmfiusurh isthothoeh# per chbioemtgbih eebi"chbioemtgbih# mgbpcetg# mgbpgstg dh0HD/89:> bbHD/89:> bbHD/89: x >> bbHD/89:> bb

    ]ephrhdgr mgo nrhzgs hrtimuchdgs y mierrerpidg esarimg# phrh chbioemtgbh y febi"chbioemtgbh# mgbpcetg# mgbpuestg de08 Muhdrg8 Cchve8 Lhomfg =6 bb

    8 Qhcvh chterhc =< x >> bb8 Qhcvh chterhc 4= x >> bb8 Qhcvh chterhc 4< x >> bb8 Qhcvh chterhc 5> x >> bb8 Qhcvh chterhc 5< x >> bb

    HD/89: bb

    HD/89:4= x >> bb

    HD/89:> bb

    HD/89: x >> bb

    HD/89:> bb

    HD/89:

    845bb

    MH]ZH^HD/89: bbHD/89:> bbHD/89: x >> bbHD/89:> bb

  • 7/23/2019 GIMMI Neurosurgery

    80/222 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    \uodsperrer^etrhmtgrs]ephrhdgresDivhrimhtgri

    HD/89: x >> bbHD/89:> bbHD/89: x >> bbHD/89: x >> bbHD/89: x 5> bbHD/89: bbHD/89: x 5> bbHD/89: x 5> bbHD/89: x =< bbHD/89:8 ' =< x =< bbHD/89:> ' 4= x =< bbHD/89:= ' 4< x =< bbHD/89:4 ' 5> x =< bbHD/89:5 ' 5< x =< bbHD/89:1 ' 1> x =< bbHD/89:< ' 1< x =< bb

    ]eiteovhcveo bit Kulecsmfoeccversmfcu#ar \uodspreizer HD/89:

  • 7/23/2019 GIMMI Neurosurgery

    81/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8 ]perrerHD/8988/6: 8 Qhcve stubpa 45 x >= bbHD/8988/68 8 Qhcve stubpa 5: x >= bbHD/8988/6> 8 Qhcve stubpa 55 x >= bbHD/8988/6= 8 Qhcve stubpa 1: x >= bbHD/8988/64 8 Qhcve stubpa 15 x >= bb

    ]eca"rethioiol retrhmtgr witf hrtimuchted hrbshod nhcc sohp mcgsure# mgbpcete# mgosistiol ga0

    HD/898:/4> 8 ]prehderHD/8988/6: 8 Qhcve ncuot 45 x >= bbHD/8988/68 8 Qhcve ncuot 5: x >= bbHD/8988/6> 8 Qhcve ncuot 55 x >= bbHD/8988/6= 8 Qhcve ncuot 1: x >= bbHD/8988/64 8 Qhcve ncuot 15 x >= bb

    ]ephrhdgr mgo nrhzgs hrtimuchdgs y mierrerpidg esarimg# mgbpcetg# mgbpuestg de0HD/898:/4> 8 ]ephrhdgrHD/8988/6: 8 Qhcvh rgbh 45 x >= bb

    HD/8988/68 8 Qhcvh rgbh 5: x >= bbHD/8988/6> 8 Qhcvh rgbh 55 x >= bbHD/8988/6= 8 Qhcvh rgbh 1: x >= bbHD/8988/64 8 Qhcvh rgbh 15 x >= bb

    HD/8988/685: x >= bb

    HD/8988/6>55 x >= bb

    HD/8988/6=1: x >= bb

    HD/8988/6415 x >= bb

    HD/8988/6:45 x >= bb

  • 7/23/2019 GIMMI Neurosurgery

    82/222

  • 7/23/2019 GIMMI Neurosurgery

    83/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy :/::

    \uodspreizer bit Leceokhrbeo uod Kulec"smfoeccversmfcu# kgbpcett# nestefeod hus0HD/89>:/58 8 ^hfbeoHD/89>8/= bbHD/89>8/= bbHD/89>8/ 8 Qhcve bedihc 5: x >= bbHD/89>8/= bb

    HD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bb

    ]eca"rethioiol retrhmtgr witf hrtimuchted hrbshod nhcc sohp mcgsure# mgbpcete# mgosistiol ga0HD/89>:/58 8 ArhbeHD/89>8/= bbHD/89>8/= bbHD/89>8/ 8 Qhcve bedihc 5: x >= bbHD/89>8/= bb

    HD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bb

    Divhrimhtgre mgo nrhmmig hrtimgchtg h mfiusurhisthothoeh# mgbpcetg# mgbpgstg dh0HD/89>:/58 8 TechigHD/89>8/= bbHD/89>8/= bbHD/89>8/ 8 Qhcvh bedih 5: x >= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bb

    ]ephrhdgr mgo nrhzgs hrtimuchdgs y mierrerpidg esarimg# mgbpcetg# mgbpuestg de0HD/89>:/58 8 MuhdrgHD/89>8/= bbHD/89>8/= bbHD/89>8/ 8 Qhcvh bedihoh 5: x >= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD/89>8/= bb

    HD/89>8/= bb HD/89>8/= bb

    HD/89>8/= bb

    HD/89>8/= bb

    HD/89>8/5: x >= bb

    HD/89>8/= bb

    HD/89>8/= bb

    HD/89>8/= bb

    HD/89>8/= bb

    HD/89>8/= bb

    9:bb

    Trhosvershc zu verweodeo(Tg ne used tg trhosverse retrhmtigo(tic phrh retrhmmio trhosvershc(Dh ibpielhrsi per trhzigoi trhsvershci(

  • 7/23/2019 GIMMI Neurosurgery

    84/222= bbHD/89>8/= bbHD/89>8/= bb

    Bedihce Qhcveo bit Kulecsmfoecc"

    versmfcu# ar \uodspreizerHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Bedihc vhcves witf nhcc sohp mcgsure#agr seca"rethioiol retrhmtgrsHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcvhs bedihohs mgo mierre rpidgesarimg# phrh sephrhdgresHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcve bedie h mfiusurh isthothoeh#per divhrimhtgriHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    HD/89>8/= bbHD/89>8/= bbHD/89>8/= bbHD8988/68 ' 5: x >= bbHD8988/6> ' 55 x >= bbHD8988/6= ' 1: x >= bbHD8988/64 ' 15 x >= bb

    ]tubpae Qhcveo bit Kulecsmfoecc"

    versmfcu# ar \uodspreizerHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Ncuot vhcves witf nhcc sohp mcgsure#agr seca"rethioiol retrhmtgrsHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcvhs rgbhs mgo mierre rpidgesarimg# phrh sephrhdgresHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcve sbusse h mfiusurh isthothoeh#per divhrimhtgriHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    HD/8988/65 ' 5: x >5 bb

    HD/8988/61 ' 1: x >5 bb]tubpae Qhcveo bit Kulecsmfoecc"versmfcu zur ]phoeotohfbe hbNemkeokhbb# ar \uodspreizerHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Ncuot vhcves witf nhcc sohp mcgsure# agrfhrvestiol ga tfe ausigo lrhat argb tfeicihm mrest# agr seca"rethioiol retrhmtgrsHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcvhs rgbhs mgo mierre rpidgesarimg# phrh sephrhdgresHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcve sbusse h mfiusurh isthothoeh# pergssg icihmg# per divhrimhtgriHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    HD/8988/9: ' 4: x >5 bb

    HD/8988/98 ' 45 x >5 bbHD/8988/9> ' 5: x >5 bbHD/8988/9= ' 55 x >5 bbHD/8988/94 ' 1: x >5 bb

    Bedihce Qhcveo hus TITHO# bit Kulec"smfoeccversmfcu# ar \uodspreizerHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Bedihc vhcves ga TITHOIUB# witf nhccsohp mcgsure# agr seca"rethioiol retrhmtgrsHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcvhs bedihohs de TITHOIG# mgomierre rpidg esarimg# phrh sephrh"

    HD/898:/:: ' HD/8985/:: ' HD/89>:/::Qhcve bedie io TITHOG h mfiusurhisthothoeh# per divhrimhtgriHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    HD/8988/95 ' 4: x >5 bb

    HD/8988/91 ' 45 x >5 bbHD/8988/9< ' 5: x >5 bbHD/8988/96 ' 55 x >5 bbHD/8988/99 ' 1: x >5 bb

    Chterhce Qhcveo hus TITHO# bit Kulec"smfoeccversmfcu# ar \uodspreizerHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Chterhc vhcves ga TITHOIUB# witf nhccsohp mcgsure# agr seca"rethioiol retrhmtgrsHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    Qhcvhs chterhces de TITHOIG# mgomierre rpidg esarimg# phrh sephrhdgres

    HD/898:/:: ' HD/8985/:: ' HD/89>:/::Qhcve chterhci io TITHOG# h mfiusurhisthothoeh# per divhrimhtgriHD/898:/:: ' HD/8985/:: ' HD/89>:/::

    QhcveoQhcvesQhcvhsQhcve

  • 7/23/2019 GIMMI Neurosurgery

    85/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 1/:8 8 ^hfbeo

    HD/89>1/:> 8 ]eiteovhcve 4: x 8> bbHD/89>1/:= 8 ]eiteovhcve 41 x 8= bbHD/89>1/:4 8 ]eiteovhcve 5: x 8= bbHD/89>1/:5 8 ]eiteovhcve 51 x 84 bbHD/89>1/:1 8 ]eiteovhcve 1= x 84 bbHD/89>1/:< 8 ]eiteovhcve 11 x 85 bb

    ]eca"rethioiol retrhmtgr witf hrtimuchted hrbshod nhcc sohp mcgsure# mgbpcete# mgosistiol ga0HD/89>1/:8 8 Arhbe

    HD/89>1/:> 8 Chterhc vhcve 4: x 8> bbHD/89>1/:= 8 Chterhc vhcve 41 x 8= bbHD/89>1/:4 8 Chterhc vhcve 5: x 8= bbHD/89>1/:5 8 Chterhc vhcve 51 x 84 bbHD/89>1/:1 8 Chterhc vhcve 1= x 84 bbHD/89>1/:< 8 Chterhc vhcve 11 x 85 bb

    ]ephrhdgr mgo nrhzgs hrtimuchdgs y mierrerpidg esarimg# mgbpcetg# mgbpuestg de0HD/89>1/:8 8 MuhdrgHD/89>1/:> 8 Qhcvh chterhc 4: x 8> bbHD/89>1/:= 8 Qhcvh chterhc 41 x 8= bb

    HD/89>1/:4 8 Qhcvh chterhc 5: x 8= bbHD/89>1/:5 8 Qhcvh chterhc 51 x 84 bbHD/89>1/:1 8 Qhcvh chterhc 1= x 84 bbHD/89>1/:< 8 Qhcvh chterhc 11 x 85 bb

    Divhrimhtgre mgo nrhmmig hrtimgchtg h mfiusurhisthothoeh# mgbpcetg# mgbpgstg dh0HD/89>1/:8 8 TechigHD/89>1/:> 8 Qhcvh chterhce 4: x 8> bbHD/89>1/:= 8 Qhcvh chterhce 41 x 8= bb

    HD/89>1/:4 8 Qhcvh chterhce 5: x 8= bbHD/89>1/:5 8 Qhcvh chterhce 51 x 84 bbHD/89>1/:1 8 Qhcvh chterhce 1= x 84 bbHD/89>1/:< 8 Qhcvh chterhce 11 x 85 bb

    1: bb

    HD/89>1/:>4: x 8> bb

    HD/89>1/:=41 x 8= bb

    HD/89>1/:45: x 8= bb

    HD/89>1/:551 x 84 bb

    HD/89>1/:11= x 84 bb

    HD/89>1/:5 bbHD/894:/8> ' 14x5: bbHD/894:/8= ' 66x>5 bb

    ]MGQICCEHD/894:/48 ' 46x5: bbHD/894:/4> ' 14x5: bbHD/894:/4= ' 14x14 bbHD/894:/44 ' 6:x5< bb

    ]MGQICCEHD/894:/41 ' 48x=6 bbHD/894:/4< ' 1

  • 7/23/2019 GIMMI Neurosurgery

    88/2226: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    MCG\H^DHD/894>/85

    81: bb ' 1 84

    ]preizweite 86 bbNchde gpeoiol 86 bbHnerturh de ch fg`h 86 bbHperturh chbe 86 bb

    IOLEHD/8941/89:/8:bit ]perre# witf rhtmfet#

    mgo mrebhccerh# mgo mrebhlcierh

    ^EICCHE/8>91/85 " HE/8>969/8:8:: bb ' 4 84

    HE/8>9:/8:8:: bb ' 4 84

    HE/8>98/8:8:: bb ' 4 84

    HE/8>9>/8:8:: bb ' 4 84

    NH^^HXUE^ " T^GUTBHOHE/8>98/8: " HE/8>9>/8:

    gfoe ]perre# witfgut rhtmfet#sio mrebhccerh# seozh mrebhlcierh

    ^EICCHE/8>96/85 " HE/8>99/85

    gfoe ]perre# witfgut rhtmfet#sio mrebhccerh# seozh mrebhlcierh

    HE/8>91/8585: bb ' 1

    HE/8>999/8585: bb ' 1

  • 7/23/2019 GIMMI Neurosurgery

    91/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 6=

    NH^^HXUE^ NH^^HXUE^ NH^^HXUE^

    MH]T^GQIE@GHE/8=:

  • 7/23/2019 GIMMI Neurosurgery

    92/22264 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Bikrg " OhdecfhcterBimrg " Oeedce FgcdersBimrg " Zgrth"hlu`hsBimrg " Zgrthlfi

    MH]T^GQIE@G " AIOGHE/8=88/8= " HE/8=8>/8=

    HE/8=:9/8=8=: bb ' 5

    HE/8=8:/8=8=: bb ' 5

    HE/8=88/8=8=: bb ' 5

    HE/8=8>/8=8=: bb ' 5

    MH]T^GQIE@G " AIOGHE/8=:9/8= " HE/8=8:/8=

    gfoe ]perre# witfgut rhtmfet#sio mrebhccerh# seozh mrebhlcierh

    bit ]perre# witf rhtmfet#mgo mrebhccerh# mgo mrebhlcierh

    MH]T^GQIE@GHE/8=84/:: " HE/8=84/:8

    HE/8=8=/::84: bb ' 5 8>

    HE/8=8=/:884: bb ' 5 8>

    HE/8=84/::84: bb ' 5 8>

    HE/8=84/:884: bb ' 5 8>

    MH]T^GQIE@GHE/8=8=/:: " HE/8=8=/:8

    bit ]perre# witf rhtmfet#mgo mrebhccerh# mgo mrebhlcierh

    gfoe ]perre# witfgut rhtmfet#sio mrebhccerh# seozh mrebhlcierh

  • 7/23/2019 GIMMI Neurosurgery

    93/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 65

    MH]T^GQIE@G " ]THODH^DHE/8=81/:: " HE/8=81/:8

    HE/8=85/::84: bb ' 5 8>

    HE/8=85/:884: bb ' 5 8>

    HE/8=81/::84: bb ' 5 8>

    HE/8=81/:884: bb ' 5 8>

    MH]T^GQIE@G " ]THODH^DHE/8=85/:: " HE/8=85/:8

    gfoe ]perre# witfgut rhtmfet#sio mrebhccerh# seozh mrebhlcierh

    bit ]perre# witf rhtmfet#mgo mrebhccerh# mgo mrebhlcierh

    HE/8=81/:4 " HE/8=81/:1

    HE/8=85/:4865 bb ' < 84

    HE/8=85/:1865 bb ' < 84

    HE/8=81/:4865 bb ' < 84

    HE/8=81/:1865 bb ' < 84

    HE/8=85/:4 " HE/8=85/:1

    gfoe ]perre# witfgut rhtmfet#sio mrebhccerh# seozh mrebhlcierh

    bit ]perre# witf rhtmfet#mgo mrebhccerh# mgo mrebhlcierh

    HE/8=>=/>=>=: bb ' 9

    Bikrg " OhdecfhcterBimrg " Oeedce FgcdersBimrg " Zgrth"hlu`hsBimrg " Zgrthlfi

  • 7/23/2019 GIMMI Neurosurgery

    94/22261 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Titho Bikrg " OhdecfhcterTithoiub Bimrg " Oeedce FgcdersBimrg " Zgrth"hlu`hs io tithoigBimrg " Zgrthlfi io tithoig

    HE/8=>5/85 " HE/8=>1/86

    HE/8=>=/8585: bb ' 1

    HE/8=>4/8585: bb ' 1

    HE/8=>5/8585: bb ' 1

    HE/8=>1/8585: bb ' 1

    HE/8=>=/8686: bb ' 4/8686: bb ' 5/8686: bb ' 1/8686: bb ' =/85 " HE/8=>4/86

    gfoe ]perre# witfgut rhtmfet#sio mrebhccerh# seozh mrebhlcierh

    bit ]perre# witf rhtmfet#mgo mrebhccerh# mgo mrebhlcierh

    T I T H O I U B T I T H O I U B

  • 7/23/2019 GIMMI Neurosurgery

    95/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 6

  • 7/23/2019 GIMMI Neurosurgery

    96/22266 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    TM OhdecfhcterTM Oeedce FgcdersTM Zgrth"hlu`hsTM Zgrthlfi

    M^ICE " \GGD

    Bioiprgaicbioi prgaiceZeraic bioiZrgaicg bioi

    DE NHKEYHE/8149/86 " HE/8149/=8

    HE/8149/85 85: bb ' 1HE/8149/86 86: bb ' = >=: bb ' 9HE/8149/>1 >1: bb ' 8: 84HE/8149/=8 =8: bb ' 8> 84

    Ogrbhcprgaicogrbhc prgaiceZeraic ogrbhcZrgaicg ogrbhce

    DE NHKEYHE/815:/81 " HE/815>/>8

    Bioiprgaicbioi prgaiceZeraic bioiZrgaicg bioi

    HE/815:/81 815 bb ' 1 8>HE/815:/>8 >8: bb ' 6 84

    Ogrbhcprgaicogrbhc prgaiceZeraic ogrbhcZrgaicg ogrbhce

    HE/815>/81 815 bb ' 1 8>HE/815>/>8 >8: bb ' 6 84

    BIM^GQH]MUCH^HE/8119/:> " HE/8119/:4

    HE/8119/:> 86: bb ' :: bb ' 6HE/8119/:4 >=: bb ' 9

    Bikrgprgaicbimrg prgaiceZeraic bimrgZrgaicg bimrg

    HE/8148/8585: bb ' 1

  • 7/23/2019 GIMMI Neurosurgery

    97/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 69

    DE NHKEYHE/85: bb ' 8:

    BIM^GQH]MUCH^HE/8/81 " HE/8/>5

    HE/8/81 81: bb ' 1 8>HE/8/86 86: bb ' > >>: bb ' 6 =4

    HE/8/>5 >5: bb ' 8:

    T I TH O I U B T I TH O I U B

    T I T H O I U B

    Titho OhdecfhcterTithoiub Oeedce FgcdersZgrth"hlu`hs io tithoigBimrg pgrthlfi io tithoig

  • 7/23/2019 GIMMI Neurosurgery

    98/2229: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

  • 7/23/2019 GIMMI Neurosurgery

    99/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 98

    ECEQHTG^IEO# ^H]ZHTG^IEO

    ECEQHTG^]# ^H]ZHTG^IE]ECEQHDG^E]# ZE^IG]TTGBG]ECEQHTG^I# ZE^IG]TGTGBI

  • 7/23/2019 GIMMI Neurosurgery

    100/2229> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Ecevhtgrieo# hsphtgrieoEcevhtgrs# ^hsphtgriesEcevhdgres# ZerigsttgbgsEcevhtgri# Zerigstgtgbi

    HD]GOKD/846:

    KD/8496/>:>:: bb ' 6

    KD/85::/>:>:: bb ' 6

    8: bb 4 bb

    \ICCILE^KD/858=/8< " KD/8585/8

    4#: bb

    KD/8585/8989: bb ' < 8>

    stubpancuotrgbgsbussg

    stubpancuotrgbgsbussg

    \ICCILE^

    4 bb

    KD/8581/8484: bb ' 5 8>

    \ICCILE^

    1 bb

    KD/8581/8181: bb ' 1 84

    T^ECHT

    6 bb

    KD/8586/:685: bb ' 1

    KICCIHO FG\H^TF

    =#5 bb

    =#5 bb

    smfhrasfhrphludghmutg

    smfhrasfhrphludghmutg

    KD/85>=/89865 bb ' < 84

    KD/85>4/89>85 bb ' 6 8>

    5#5 bb

    4#5 bb

    stubpancuotrgbgsbussg

    smfhrasfhrphludghmutg

    Ecevhtgrieo# ^hsphtgrieoEcevhtgrs# ^hsphtgriesEcevhdgres# ZerigsttgbgsEcevhtgri# Zerigstgtgbi

  • 7/23/2019 GIMMI Neurosurgery

    102/22294 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    stubpancuotrgbgsbussg

    KICCIHO

    4#5 bb

    4#5 bb

    smfhrasfhrphludghmutg

    KD/85>5/89865 bb ' < 84

    KD/85>1/8181: bb ' 1 8>

    BM DGOHCD

    KD/85=:/8989: bb ' < 8>

    A^EE^

    4#5 bb

    4#5 bb

    stubpancuotrgbgsbussg

    smfhrasfhrp

    hludghmutg

    \HT]GO " MFEYOEKD/85=>/8686: bb '

  • 7/23/2019 GIMMI Neurosurgery

    103/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 95

    Ecevhtgrieo# ^hsphtgrieoEcevhtgrs# ^hsphtgriesEcevhdgres# ZerigsttgbgsEcevhtgri# Zerigstgtgbi

    KO/8=96/85815 bb ' 1 8>

    @HO]EO

    81#: bb

    CHOLEONEMK CHOLEONEMK

    81 bb

    84 bb

    KO/84:4/8686: bb ' >/8585: bb ' 1

    ]EDICCGT

    KO/84=:/>8>8: bb ' 6 84

  • 7/23/2019 GIMMI Neurosurgery

    104/22291 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Ecevhtgrieo# hsphtgrieoEcevhtgrs# ^hsphtgriesEcevhdgres# ZerigsttgbgsEcevhtgri# Zerigstgtgbi

    KO/844>/:1 " KO/844>/:6

    KO/844=/8686: bb ' /:18:895 bb ' < =4

    BEHD

    KO/8454/81815 bb ' 1 84

    BGCT

    KO/8455/8686: bb '

  • 7/23/2019 GIMMI Neurosurgery

    105/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 9: >: bbKO/8414/>5 >5 bb

    AGBGO

    KO/84:5 bb ' 6

    KO/84:5 bb ' 6

    KO/84:5 bb ' 6

    KO/84>:5 bb ' 6

    KO/84:5 bb ' 6

    Ail/ 9'8: Ail/

  • 7/23/2019 GIMMI Neurosurgery

    106/22296 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

  • 7/23/2019 GIMMI Neurosurgery

    107/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 99

    ]HULE^ UOD KHOCEO

    ]UMTIGO TUNE] HOD MHOOUCH]TUNG] DE H]ZI^HMIGO Y MHOUCH]TUNI DH]ZI^HPIGOE E MHOOUCE

  • 7/23/2019 GIMMI Neurosurgery

    108/2228:: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ]huler uod Khoceo]umtigo Tunes hod MhoouchsTungs de hspirhmigo y mhouchsTuni dhspirhzigoe e mhoouce

    XUIOMKEHY/848:/:< " HY/848:/84

    HY/848:/:< :#: x 9: bbHY/848:/8= 8#>: x 8:: bbHY/848:/84 8#>: x 85: bb

    TUGFYHY/848>/8> " HY/848>/81

    HY/848>/8> 8#=: x 6: bbHY/848>/84 8#5: x 6: bbHY/848>/81 8#15 x 6: bb

    NIE^HY/848>/8> " HY/848>/81

    HY/8484/:> 8#>: x 6: bbHY/8484/:= 8#>: x 9: bb

    KCIBH"^G]]ELLE^HY/8481/86

    8#6: x =5 bb

    A^HPIE^HY/8486/:>

    8:: bb ' 4

    > bb

    MGOEHY/84>:/:5 " HY/84>:/8>

    HY/84>:/:5 :#9: x 9: bbHY/84>:/:1 8#>: x 9: bbHY/84>:/:< 8#4: x 9: bbHY/84>:/:6 8#1: x 9: bbHY/84>:/:9 8#6: x 9: bbHY/84>:/8: >#:: x 9: bbHY/84>:/88 >#4: x 9: bbHY/84>:/8> >#6: x 9: bb

    CubnhcpuoktigoskhoceoCubnhr puomture mhoouchMouch phrh ch puomtigo cubnhrMhoouce per ch puomturh cgbnhre

    ]terohcpuoktigoskhoceo]terohc puomture mhoouchMouch phrh ch puomtigo esterohcMhoouce per ch puomturh sterohce

    FiroveotrikecpuoktigoskhoceoQeotrimce ga merenrub puomture mhoouchMouch phrh ch puomtigo dec veotrimucg merenrhcMhoouce per ch puomturh dec veotrimgcg merenrhce

  • 7/23/2019 GIMMI Neurosurgery

    109/222

    ]huler uod Khoceo]umtigo Tunes hod MhoouchsTungs de hspirhmigo y mhouchsTuni dhspirhzigoe e mhoouce

    LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8:8

    HD]GOHY/84>8/8> 4 bb# Mfhrr/ 8>

    HD]GOHY/84>>/8> 4 bb# Mfhrr/ 8>

    A^HPIE^HY/84>=/:6 " HY/85>=/8>

    8=5 bb 8=5 bb 8>5 bb

    HY/84>=/:6 Mfhrr/ 6HY/84>=/8: Mfhrr/ 8:HY/84>=/8> Mfhrr/ 8>

    A^HPIE^HY/84>=/:6 " HY/85>=/8>

    8>5 bb

    HY/84>=/>6 Mfhrr/ 6HY/84>=/=: Mfhrr/ 8:HY/84>=/=> Mfhrr/ 8>

    ZCE]TE^HY/85>9/:5 " HY/85>9/:9

    8=5 bb

    HY/85>9/:5 Mfhrr/ 5HY/85>9/:1 Mfhrr/ 1HY/85>9/:6 Mfhrr/ 6HY/85>9/:9 Mfhrr/ 9

    HD]GOHY/85>4/>8

    4 bb# Mfhrr/ 8>

    8=5 bb

  • 7/23/2019 GIMMI Neurosurgery

    110/2228:> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ]huler uod Khoceo]umtigo Tunes hod MhoouchsTungs de hspirhmigo y mhouchsTuni dhspirhzigoe e mhoouce

    A^HPIE^ &AE^LU]]GO)HY/85>4/:1 " HY/85>4/8>

    HY/85>4/:1 Mfhrr/ 1HY/85>4/:6 Mfhrr/ 6HY/85>4/8: Mfhrr/ 8:HY/85>4/8> Mfhrr/ 8>

    86: bb

    A^HPIE^HY/85>5/:1 " HY/85>5/8>

    HY/85>5/:1 Mfhrr/ 1HY/85>5/:6 Mfhrr/ 6HY/85>5/8: Mfhrr/ 8:HY/85>5/8> Mfhrr/ 8>

    86: bb

    A^HPIE^HY/85=>/:1 " HY/85=>/8>

    HY/85=>/:1 Mfhrr/ 1HY/85=>/:6 Mfhrr/ 6HY/85=>/8: Mfhrr/ 8:HY/85=>/8> Mfhrr/ 8>

    8>5 bb

    A^HPIE^ &AE^LU]]GO)HY/85=4/:1 " HY/85=4/8>

    HY/85=4/:1 Mfhrr/ 1HY/85=4/:6 Mfhrr/ 6HY/85=4/8: Mfhrr/ 8:HY/85=4/8> Mfhrr/ 8>

    8>5 bb

  • 7/23/2019 GIMMI Neurosurgery

    111/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8:=

    AE^LU]]GOHY/85=1/:1 " HY/85=1/85

    8>5 bb

    A^HPIE^ &AE^LU]]GO)HY/85=9/:8 " HY/85=9/:>

    HY/85=9/:8 8#5 x 89: bbHY/85=9/:> >#: x 89: bb

    HY/85=1/:1 Mfhrr/ 1HY/85=1/:6 Mfhrr/ 6HY/85=1/8: Mfhrr/ 8:HY/85=1/8> Mfhrr/ 8>HY/85=1/85 Mfhrr/ 85

    \UCC]TEIOHY/85=6/:8 " HY/85=6/:>

    84: bb ' 5 8>

    ]icner# nielshb

    ]terciol ]icver# acexinceZchth# bhcehnceHrleotg# bhccehnice

    PCCOE^HY/854:/::

    PCCOE^HY/854:/:> " HY/854:/:=

    HY/854:/:> :#5 bb

    HY/854:/:= :#< bb

    kgbpcett nestefeod husHnshulrfrmfeo &HY/854:/:8)uod 8 huasetznhrer Khoce :#< bb &HY/854:/:=)

    mgbpcete mgosistiol gasumtigo tune &HY/854:/:8)hod 8 scip"go mhoouch :#< bb &HY/854:/:=)

    mgbpceth mgbpgsth dh0mhouch &HY/854:/:8) y tungsuectg :#< bb &HY/854:/:=)

    mgbpcetth mgbpgstg dimhoouch &HY/854:/:8) e tungsgcg :#< bb &HY/854:/:=)HY/85=6/:8 8#5 bb

    HY/85=6/:> >#: bb

    ]huler uod Khoceo]umtigo Tunes hod MhoouchsTungs de hspirhmigo y mhouchsTuni dhspirhzigoe e mhoouce

  • 7/23/2019 GIMMI Neurosurgery

    112/2228:4 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    ]huler uod Khoceo]umtigo Tunes hod MhoouchsTungs de hspirhmigo y mhouchsTuni dhspirhzigoe e mhoouce

    CHODGCT

    HY/8544/>:>:: bb ' 6

    HY/8548/86 8#6 + 8#6 bbHY/8548/>5 >#5 + >#: bbHY/8548/=: =#: + >#: bbHY/8548/45 4#5 + >#: bb

    FGU]EHY/8548/:9 :#9 + :#< bbHY/8548/8> 8#> + :#9 bbHY/8548/85 8#5 + 8#> bb

    YH]H^LICHY/855:/>:>:: bb ' 6

    4#5 bb

    >#: bb

    AE^LU]]GO

    HY/858:/:: " HY/8581/:5

    HY/8584/:: 8#5 bbHY/8584/:8 >#: bbHY/8584/:> >#5 bbHY/8584/:= =#: bbHY/8584/:4 4#: bbHY/8584/:5 5#: bb

    C

    C 2 81: bb

    HY/8581/:: 8#5 bbHY/8581/:8 >#: bbHY/8581/:> >#5 bbHY/8581/:= =#: bbHY/8581/:4 4#: bbHY/8581/:5 5#: bb

    C 2 >:: bb

    HY/858:/:: 8#5 bbHY/858:/:8 >#: bbHY/858:/:> >#5 bbHY/858:/:= =#: bbHY/858:/:4 4#: bbHY/858:/:5 5#: bb

    C 2 88: bb

    HY/858>/:: 8#5 bbHY/858>/:8 >#: bbHY/858>/:> >#5 bbHY/858>/:= =#: bbHY/858>/:4 4#: bbHY/858>/:5 5#: bb

    C 2 8=: bb

  • 7/23/2019 GIMMI Neurosurgery

    113/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8:5

    FYZGZFY]EKTGBIE"IO]T^UBEOTE

    FYZGZFY]EMTGBY IO]T^UBEOT]IO]T^UBEOTG] ZH^H CH FIZGAI]EMTGBIH]T^UBEOTI ZE^ IZGAI]EMTGBIH

  • 7/23/2019 GIMMI Neurosurgery

    114/2228:1 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Fypgpfysektgbie"IostrubeoteFypgpfysemtgby IostrubeotsIostrubeotgs phrh ch fipgaisemtgbih]trubeoti per ipgaisemtgbih

    FH^TBHOOX]/81:1/::

    84: bb ' 5 8> MGTTCE

    X]/81:1/:= " X]/81:1/:4

    X]/81:1/:=

  • 7/23/2019 GIMMI Neurosurgery

    115/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8:

  • 7/23/2019 GIMMI Neurosurgery

    116/2228:6 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Fypgpfysektgbie"IostrubeoteFypgpfysemtgby IostrubeotsIostrubeotgs phrh ch fipgaisemtgbih]trubeoti per ipgaisemtgbih

    = bbstubpa# ncuotsbussh# rgbh

    MY/89=6/86 86: bb ' 8 >8: bb ' 6 84

    MY/86:>/86865 bb ' < 84

    45

    MY/86:4/86865 bb ' < 84

    45

    4 bb 4 bb

    FH^DYMY/86:1/>1 " MY86:1

    4 bb

    1 bb

    9:nielshbbhccehncebhcehnce

    bhccehnice

    9:

    nielshbbhccehncebhcehncebhccehnice

    MY/86:1/>1>1: bb ' 8: 84

    MY/86:1>1: bb ' 8: 84

    ^HYMY/86:>/86 " MY/86:4/86

  • 7/23/2019 GIMMI Neurosurgery

    117/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8:9

    FH^DYMY/868>/>4 " MY86>=/>4

    MY/868>/>4>45 bb ' 9 =4

    MY/86>8/>4>45 bb ' 9 =4

    MY/868=/>4>45 bb ' 9 =4

    MY/86>:/>4>45 bb ' 9 =4

    Eoukcehtgreo# stubpaEoumcehtgrs# ncuotEoumcehdgres# rgbgsEoumcehtgre# sbussg

    MY/8681/>4>45 bb ' 9 =4

    MY/86>=/>4>45 bb ' 9 =4

    MY/8684>45 bb ' 9 =4

    MY/86>>/>4>45 bb ' 9 =4

    Dissektgreo# iooeo smfhraDissemtgrs# sfhrpeoed iooer edleDisemhdgres# hludgs eo ec ioterigrDissettgri# ngrdg ioterog hmutg

    FH^DY AHFCNU]MFMY/8684/>4

    >45 bb ' 9 =4

    FH^DY AHFCNU]MFMY/8685/>4

    >45 bb ' 9 =4

    MY/8689/>4>45 bb ' 9 =4

    Dissektgreo# iooeo smfhraDissemtgrs# sfhrpeoed iooer edleDisemhdgres# hludgs eo ec ioterigrDissettgri# ngrdg ioterog hmutg

    IbpchothtigoslhnecIbpchot agrkFgrquicch phrh ibpchothrAgrmfetth per ibpihothre

    Fypgpfysektgbie"IostrubeoteFypgpfysemtgby IostrubeotsIostrubeotgs phrh ch fipgaisemtgbih]trubeoti per ipgaisemtgbih

  • 7/23/2019 GIMMI Neurosurgery

    118/22288: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Fypgpfysektgbie"IostrubeoteFypgpfysemtgby IostrubeotsIostrubeotgs phrh ch fipgaisemtgbih]trubeoti per ipgaisemtgbih

    MY/86=1/89 " MY8641/89

    YH]H^LICMY/86=1/89

    865 bb ' < 84

    YH]H^LICMY/86=6/89

    865 bb ' < 84

    YH]H^LICMY/864:/89

    865 bb ' < 84

    8 bb >#5 bb 4 bb

    YH]H^LICMY/864>/89

    865 bb ' < 84

    >#5 bb

    YH]H^LICMY/8644/89

    865 bb ' < 84

    @HMGN]GOMY/8641/89

    865 bb ' < 84

    = bb

    ^hsphtgriub^hsphtgryCelrhZerigstgtgbg

    DissektgrDissemtgrDisemhdgrDissettgre

    ^hsphtgriub^hsphtgryCelrhZerigstgtgbg

    ^hsphtgriub^hsphtgryCelrhZerigstgtgbg

    ^hsphtgriub^hsphtgryCelrhZerigstgtgbg

    LeabesserQessec koiaeMumficcg phrh vhsgsNisturi per vhsi

    815 bb

    AHFCNU]MFMY/>>::/81

    815 bb ' 1 8>

    OIMGCHMY/>>:>/81

    815 bb ' 1 8>

    YH]H^LIC"OIMGCHMY/>>:4/81

    815 bb ' 1 8>

    OIMGCHMY/>>:1/81

    815 bb ' 1 8>

  • 7/23/2019 GIMMI Neurosurgery

    119/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 888

    CHBIOEKTGBIE"]THOPEO UOD PHOLEO

    CHBIOEMTGBY ZUOMFE] HOD ^GOLEU^]ZIOPH] MG^THOTE] ZH^H CHBIOEMTGBHZIOPE ZE^ CHBIOEMTGBIH

  • 7/23/2019 GIMMI Neurosurgery

    120/22288> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    88 bb

    ]mfhatcole# ceoltf ga sfhat# cgolitud dec vsthlg# cuolfezzh decchsth

    85: bb ' 1 86: bb ' :: bb ' 6

    Nreite\idtf ga niteHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/8::8/:>

    DH/8::8/:=

    DH/8::8/:4

    DH/8::8/:5

    DH/8::8/:1

    DH/8::=/:>

    DH/8::=/:=

    DH/8::=/:4

    DH/8::=/:5

    DH/8::=/:1

    DH/8::5/:>

    DH/8::5/:=

    DH/8::5/:4

    DH/8::5/:5

    DH/8::5/:1

    > bb

    = bb

    4 bb

    5 bb

    1 bb

    KE^^I]GODH/8::8/:> " DH/8::5/:1

    ohmf uoteo smfoeideod 9:dgwowhrds muttiol 9:mgrthote fhmih hnh`g 9:thlcig h 9: versg ic nhssg

    ^goleure bit 8#> bb Nreite io oimft zercelnhrer Husafruoleo hua Hoarhle cieaernhr^goleur witf 8/> bb widtf# ogt dethmfhnce# hvhichnce go requestZiozh mgo homfurh de ch ngmh de 8#> bb# og desbgothnces# sgo dispgoinces sgrne debhodhZiozh mgo chrlfezzh dec bgrsg di 8#> bb# ogo sbgothnici# sgog dispgosinici su rimfiesth

    Chbioektgbie"]thozeo# zercelnhrChbioemtgby Zuomfes# dethmfhnceZiozhs mgrthotes phrh chbioemtgbh# sbgothniceZioze per chbioemtgbih# desbgothnce

  • 7/23/2019 GIMMI Neurosurgery

    121/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 88=

    88 bb

    ]mfhatcole# ceoltf ga sfhat# cgolitud dec vsthlg# cuolfezzh decchsth

    85: bb ' 1 86: bb ' :: bb ' 6

    Nreite\idtf ga niteHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/8:8=/:>

    DH/8:8=/:=

    DH/8:8=/:4

    DH/8:8=/:5

    DH/8:8=/:1

    DH/8:85/:>

    DH/8:85/:=

    DH/8:85/:4

    DH/8:85/:5

    DH/8:85/:1

    DH/8:8

    DH/8:8

  • 7/23/2019 GIMMI Neurosurgery

    122/222884 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Eioshtz debgotiernhr zur eioahmfeo ^eioiluol uod ]tericishtigoIosert dethmfhnce agr ehsy mcehoiol hod stericizhtigoIosertg sthmmhnice per uoh sebpcime pucizih e stericizzhzigoeZiezh desbgothnce phrh uoh amic cibpiezh y estericizhmio

    Eioshtz =1: drefnhr io ]mfritteo vgo 45Iosert rgththnce =1: io steps tg 45Ziezh lirhnce =1: pgr phsgs de 45Iosertg rgthote =1: h smhtti di 45

    IOTE^MFHOLE CGMK

    zub aaoeo drmkeopusf tg gpeopresigohr phrh hnrirprebere per hprire

    zub ]mfcieeo drmkeo

    pusf tg mcgsepresigohr phrh merrhrspiolere per mfiudere

    ^GTHTIGO CGMK

    zub Drefeo drmkeopusf tg rgthteprebere per rugthrepresigohr phrh lirhr

    Mht/ Og/ >9:\hyoe Chbioektgbiesthoze\hyoe Chbioemtgby"Zuomf\hyoe Ziozh mgrthote phrh chbioemtgbh\hyoe Ziozh per chbioemtgbih

    \HYOE " Chbioektgbiesthoze# zercelnhr# husthusmfnhr# drefnhr =1:\HYOE " Chbioemtgby Zuomf# dethmfhnce# iotermfholehnce# rgththnce =1:\HYOE " Ziozh mgrthote phrh chbioemtgbh# desbgothnce# iotermhbnihnce# lirhnce =1:\HYOE " Ziozh per chbioemtgbih# sbgothnice# iotermhbnihnice# rgthote =1:

  • 7/23/2019 GIMMI Neurosurgery

    123/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 885

    Chbioektgbie"]thozeoChbioemtgby ZuomfesZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    MITECCIDH/8:5:/:> " DH/8:5:/:=

    DH/8:5:/:== bb

    DH/8:5:/:>> bb

    6:bb

    > bb

    95bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Nreite\idtfHomfurh de ch ngmhChrlfezzh dec bgrsg

    9:bb

    KE^^I]GODH/8:1:/:= " DH/8:1:/:1

    ohmf gneo smfoeideod 9:upwhrds muttiol 9:

    mgrthote fhmih hrrinh 9:thlcig h 9: versg chctg

    ohmf gneo smfoeideod 9:upwhrds muttiol 9:mgrthote fhmih hrrinh 9:thlcig h 9: versg chctg

    ohmf gneo smfoeideod 9:upwhrds muttiol 9:

    mgrthote fhmih hrrinh 9:thlcig h 9: versg chctg

    DH/8:1:/:=

    DH/8:1:/:4

    DH/8:1:/:5

    DH/8:1:/:1

    = bb

    4 bb

    5 bb

    1 bb

    9: bb

    9: bb

    9: bb

    9: bb

    NEYE^DH/8:55/:>

  • 7/23/2019 GIMMI Neurosurgery

    124/222881 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Chbioektgbie"]thozeoChbioemtgby ZuomfesZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    DH/8:15/:4=#5 bb

    DH/8:11/:54#1 bb

    84: bb

    DH/8:16/:4=#5 bb

    DH/8:19/:54#1 bb

    84: bb

    =1:

    = bb

    8

  • 7/23/2019 GIMMI Neurosurgery

    125/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 88

  • 7/23/2019 GIMMI Neurosurgery

    126/222886 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Chbioektgbie"]thozeoChbioemtgby ZuomfesZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    85:'86:'>:: bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Nreite\idtf ga niteHomfurh de ch ngmhChrlfezzh dec bgrsg

    85:'>:: bb

    CGQE"KE^^I]GO &MGCMCGULF)DH/88::/:= " DH/88:>/:5

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Nreite\idtf ga niteHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/8:9:/:8

    DH/8:9:/:>

    DH/8:9:/:=

    DH/8:9:/:4

    DH/8:9:/:5

    DH/8:98/:8

    DH/8:98/:>

    DH/8:98/:=

    DH/8:98/:4

    DH/8:98/:5

    DH/8:9>/:8

    DH/8:9>/:>DH/8:9>/:=

    DH/8:9>/:4

    DH/8:9>/:5

    DH/8:94/:8

    DH/8:94/:>

    DH/8:94/:=

    DH/8:94/:4

    DH/8:94/:5

    DH/8:95/:8

    DH/8:95/:>

    DH/8:95/:=

    DH/8:95/:4

    DH/8:95/:5

    DH/8:91/:8

    DH/8:91/:>DH/8:91/:=

    DH/8:91/:4

    DH/8:91/:5

    8 bb

    > bb

    = bb

    4 bb

    5 bb

    8 bb

    > bb

    = bb

    4 bb

    5 bb

    8 bb

    > bb= bb

    4 bb

    5 bb

    85: bb

    85: bb

    85: bb

    85: bb

    85: bb

    86: bb

    86: bb

    86: bb

    86: bb

    86: bb

    >:: bb

    >:: bb>:: bb

    >:: bb

    >:: bb

    ohmf gneo smfoeideod 8=:

    upwhrds muttiol 8=:

    mgrthote fhmih hrrinh 8=:

    thlcig h 8=: versg chctg

    AE^^I]"]BITF"KE^^I]GODH/8:9:/:8 " DH/8:91/:5

    DH/88::/:=

    DH/88::/:5

    DH/88:>/:=

    DH/88:>/:5

    = bb

    5 bb

    = bb

    5 bb

    85: bb

    85: bb

    >:: bb

    >:: bb

    ohmf uoteo smfoeideod 9:

    dgwowhrds muttiol 9:

    thlcig h 9: versg ic nhssg

    mgrthote fhmih hnh`g 9:

    ohmf gneo smfoeideod 9:upwhrds muttiol 9:

    mgrthote fhmih hrrinh 9:thlcig h 9: versg chctg

  • 7/23/2019 GIMMI Neurosurgery

    127/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 889

    Chbioektgbie"]thozeoChbioemtgby ZuomfesZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Nreite\idtf ga niteHomfurh de ch ngmhChrlfezzh dec bgrsg

    85:'>:: bb

    CGQE"KE^^I]GO &MGCMCGULF)DH/888:/:= " DH/8888/:5

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Nreite\idtf ga niteHomfurh de ch ngmhChrlfezzh dec bgrsg

    85:'>:: bb

    CGQE"KE^^I]GO &MGCMCGULF)DH/88:5/:= " DH/88::: bb

    >:: bb

    ohmf uoteo smfoeideod 9:dgwowhrds muttiol 9:mgrthote fhmih hnh`g 9:thlcig h 9: versg ic nhssg

    ohmf gneo smfoeideod 8=:upwhrds muttiol 8=:mgrthote fhmih hrrinh 8=:thlcig h 8=: versg chctg

  • 7/23/2019 GIMMI Neurosurgery

    128/2228>: LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Chbioektgbie"]thozeoChbioemtgby ZuomfesZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    86: bb

    AE^^I]"]BITF"KE^^I]GO

    DH/8885/:= = bb

    DH/8885/:5 5 bb

    AE^^I]"]BITF"KE^^I]GO

    DH/888

  • 7/23/2019 GIMMI Neurosurgery

    129/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8>8

    Chbioektgbie"PholeoChbioemtgby ^goleursZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    86: bb

    AE^^I]"]BITF"MU]FIOL

    DH/88=:/:> > x 8: bb

    DH/88=:/:= = x 8: bbDH/88=:/:4 4 x 8: bb

    AE^^I]"]BITF"MU]FIOL

    DH/88=>/:> > x 8: bb

    DH/88=>/:= = x 8: bb

    DH/88=>/:4 4 x 8: bb

    AE^^I]"]BITF"MU]FIOL

    DH/88=4/:> > x 8: bb

    DH/88=4/:= = x 8: bb

    DH/88=4/:4 4 x 8: bb

    lerhdestrhilftremthretth

    hualengleomurved go achtmurvh fhmih hrrinhmurvh versg chctg

    hnwrts lengleomurved dgwomurvh fhmih hnh`gmurvh versg ic nhssg

  • 7/23/2019 GIMMI Neurosurgery

    130/222

    Chbioektgbie"PholeoChbioemtgby ^goleursZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    \EIC"NCHKE]CEYDH/884:/:5 " DH/884:/8>

    DH/884:/:5>#5 x 5 bb

    DH/884:/:6=#1 x 6 bb

    DH/884:/8>4#6 x 8> bb

    8>: bb

    \EIC"NCHKE]CEYDH/884=/:5 " DH/884=/8>

    DH/884=/:5>#5 x 5 bb

    DH/884=/:6=#1 x 6 bb

    DH/884=/8>4#6 x 8> bb

    88: bb

    THKHFH]FIDH/8845/8:= x 8: bb

    8>: bb

    THKHFH]FIDH/8846/8:= x 8: bb

    885 bb

    lerhdestrhilftremthretth

    lerhdestrhilftremthretth

    hualengleomurved go achtmurvh fhmih hrrinhmurvh versg chctg

    hualengleomurved go achtmurvh fhmih hrrinhmurvh versg chctg

    8>> LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

  • 7/23/2019 GIMMI Neurosurgery

    131/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8>=

    Chbioektgbie"PholeoChbioemtgby ^goleursZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    8=:'85:'86:'>:: bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    MU]FIOLDH/881:/8= " DH/8815/86

    lerhde

    strhilftremthretth

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/881:/8=

    DH/881:/85

    DH/881:/86

    DH/881:/>:

    > x 8: bb

    > x 8: bb

    > x 8: bb

    > x 8: bb

    8=: bb

    85: bb

    86: bb

    >:: bb

    DH/881=/8=

    DH/881=/85

    DH/881=/86

    DH881=/>:

    > x 8: bb

    > x 8: bb

    > x 8: bb

    > x 8: bb

    8=: bb

    85: bb

    86: bb

    >:: bb

    DH/8815/8=

    DH/8815/85

    DH/8815/86

    DH/8815/>:

    > x 8: bb

    > x 8: bb

    > x 8: bb

    > x 8: bb

    8=: bb

    85: bb

    86: bb

    >:: bb

    hualengleomurved go acht

    murvh fhmih hrrinhmurvh versg chctg

    hnwrts lengleo

    murved dgwomurvh fhmih hnh`gmurvh versg ic nhssg

  • 7/23/2019 GIMMI Neurosurgery

    132/2228>4 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    Chbioektgbie"PholeoChbioemtgby ^goleursZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    8=:'85:'86:'>:: bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    CGQE"L^UEO\HCDDH/88

  • 7/23/2019 GIMMI Neurosurgery

    133/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8>5

    Chbioektgbie"PholeoChbioemtgby ^goleursZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

    8=:'85:'86:'>:: bb

    ]ZU^CIOLDH/886:/8= " DH/8865/86

    lerhdestrhilftremthretth

    hualengleo

    murved go achtmurvh fhmih hrrinhmurvh versg chctg

    hnwrts lengleomurved dgwomurvh fhmih hnh`gmurvh versg ic nhssg

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/886:/8=

    DH/886:/85

    DH/886:/86

    DH/886:/>:

    4 x 8: bb

    4 x 8: bb

    4 x 8: bb

    4 x 8: bb

    8=: bb

    85: bb

    86: bb

    >:: bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/886=/8=

    DH/886=/85

    DH/886=/86

    DH/886=/>:

    4 x 8: bb

    4 x 8: bb

    4 x 8: bb

    4 x 8: bb

    8=: bb

    85: bb

    86: bb

    >:: bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/8865/8=

    DH/8865/85

    DH/8865/86

    DH/8865/>:

    4 x 8: bb

    4 x 8: bb

    4 x 8: bb

    4 x 8: bb

    8=: bb

    85: bb

    86: bb

    >:: bb

  • 7/23/2019 GIMMI Neurosurgery

    134/2228>1 LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy

    84:'81:'865 bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    MH]ZH^DH/8>:>/84 " DH/8>>1/86

    84:'81:'865 bb

    MH]ZH^DH/8>4=/84 " DH/8>15/86

    DH/8>:>/84

    DH/8>:=/84

    DH/8>:4/84

    DH/8>:5/84DH/8>:1/84

    DH/8>8>/81

    DH/8>8=/81

    DH/8>84/81

    DH/8>85/81

    DH/8>81/81

    DH/8>>>/86

    DH/8>>=/86DH/8>>4/86

    DH/8>>5/86

    DH/8>>1/86

    > x 8> bb

    = x 8> bb

    4 x 84 bb

    5 x 84 bb1 x 81 bb

    > x 8> bb

    = x 8> bb

    4 x 84 bb

    5 x 84 bb

    1 x 81 bb

    > x 8> bb

    = x 8> bb4 x 84 bb

    5 x 84 bb

    1 x 81 bb

    84: bb

    84: bb

    84: bb

    84: bb84: bb

    81: bb

    81: bb

    81: bb

    81: bb

    81: bb

    865 bb

    865 bb865 bb

    865 bb

    865 bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfezzh dec bgrsg

    DH/8>4=/84

    DH/8>44/84

    DH/8>45/84

    DH/8>5=/81

    DH/8>54/81

    DH/8>55/81

    DH/8>1=/86

    DH/8>14/86

    DH/8>15/86

    = x 8> bb

    4 x 84 bb

    5 x 84 bb

    = x 8> bb

    4 x 84 bb

    5 x 84 bb

    = x 8> bb

    4 x 84 bb

    5 x 84 bb

    84: bb

    84: bb

    84: bb

    81: bb

    81: bb

    81: bb

    865 bb

    865 bb

    865 bb

    lerhdestrhilftremthretth

    hualengleomurved go achtmurvh fhmih hrrinhmurvh versg chctg

    Chbioektgbie"PholeoChbioemtgby ^goleursZiozhs mgrthotes phrh chbioemtgbhZioze per chbioemtgbih

  • 7/23/2019 GIMMI Neurosurgery

    135/222LIBBI LbnF Eodgsmgpim Temfogcgly Tuttcioleo ' Lerbhoy 8>94/86

    GCDNE^LDH/8=8>/:1

    86: bb

    YH]H^LICDH/8=8:/:4

    86: bb

    ]mfhatcoleCeoltf ga sfhatCgolitud dec vsthlgCuolfezzh decchsth

    Bhuclre]ize ga `hwHomfurh de ch ngmhChrlfez