Microneurosurgery of Cerebellopontine Angle

This book outlines the basic principles of microsurgical treatment of cerebellopontine angle lesions. The pathophysiological bases and elements that allow clinical and imaging diagnosis of the different types of lesions are described in order to know the natural history of the disease and determine how different forms of treatment can change it. Microsurgical treatment is the best alternative when the expected benefits and possible risks are better than the natural history of the disease or alternative treatments, when they exist. The approaches and microsurgical techniques described are based on the personal experience of the authors at institution and are described in an orderly, systematic, and detailed manner, with the same level of detail in all chapters, including illustrative cases and abundant anatomical, diagnostic, and operative images. The lesion types are classified into subtypes according to their particularities related to microsurgical treatment. The main alternative treatments for cerebellopontine angle lesions are radiosurgery and endoscopic surgery.

List of contents

1. Microsurgical anatomy of the cerebellopontine angle.- 2. Retrosigmoid approach.- 3. Far-lateral approach.- 4. Cerebellopontine angle, vestibular schwannoma, and retrosigmoid approach .- 5. Vestibular schwannoma.- 6. Small-sized vestibular schwannoma.- 7. Medium-sized vestibular schwannoma.- 8. Large and giant vestibular schwannoma.- 9. Cystic vestibular schwannoma.- 10. Other schwannomas of the cerebellopontine angle .- 11. Meningioma.- 12. Other tumors of the cerebellopontine angle.- 13. Epidermoid cyst.- 14. Other cystic lesions of the cerebellopontine angle.- 15. Aneurysms.- 16. Arteriovenous malformations .- 17. Cerebellopontine angle and brainstem cavernomas.- 18. Trigeminal neuralgia.- 19. Other neurovascular compression syndromes in the cerebellopontine angle.- 20. Facial nerve resuscitation: hypoglossal-facial anastomosis.- 21. Atlas of illustrative cases.

About the author

José M. González-Darder, MD, PhD
Since 2007, Dr. González-Darder has been Head of the Department of Neurosurgery at the University Clinical Hospital of Valencia and Associate Professor of Neurosurgery at the Department of Surgery at the University of Valencia. The Department of Neurosurgery has full accreditation for resident training. He is the founder and director of the Hands-on Course on Neurosurgical Approaches with 15 editions and other hands-on courses on surgical approaches to the skull and spine. In June 2013 he was accredited as Chairman of Health Sciences at the University by the Ministry of Education of the Government of Spain.
Dr. González-Darder graduated in Medicine and Surgery from the Faculty of Medicine of the Literary University of Valencia in 1977 and completed his training as a neurosurgeon at the Hospital Clínico Universitario of Valencia in 1982. He obtained top honors in the M.D. and Ph.D. degree exams and was admitted as a Member of the Academy of Medicine of Valencia. He spent some stages of training in Hannover and San Francisco.
Between 1982 and 1992, he held the position of Neurosurgeon and Professor of Neurosurgery at the Hospital and Faculty of Medicine of the University of Cádiz, where he was deeply involved in basic and clinical research on deafferentation pain, carrying out experimental studies with animal models of acute and chronic pain and achieving extensive clinical experience in spinal cord stimulation for low back pain, neuropathic pain, and refractory angina pectoris. He was director of Research Group 3080 of the Junta de Andalucía, vice dean of the Faculty of Medicine, and head of the Central Research Service of the University of Cádiz.
In 1992 he moved to Castellón to organize and direct the new Department of Neurosurgery of the General Hospital. For many years he held the position of Professor of Psychobiology in the Department of Basic and Clinical Psychology of the Jaume I University of Castellón. There he developed and patented an original and new integrated cage-plate GD implant for anterior cervical spine fusion.
Current specialized areas of interest include vascular, skull base, and cerebellopontine angle microsurgery for tumor lesions in the field of brain surgery, and cervical and cranio-cervical microsurgery for degenerative, vascular, and tumor lesions in the field of spine surgery.

Summary

This book outlines the basic principles of microsurgical treatment of cerebellopontine angle lesions. The pathophysiological bases and elements that allow clinical and imaging diagnosis of the different types of lesions are described in order to know the natural history of the disease and determine how different forms of treatment can change it. Microsurgical treatment is the best alternative when the expected benefits and possible risks are better than the natural history of the disease or alternative treatments, when they exist. The approaches and microsurgical techniques described are based on the personal experience of the authors at institution and are described in an orderly, systematic, and detailed manner, with the same level of detail in all chapters, including illustrative cases and abundant anatomical, diagnostic, and operative images. The lesion types are classified into subtypes according to their particularities related to microsurgical treatment. The main alternative treatments for cerebellopontine angle lesions are radiosurgery and endoscopic surgery.

Product details

• Authors: José Manuel González-Darder
• Publisher: Springer International Publishing
• Languages: English, German
• Product format: Hardback
• Release: 27.10.2025
• EAN: 9783032030900
• ISBN: 978-3-032-03090-0
• Illustrations: Approx. 200 p. 210 illus. in color., farbige Illustrationen
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Clinical medicine; neurosurgery, Bildgebende Verfahren, Endoscopy, Facial Nerve, Malformation, Radiosurgery, Aneurysm, microsurgical anatomy, Meningioma, Schwannoma, Angle lesions