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Hakim and Adams in 1965 published varying combinations or degrees of each of the elements of the classic clinical triad of NPH 1).

In 1965 Parkinson 2) was the first to realize an anatomical study and to propose a surgical approach to the cavernous sinus (CS). Despite the development of the microsurgical technique in the seventies, it was thought that microneurosurgery was reaching its furthest limits in the approach of lesions in and around the CS. The extremely high risk of damaging nervous structures, as well as causing uncontrollable haemorrhage or postoperative CSF leak seemed to be an unavoidable and insuperable obstacle. Thanks to the anatomical work of Vinko Dolenc and his surgical experiences, a rational surgical approach was eventually developed and the different relations between the lesion and the neurovascular structures were defined. In Dolenc's book preface, Yasargyl states that “there is no doubt that this type of microsurgical anatomical study is a new step in the 100 year history of neurosurgery” 3).

Hakim S, Adams RD. The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics. J Neurol Sci. 1965 Jul-Aug;2(4):307-27. PubMed PMID: 5889177.
Parkinson D. A surgical approach to the cavernous portion of the carotid artery. Anatomical studies and case report. J Neurosurg. 1965;23:474–483.
Dolenc V.V., Yasargil M. Springer-Verlag; Wien: 1989. Anatomy and surgery of the cavernous sinus.
1965.txt · Last modified: 2019/12/16 13:08 by administrador