Theoretical part of review of medical case before demonstrating rest of the document. Full public exposure will follow. In the interest of noble practising physician and honest patient. the professional oblication of silence shpuld not be vacant to commit medical crimes.

1. 1
Lectori Salutem!
This epistle is a re-evaluation of scan material available. It appeared that in my anatomic interpretation there
was an anatomic interpretation error, where upon no doctor so far who was supporting my investigation
attended me to. Also this is a phenomena of the professional obligation of silence regrading (questionable)
medical performance. But in essence for the case it makes no difference: because without patient consent -in
secret- after making a hole on the left side, they went underneath the skull to perform surgery on the right
side. Afterwards no report about had been done either. The big inscision halfway down into the neck which I
suddenly had after that second operation is also remarkable.
The brains together with the nerve canal inside the vertebral column are separated from the rest of the body
in a three leayed system of meninges (membranous envelopes): the arachnoid membrane (function liquor-
drainage) is in between; the white dotted line is referring to the location of it. On the outside around towards
the bone tissue is the strong thick (dense) protecting Pia Dura; and on the inside the Pia Mater. The inner
layer Pia mater is thin and covering closely the spinal cord and the brains as first. The horizontal and the two
vertical brain-separation-walls (resp. Tentorium and Falx Cerebelli + Falx Cerebellum) are a prologation of
the Pia Dura, with inside in the crosspoint of that the Vene Sinus Rectus. That blood vessel is the fith
drainage vein counted from the hart. Surgery under MRI reference besides is excluding all surprises.
Proposed surgery was to make a window opening from the cyst towards the direction of the Cisterna Magna,
in order the cyst cannot grow again with expending pressure. The cyst is sub-arachnoide, and is accordingly
represented schematicly with a white elips. The marker X is the location of the Cisterna Magna into which
direction the window opening in the sub-arachnoide membranes (wall of the cyst) had to be made. The
Cisterna Magna is a space between the soft brain membrane Pia Mater and the a bit loos touching arachnoid
membrane. In X-ray investigations later on was pointed that a clip would have sagged down into the neck
(in the vertebral canal via the narrow space between the Pia Mater and the Arachnoid membrane). Really?
The red arrow downwards is showing the appointed
direction of surgery. The red circkel is representing
the location of the cyst. The image on the left is
showing this situation in a larger setting. To the
generalist was reported afterwards that everything
had been done as appointed succesfully.The real
(full) situation has been concealed after the operation.
Sphenoid
Schematic image of incision runnig through down to
halfway in the neck (was after the second treatment).
C2C3
C4 C1
Large Side-
VentrickelLittle Brains
Large
Brains
X: Cisterna Magna
C4
C3
C2 C1
Vene
Sagittalis
Superioris
Vene
Sinus
Rectus
X
Pia Mater
Spinal Canal
The white horizontal arrow
sidewards is the direction
of surgery in the Falx
Cerebelli and the
Sinus Rectus.

2. 2
The opinion is, that a doctor at any time can descide to change aspects in the treatment of a patient. But there
was no issue of emergency at that moment to act without patient consent, and the patient also could have
been informed afterwards. But on the first place above these arguments, in that case a hole more towards the
right side should have been made to simplify the operation. Therefor this is first evidence of hidden medical
activities, where about of course also no full medical report of those activities had been made.
The location of the cyst is schematic adressed with the red ellips (left). A red arrow is pointing towards
the direction-operation appointed; the white arrow is pointing to the in fact secret one. The Cisterna Magna
can be seen like also the Cyst itself as a prolongation of the sub-arachnoide space; therefore to make a
window opening in between is a more natural solution. The cutting in the Falx Cerebelli is bringing the cyste
outside the care area of the membranes, and with that the caring area system locally also becomes layed
open inwardly. Besides the Vene Sinus Rectus has no clutters like other venes in the headm the bleeding
there is equivalent to an arterial haemorrhage. The cutting of the vene because of her importance (fith vene
counted from the heart) and -notably surgery under computer-reference- concerning her presence absolutely
cannot be a surprise. In anatomy a fundamental change arose with, also regarding the caring system in itself.
Inner large side-ventrickels L+R
X
X
Cisterna
Magna
In my anatomic interpretation I was
confusing the large left side-
ventrickel for the Cisterna Magna.
The Cisterna Magna is an enlarged
liquor space between the arachnoide
membrane and the Pia Mater in, right
before the meninges system is
entering into the vertebral column,
where after the two membranes are
coming back together again en make
the leptomeninges and overlay the
Spinal Cord in the vertebral column.
The Falx Cerebelli is a prolongation
of the Pia Dura. But the cutting into
the Falx Cerebelli is totally not into
the direction of the Cisterna Magna
and in my case even passed a little
over the middle at the right side.
Dura
Sinus Rectus
The separation-walls
are a prologation of the
Pia Dura.
The horizontal -wall is
the Tentorium which is
separating the large
brains from the little
brains.
The two vertical brain
Separation-walls are
resp. the Falx Cerebri
and the Falx Cerebelli,
which are separating the
left from the right half
of resp. the large brains
and the little brains.
The Vene Sinus Rectus (in the white hexgon) is
running in the crosspoint of the brain-separation-walls.

3. 3
Schematische voorstelling
dwarsdoorsnede Spinaalkanaal
Pia Dura
Spinaalkanaal
Arachnoidale
vlies
Vertebral
Arch x--x
Marking Outer Side
Vertebral Arch
(soft)
The Spinal Cord (yellow) is situated inside the vertebral canal, which is going
through the space in between the vertebral bodies of the back and the vertebral
arches of it. All 31 pair of nerves that are going in and out are running through
bundeled together with Spinal Cord-bifurcations (Spinal Nerves), which are
going outside through the Intervertebral Foramens. The Spinal Cord is
surrounded by a three layered system of membranes. The inner membrane (Pia
Mater) is very thin and transparant and covers tight the CNS. Over the Pia
Mater lays the arachnoid membrane (‘separated’ by a very small space = sub-
arachnoide space) and together with the Pia Mater they form the leptomeninges.
Through the arachnoide space is running liquor for the caring. The Spinal Cord
membranes and this fluid together act as a kind of shock absorber and protect the
Spinal Cord against damages. The space between the Pia Dura and the Pia Mater
also is called the Spinal Space. The substential thicker outer and tough membrane
(Pia Dura) is not connected to the vertebral column. The larger space (outside the
spinal space) between Pia Dura and the inner side of the vertebral canal in the
vertebral body is called the epidural space, which mainly is filled with a soft fatty
tissue, a web of small arteries, and nerve roots among others.
xx
C2
Spinous
process
Spinous process
ATTENTION
Half abstract of a C1-C3 selection from a photo of a 3D anatomic model of the vertebral column:
C3
The Spinal Cord is counted/seen as part of the Central Nerve System, because next to nervous tissue it also
contains nerve-cells, wich are already processing signals of the sences and outgoing signals by themselves.
The CNS is packed in a three layered system of meninges (Pia Mater, Arachnoid Vlies, Pia Dura).
Schematic representation of segments of the vertebral body:
Sagging ?
Suggested is that a vainclip would have sagged down from inside the head into the neck. Then that clip would
be in the sub-arachnoid space, because it is locked up under the tough outer membrane Pia Dura and cannot
get beyond that into the epidural space. That arachnoid membrane indeed lays less tight on the Pia Mater
around the Spinal Canal, but that space is very narrow. Because of the Arachnoide Trabbecula the clip also
would be finding obstacels in order to sag down further. Maybe a clip could sag down a little bit into the
Cisterna Magna in the head, but very unlikely is to sag down notably without any medical complaints towards
in between C2 and C3. (The neck is also to mention a very mobile system of facet joints.) Underneath is
following a review of scans based upon the recent anatomic interpretation adjustment being made.
Clip?
Spinal Cord