Praise for the first edition: A superb overview ... each chapter is well written and concise ... provides a succinct summary of the clinical, radiological, and pathological features of each tumor ... a useful reference for the treatment of pediatric central nervous system tumors. -- Journal of Neurosurgery Tumors of the Pediatric Central Nervous System, Second Edition, provides readers with both medical management and surgical perspectives on the clinical, pathological, and radiological diagnoses and treatment of pediatric CNS tumors. It includes complete coverage of the latest diagnostic and management techniques, state-of-the-art technologies, and trends in the surgical treatment of pediatric tumors. Highlights of the Second Edition: Contains 19 new chapters on such topics as recent advances in the cytogenetics and molecular biology of pediatric brain tumors, gangliogliomas and miscellaneous spinal cord tumors in children, post-chemotherapy morbidity, and many more Addresses the important issues of long-term chronic treatment of pediatric tumor patients and related outcome measures Includes summary boxes and tables that distill large amounts of information for quick review Written by editors and contributors who are world-renowned experts in the field of pediatric neurosurgery and oncology Neurosurgeons, neurologists, oncologists, radiation oncologists, and pediatricians caring for patients with tumors of the central nervous system will find this book to be an essential resource that they will repeatedly consult as they strive to enhance patient care.

Indispensable for both the trainee and experienced professional, this is the only truly comprehensive account of the major role of the neurosurgeon in the diagnosis and treatment of chronic pain. The elite panel of contributors were chosen due to their expertise and international reputations. The result of their achievement covers the whole spectrum from criteria for patient selection and the details of operative techniques, to the risks, complications, and expected outcomes for a wide variety of anatomic, ablative, and augmentative neurosurgical procedures in treating chronic, intractable pain. The neurosurgeon will find here chapters on the latest neuroaugmentative advances utilizing electrical stimulation and implantable drug infusion systems as well as a useful section providing algorithms and guidelines for the evaluation and treatment of specific pain syndromes. Over 100 photographs and exquisite line drawings - many specifically commissioned for this book - enhance the text. Invaluable for acquiring the critical judgement and clinical skills necessary to apply the procedures involved.

Business tycoon, Marine, husband, father, pilot; Harold Holder nearly had his life extinguished by a silent monster building within his skull. Originally misdiagnosed as bacterial pneumonia, Holder's actual injury and ensuing surgery carry a mortality rate of more than 50%. His neurosurgeon would later tell him it was the worst he had ever seen. Compiled from a detailed journal that physical therapists encouraged Holder to write throughout his recovery, Please Leave the Lights On is a story of dramatic recovery fueled by personal drive and desire. Waking up immobile on a hospital bed deep within the Intensive Care Unit, Holder struggled to determine how much of his mental function remained post-surgery. Unable to test his physical abilities, he exercised his mental capacity by running cherished memories through his mind, attempting to remember specific names, places and dates. On the brink of death, Holder fought to regain his health during turbulent economic times when crooked bankers and lawyers threatened to take advantage of his injury and dismantle his empire. One incremental step at a time, Holder began to make progress in restoring his health, his business and his life-proving that recovery is possible even under the most trying circumstances.

In reflecting upon my life as a neurosurgeon, perhaps the most salient feature is that period of history involved. Trained by men who studied under Harvey Cushing, considered the father of neurological surgery, we, as early third-generation neurosurgeons, were held to those rigid standards of academic achievement and physical endurance typical of that time. The reader first identifies with the young child who dreams of becoming a doctor, and then sets out on that long path. He then re-lives the experiences of the student of medicine, and later the rigorous demands placed upon the surgeon-in-training. During the later descriptions of the private practice of brain and spinal surgery, the book transitions into an educational experience. It presents to the reader a multitude of neurological disorders requiring surgical treatment, the relevant surgical anatomy and the operative techniques involved. Often interjected are the intangibles of surgical judgment and philosophy when confronting those in pain or critically ill. Of equal importance were the major scientific advancements which occurred during that period of medical history. No longer did we have to bore a hole in the skull, or inject noxious materials into the head or spinal canal to verify a diagnosis. Rather, we had been privileged to enjoy the development of such remarkable machines as the ultrasound, CAT, and MRI. Descriptions of these devices, among others, and their impact on medical practice should prove interesting to the inquisitive reader. After 21 years in practice, and probably at the height of my career as a surgeon, I contracted hepatitis B subsequent to an accidental needle puncture in the operating room. Forced to lay down the scalpel, I turned to my second childhood dream, cattle ranching, as an alternative vocation. This then becomes a secondary focus of the book. A medical colleague, after learning of my book, expressed an interest in learning the common denominator driving a man to both neurosurgery and ranching. One can summarize with the word, "counterpoise." I had always strived to achieve a balance between the in-hospital, academic, precision-oriented work of the neurosurgeon and the outdoor, physically-demanding life of a rancher consummating the total American dream. Analogous to surgery I have always enjoyed using my hands in the shop. Throughout the book sections have been devoted to various aspects of woodworking, and an effort not only to share my enthusiasm but also to expose underlying problems and pitfalls; challenges I have encountered in striving to become an artisan of fine furniture. The practice of medicine has undergone significant change during my lifetime. Not only have I witnessed a burgeoning, unsustainable increase in the cost of healthcare, but also major changes in the way in which medicine is being practiced in the new millennium. Having been a proud product of the "Lucky Few" generation, born between the years 1929 and 1945, I am rightfully able to compare today's practice of medicine with those of the latter half of the 20th century.

Spinal cord injury (SCI) results from damage to the spinal cord due to trauma or disease and leads to partial or complete paralysis. Following SCI, physiological and lifestyle changes can lead to poor health outcomes. However, advances in injury stabilisation, medical treatment and rehabilitation have led to an increase in life expectancy. In this book, the authors present current research on the causes, risk factors and management of spinal cord injury. Topics include pain management following spinal cord injury; exercise training and its relation to slow bone loss in SCI; palliative and therapeutic strategies for SCI; NO-cGMP signalling in bulbospinal respiratory pathway after cervical spinal cord injury; and posterior pedicle screw fixation for thoracolumbar burst fractures.

Guest Editors Rafael J. Tamargo and Judy Huang have focused on "Cranial Arteriovenous Malformations (AVMs) and Dural Arteriovenous Fistulas (DAVFs) in this issue of Neurosurgery Clinics of North America.? Articles in this issue include: ? Arteriovenous Malformations: Epidemiology and Clinical Presentation; Dural Arteriovenous Fistulas: Epidemiology and Clinical Presentation; Historical Perspective of Treatments of Arteriovenous Malformations and Dural Arteriovenous Fistulas; Imaging of Arteriovenous Malformations and Dural Arteriovenous Fistulas; Classification Schemes for Arteriovenous Malformations; Classification Schemes for Dural Arteriovenous Fistulas; Acute Management of Ruptured Arteriovenous Malformations and Dural Arteriovenous Fistulas; Selection of Treatment Modalities or Observation of Arteriovenous Malformations; Selection of Treatment Modalities or Observation of Dural Arteriovenous Malformations; Surgical Treatment of Cranial Arteriovenous Malformations and Dural Arteriovenous Fistulas; Anesthesia Considerations and Intraoperative Monitoring During Surgery for Arteriovenous Malformations and Dural Arteriovenous Fistulas; Stereotactic Radiosurgery of Cranial Arteriovenous Malformations and Dural Arteriovenous Fistulas; Endovascular Treatment of Cranial Arteriovenous Malformations and Dural Arteriovenous Malformations; Occlusive Hyperemia Versus Normal Perfusion Pressure Breakthrough after Treatment of Cranial Arteriovenous Malformations; Vein of Galen Malformations: Epidemiology, Clinical Presentation, and Management; Carotid Cavernous Fistulas: Epidemiology, Clinical Presentation, and Management

Minimally Invasive Spine Fusion: Techniques and Operative Nuances provides spine surgeons with the comprehensive information they need to incorporate minimally invasive fusion techniques and instrumentation into their practices. Edited and authored by the experts in spine surgery, this comprehensive publication is filled with detailed clinical information to help the spine surgeon skillfully execute these procedures. Every technique is described in precise step-by-step fashion and incorporates information on preoperative assessment and planning, treatment options, operative technique, potential complications and management, outcome data, and tips and tricks. Beautiful color illustrations and intraoperative photos highlight the key steps for performing these techniques safely and effectively. Numerous preoperative and postoperative images demonstrate the possible results that can be achieved. Instrumentation, monitoring, outcome analysis, and complications are also discussed in detail.

Many of the earliest books, particularly those dating back to the 1900s and before, are now extremely scarce and increasingly expensive. We are republishing these classic works in affordable, high quality, modern editions, using the original text and artwork.

"Tips and pearls on the latest developments on endoscopic approaches to skull base and brain surgery from experts around the globe"

Ideal for both otolaryngologisthead and neck surgeons and neurosurgeons, " Transnasal Endoscopic Skull Base and Brain Surgery: Tips and Pearls" gathers together in one comprehensive volume invaluable advice from world-renowned authorities on state-of-the-art endoscopic technologies and techniques.

Each succinct chapter begins with a summary of key takeaway points and features an easily accessible outline format. After uniquely detailed coverage of macroscopic and endoscopic anatomy, the expert authors discuss the most up-to-date surgical approaches integrated with key information on technologic advances, such as 3D reconstruction and navigation. Clearly labeled illustrations demonstrate each step of the various procedures. The book closes with practical guidance on postoperative care and guidelines for avoiding and managing the potential complications encountered in these complex surgeries.

Features: In-depth information on endoscopic surgical procedures for the paranasal sinuses, anterior skull base, and the craniocervical junction Easy-to-reference bullet-points in each chapter distill the renowned authors vast experience Step-by-step surgical descriptions cover the full spectrum of skull base pathology Stunningly detailed illustrations, including more than 500 in full-color, enhance the text throughout

This landmark work will improve the accuracy and precision of every surgeon and fellow in otolaryngologyhead and neck surgery and neurosurgery who deals with this delicate anatomic region.

Traumatic Brain and Spinal Cord Injury comprehensively covers the medical and pathological issues related to neurotrauma and its often devastating consequences. Written by globally renowned experts in the field, both clinicians and researchers will find this book invaluable to update their knowledge. This volume is divided into two sections, one covering the brain, the other the spinal cord. Each section discusses the following topics: * The demographic in the developed and developing world where neurotrauma is witnessing a massive expansion * Major clinical issues including advanced semi-experimental monitoring techniques utilized by neurosurgeons and intensivists and the potential use of identifying markers of tissue injury * Overview of major pathophysiological changes * The development of animal models; successes and limitations * Past, current and future therapeutic strategies including rehabilitative opportunities. Presenting the most up-to-date clinical and experimental research in neurotrauma, this volume is essential reading for neurologists, neurosurgeons, intensive care physicians and rehabilitative physicians.

Considerable impetus was given to the study and understanding of cere- brovascular anatomy by Thomas Willis and his contemporaries in the seventeenth century, yet almost two hundred years were to pass before further significant advances were made in this field. Then, from the mid- nineteenth century onwards, the dark ages of cerebrovascular research gradually lifted through the efforts of such workers as Luschka, Heubner, and Windle, whose pioneering anatomieal studies formed the basis of the present-day understanding of the morphology of the cerebral circulation. The turn of the century saw an increasing influence of the early neurolo- gists in describing anatomy of cerebral vesseis in relation to their areas of distribution and to the production of focal deficits through specific vascu- lar lesions and anomalies. Later stiil, Padget and others made important observations concerning phylogenetic and developmental aspects of the cerebral circuIation. These anatomieal and dinieaI studies were remarkable enough but the real breakthrough in investigating cerebral pathophysiology and in devis- ing appropriate corrective neurosurgical procedures had to await the re- markable advances in technology of the past fifty years. These began with the advent of cerebral angiography with all its subsequent refinements and progress has been accelerated through estabIishing noninvasive Doppler and high resolution ultrasound imaging techniques, methods for the accu- rate measurement of cerebral blood f1ow, CT seanning, PET seanning, and, most recently, imaging and metabolic NMR seanning.

Considerable impetus was given to the study and understanding of cere- brovascular anatomy by Thomas Willis and his contemporaries in the sev",nteenth century, yet almost two hundred years were to pass before further significant advances were made in this field. Then, from the mid- nineteenth century onwards, the dark ages of cerebrovascular research gradually lifted through the efforts of such workers as Luschka, Heubner, and Windle, whose pioneering anatomical studies formed the basis of the present-day understanding of the morphology of the cerebral circulation. The turn of the century saw an increasing influence of the early neurolo- gists in describing anatomy of cerebral vessels in relation to their areas of distribution and to the production of focal deficits through specific vascu- lar lesions and anomalies. Later still, Padget and others made important observations concerning phylogenetic and developmental aspects of the cerebral circulation. These anatomical and clinical studies were remarkable enough but the real breakthrough in investigating cerebral pathophysiology and in devis- ing appropriate corrective neurosurgical procedures had to await the re- markable advances in technology of the past fifty years. These began with the advent of cerebral angiography with all its subsequent refinements and progress has been accelerated through establishing noninvasive Doppler and high resolution ultrasound imaging techniques, methods for the accu- rate measurement of cerebral blood flow, CT scanning, PET scanning, and, most recently, imaging and metabolic NMR scanning.

In reflecting upon my life as a neurosurgeon, perhaps the most salient feature is that period of history involved. Trained by men who studied under Harvey Cushing, considered the father of neurological surgery, we, as early third-generation neurosurgeons, were held to those rigid standards of academic achievement and physical endurance typical of that time. The reader first identifies with the young child who dreams of becoming a doctor, and then sets out on that long path. He then re-lives the experiences of the student of medicine, and later the rigorous demands placed upon the surgeon-in-training. During the later descriptions of the private practice of brain and spinal surgery, the book transitions into an educational experience. It presents to the reader a multitude of neurological disorders requiring surgical treatment, the relevant surgical anatomy and the operative techniques involved. Often interjected are the intangibles of surgical judgment and philosophy when confronting those in pain or critically ill. Of equal importance were the major scientific advancements which occurred during that period of medical history. No longer did we have to bore a hole in the skull, or inject noxious materials into the head or spinal canal to verify a diagnosis. Rather, we had been privileged to enjoy the development of such remarkable machines as the ultrasound, CAT, and MRI. Descriptions of these devices, among others, and their impact on medical practice should prove interesting to the inquisitive reader. After 21 years in practice, and probably at the height of my career as a surgeon, I contracted hepatitis B subsequent to an accidental needle puncture in the operating room. Forced to lay down the scalpel, I turned to my second childhood dream, cattle ranching, as an alternative vocation. This then becomes a secondary focus of the book. A medical colleague, after learning of my book, expressed an interest in learning the common denominator driving a man to both neurosurgery and ranching. One can summarize with the word, "counterpoise." I had always strived to achieve a balance between the in-hospital, academic, precision-oriented work of the neurosurgeon and the outdoor, physically-demanding life of a rancher consummating the total American dream. Analogous to surgery I have always enjoyed using my hands in the shop. Throughout the book sections have been devoted to various aspects of woodworking, and an effort not only to share my enthusiasm but also to expose underlying problems and pitfalls; challenges I have encountered in striving to become an artisan of fine furniture. The practice of medicine has undergone significant change during my lifetime. Not only have I witnessed a burgeoning, unsustainable increase in the cost of healthcare, but also major changes in the way in which medicine is being practiced in the new millennium. Having been a proud product of the "Lucky Few" generation, born between the years 1929 and 1945, I am rightfully able to compare today's practice of medicine with those of the latter half of the 20th century.

As image-guided spine interventions have increasingly become a primary strategy for managing back pain, the tools and capabilities available to practitioners have grown significantly. This fully revised edition of Image-Guided Spine Interventions presents the latest procedures available to physicians who perform minimally invasive spine interventions. The comprehensive text covers the fundamentals -- such as spine anatomy, procedural materials, and pharmacological requirements -- along with chapters devoted to key topics such as discography, percutaneous descectomy, vertebroplasty and balloon kyphoplasty, epidural steroid injections, and autonomic nerve blocks. Additionally, three new chapters are included in the Second Edition, covering pulsed radiofrequency procedures, sacroplasty, and spinal cord stimulation. Each technique is presented in a straightforward manner that allows the reader to effectively evaluate and implement new procedures. The text is further enhanced by nearly 200 images and illustrations. Edited by Dr. John Mathis, a former president of the American Society of Spine Radiology, and Dr. Stanley Golovac, who both have clinical practices devoted solely to spine procedures and pain management, the book will be useful to all physicians dealing with back pain, including radiologists, pain anesthesiologists, spine neurosurgeons, and orthopedists. Physicians will once again find that Image-Guided Spine Interventions, 2nd Edition, is the pivotal authority on image-guided techniques for the spine.

This book aims to cover the majority of neurovascular diseases and management. The first section reviews neurovascular anatomy, the basics of angiography, and the basics of craniotomies for neurovascular diseases. Next, an entire section is devoted to intracranial aneurysms, covering the natural history, subarachnoid hemorrhage, endovascular management, microsurgical management, and vasospasm. Following this, a number of chapters are devoted to stroke including natural history, mechanical thrombectomy, intracranial stenosis, Moyamoya disease, bypass surgery, vertebrobasilar insufficiency, intracerebral hemorrhage, sinus thrombosis, and the surgical and endovascular management of extracranial carotid disease. Next, the text covers vascular malformations including arteriovenous malformation, arteriovenous fistulas, carotid cavernous fistulas, vein of Galen malformations, spinal malformations, and cavernous malformations. Finally, the book discusses a few miscellaneous topics including more recent advances in neurovascular care such as venous sinus stenting for idiopathic intracranial hypertension and middle meningeal artery embolization for subdural hematoma. Written by experts in the field, Introduction to Vascular Neurosurgery provides a comprehensive summary of neurovascular disease and management. The book can be used as a daily reference and serves as a trusted resource for medical students, residents, fellows, and young attendings.

Problem Based Neurosurgery is a remarkable fusion of recent advances in neuro-imaging and neurosurgery with modern teaching of integrated system based curricula. It approaches each problem systematically from history, and physical examination to differential diagnosis, investigations and management options. The book captures four decades of advances and experiences in diagnosis and management of patients. The problems upon which the book is based are real patients and cover all aspects of neurosurgical practice with up to date modern images. The blend of new scientific discoveries, modern imaging and the art of smart history and physical examinations underpins the book to improve diagnosis, investigation and the care of neurosurgical patients.The main thrust of this book is that it is based on clinical problems faced by fellows, residents and students, rather than traditional topic based. Problem based learning and management is the modern method of teaching in the new curriculum of teaching neurosurgery. It is a practical handbook that will help students, residents and community doctors alike. There is no similar book on the market that fulfills the objectives of this handbook.

This is a true story of how a seizure helped doctors discover two dangerous brain aneurysms and repair them before major disaster occurred in my life. The purpose of this little booklet is to encourage and bless anyone going through hard times.

Dating Neurological Injury: A Forensic Guide for Radiologists, Other Expert Medical Witnesses, and Attorneys presents a unique way to approach the dating of neurological injury as imaged by modern computed tomography (CT), magnetic resonance (MR) and ultrasound (US). Chapters are presented in a logical progression beginning with the general appearance of normal brain and progressing to the way abnormalities manifest themselves. The emphasis in these discussions is on the appearance of edema and of hemorrhage, as these two findings are the brain's most common response to injury. This volume presents in a systematic fashion the principles involved in the interpretation of images of the central nervous system specifically in a medical-legal setting where concern exists about the occurrence and timing of an injury. Dating Neurological Injury: A Forensic Guide for Radiologists, Other Expert Medical Witnesses, and Attorneys is a welcome addition to institutional, medical, and legal libraries, and to the personal libraries of malpractice defense and plaintiff lawyers and physicians in the neurosciences (neurosurgery, neurology, neuropathology, and neuroradiology) involved in medical-legal issues.

Over the past 20 years a silent revolution in functional neurosurgery has been unfolding. This revolution, still in the making, is the development of cortical electrical neuromodulation. No book covering the field of therapeutic cortical stimulation exists and only scarce attention has been given to this new field of neuromodulation in all textbooks and related books. As a result, the majority of neurologists and neurosurgeons are unaware of this technology. The aim of this book is thus twofold: cross-fertilisation among neurologists, other health professionals and functional neurosurgeons, and defining indications and limits of cortical stimulation, invasive and non-invasive. This textbook brings together leading authorities from all over the world and provides for the first time a complete account of the field. As a "teaching" tool, all, beginners and non, will find a conclusive word in a rapidly evolving field.

This is an EXACT reproduction of a book published before 1923. This IS NOT an OCR'd book with strange characters, introduced typographical errors, and jumbled words. This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process. We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide. We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book.

This is a reproduction of a book published before 1923. This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process. We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide. We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book.

Pathology involving the skull base and adjacent soft tissues present a challenge to all physicians dealing with the anatomy of this region. The goal of Skull Base Surgery: Basic Techniques is to provide the surgeon with a descriptive, step by step, pictorial analysis of skull base surgical techniques. Emphasis is placed on the most commonly used and applicable procedures that address the majority of the pathology encountered in standard practice. This beautifully illustrated text is directed to be the most useful for individuals new to these methods, surgical trainees and mid-level practitioners. Additionally, it's likely to be useful to physicians outside of otolaryngology and neurosurgery involved in the care of these patients. It provides a description of the key components of the medical management of these cases preoperatively and postoperatively so as to maximize the opportunity for successful outcomes.

This book is a detailed resource on the technical aspects of pediatric neurosurgery that relate to vascular malformations of the brain and spinal cord. It introduces concepts relevant to cerebrovascular system development and the classification of vascular malformations. Information on a range of disorders is then provided with an emphasis placed on answering frequently asked questions in relation to a particular condition. Therefore, enabling the reader to systematically improve their understanding of how approach treating patients utilizing techniques such as ultrasound and spinal angiography. The chapters, authored by experts in their respective field, provide a standard of care based on current diagnostic and management guidelines for pediatric neurosurgical diseases. Pediatric Vascular Neurosurgery: Technical Nuances in Contemporary Pediatric Neurosurgery (Part 2) is a comprehensive overview of how to approach diagnosing and treating a range of vascular malformations encountered in pediatric patients. The problem-solving approach of this work makes it a valuable addition to the literature and suitable for use by residents, fellows and consultants within pediatrics and allied specialities, including Neurosurgery, Neurology, Neuro-anesthesia, Neuro-critical care and advanced health care providers amongst others.

Neurosurgery Lecture Notes is written with the aim to be a broad perspective containing all the important facts contained in exam questions in a clear, concise and friendly manner. The authors have a well established history of teaching and Lal Gunasekera has trained several generations of young aspiring surgeons. Adriaan Liebenberg has penned two other successful textbooks in neurosurgery (Neurosurgery for Basic Surgical Trainees, Hippocrates Books and Neurosurgery Explained, Vesuvius Books). Together with help from Andreas Demetriades they have created a book that has application not just in the class room but also in clinical attachments. The chapters on imaging, theatre and ICU are designed to be detailed to a level not seen in books this size to enable a clinical attachment to be of more value. There are 134 high quality line drawings and scans to support the text to give a work of remarkable quality and simplicity.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.