Selected as a Doody's Core Title for 2021! Written by experts from around the world, the latest edition of this leading reference features contributions from both neurosurgeons and orthopaedic surgeons. Presenting the full scope of spinal surgery, chapters discuss anatomy, biomechanics, complications, instrumentation, preoperative and postoperative care, and other core topics for surgeons. And numerous illustrations and clinical video clips provide critical visual context.   New chapters detail current surgical techniques for idiopathic scoliosis procedures. Over half of the authors are new—bringing fresh perspectives and approaches to surgical preparation and techniques. Technical procedures are written in an easy-to-follow, step-by-step format. Covers a wide spectrum of spinal deformities, degenerative disorders, injuries, and traumatic conditions. Now with more than 4,000 illustrations—including figures that accurately depict anatomy and procedures, and tables and algorithms for absorbing information quickly. Enrich Your Ebook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Das Buch bietet dem Behandler einen UEberblick uber die gangigen klinisch relevanten Konzepte sowie diagnostischen und therapeutischen Massnahmen in der Epileptologie. Mit seinem praxisorientierten Aufbau befahigt das Werk dazu, dieses Wissen im klinischen Kontext direkt anzuwenden.Zahlreiche Kasuistiken beantworten uber die Kapitel hinweg typische Fragen zu Differenzialdiagnostik, Therapie und sozialmedizinischen Aspekten. Bei den Therapien kommen sowohl medikamentoese als auch operative Ansatze zur Sprache. Ein ballastfreies Buch, geschrieben von Epilepsie-Experten aus Deutschland, OEsterreich und der Schweiz, das sich den konkreten klinischen Aspekten widmet und dabei die entsprechenden nationalen und internationalen Leitlinien berucksichtigt.

Endlich ein Buch uber Neuromonitoring Die Notwendigkeit zu diesem modernen Ansatz entsteht durch die immer grosser werdende praktische Bedeutung neurophysiologischer Untersuchungsverfahren im Bereich Intensivmedizin, intraoperative Uberwachung zentral - wie peripher - nervaler lebenswichtiger Funktionen, Narkosefuhrung. Zwei Blickwinkel bestimmen die Gliederung: 1. Darstellung der wichtigsten neurophysiologischen Untersuchungsverfahren im Hinblick auf deren Einsatz auf der Intensiveinheit und im OP. 2. Die relevanten Einsatzmoglichkeiten dieser Verfahren bei haufigen intensivpflichtigen Erkrankungen und diversen chirurgischen Eingriffen an Kopf und Wirbelsaule. Intraoperatives Neuromonitoring sowie Narkosesteuerung mittels neurophysiologischer Verfahren werden in eigenen Kapiteln ausfuhrlich dargestellt."

A perfect blend of medical drama and spiritual insight, "Gray Matter" is a fascinating account of Dr. David Levy's decision to begin asking his patients if he could pray for them before surgery. Some are thrilled. Some are skeptical. Some are hostile, and some are quite literally transformed by the request. Each chapter focuses on a specific case, opening with a detailed description of the patient's diagnosis and the procedure that will need to be performed, followed by the prayer "request." From there, readers get to look over Dr. Levy's shoulder as he performs the operation, and then we wait--right alongside Dr. Levy, the patients, and their families--to see the final results. Dr. Levy's musings on what successful and unsuccessful surgical results imply about God, faith, and the power of prayer are honest and insightful. As we watch him come to his ultimate conclusion that no matter what the results of the procedure are, "God is good," we cannot help but be truly moved and inspired.

Das Buch befasst sich mit samtlichen Aspekten der tiefen Hirnstimulation. Medizinisches, psychologisches und technisches Hintergrundwissen wird verstandlich vermittelt. Es geht aber auch auf alltagliche Probleme und so genannte Banalitaten ein, weil gerade diese oft zu kurz kommen und auf den ersten Blick zu simpel erscheinen um hinterfragt zu werden. Das Buch richtet sich in erster Linie an Patienten und deren Angehorige, aber auch Neurologen, Psychiater, Psychologen und Vertreter anderer Gesundheitsberufe sind eingeladen, sich uber die vielen Aspekte und Anwendungsgebiete der tiefen Hirnstimulation in einfacher und kompakter Weise zu informieren.

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Anche se gli ultimi anni hanno visto uno sviluppo tumultuoso della ricerca oncologica, i tumori restano la causa di morte del 30% degli italiani.

Gli avanzamenti terapeutici facilitano la guarigione e prolungano la vita, ma proprio per questo rendono piu evidenti gli effetti indesiderati delle terapie e complicazioni delle neoplasie prima meno frequenti; in molti casi il danno da trattamento, piuttosto che quello dovuto alla neoplasia primitiva, diventa il principale azzardo per la qualita della vita e la sopravvivenza dei pazienti.

Questo volume, insieme necessario e nuovo nel panorama della letteratura medica italiana, ne prende atto e presenta una revisione aggiornata e completa delle patologie del sistema nervoso centrale e periferico associate ai tumori e al loro trattamento.

Scopo del volume e di presentare un approccio integrato tra specialisti che deve vedere il neurologo e l oncologo in dialogo, e in grado di sviluppare una nuova capacita clinica super-specialistica la neuro-oncologia .

Molti sono gli esperti che hanno contribuito alla sua preparazione mettendo in comune conoscenze su temi che variano dalle complicazioni metastatiche, a quelle della terapia chirurgica dei tumori, della radio- e chemio-terapia, alle sindromi paraneoplastiche, alla terapia del dolore, al delirium e alle alterazioni affettive associate alla malattia.

Il libro si rivolge in particolare a neurologi, oncologi, palliativisti e chirurghi, ma e certamente utile ai medici di medicina generale e a tutti gli operatori che sono quotidianamente coinvolti nell impegnativa opera di prendersi cura dei pazienti oncologici."

A chronic migraine is a condition which is both prevalent and disabling, and which has a great impact on society as a whole. The accurate diagnosis, workup, and treatment of a migraine requires a multidisciplinary approach, involving primary care physicians, neurologists, pain management specialists, mental health specialists, alternative practitioners, and surgeons. Across the spectrum of migraine patients, the most challenging are those deemed refractory to conventional therapy. These patients may be surgical candidates, and are best served in a multidisciplinary, patient-centred model of migraine care. Migraine Surgery should serve as a reference to any practitioner dealing with the migraine patient. The fundamentals of migraine diagnosis and workup are reviewed, in addition to conventional therapies. We review the medical optimisation of the migraine patient, and establish what it means to have an intractable migraine. We discuss the role of the allied health professions in the management of chronic migraines, with chapters on psychological considerations, complementary medical management, and exercise. Furthermore, the standard interventional treatment of migraines is presented, in addition to surgical therapies, with an emphasis on patient selection, surgical technique, and complication avoidance.

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.

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.

The definitive guide on chordomas by an international Who's Who of experts A rare form of cancer, chordomas are among the most difficult tumors to treat, requiring highly specialized training and surgical expertise. Although generally slow-growing, chordomas present resection challenges due to their proximity to critical structures including the spinal cord, brainstem, nerves, and arteries. Written by an impressive cadre of internationally-renowned experts, this textbook is the most current, concise, and definitive resource on diagnosis and management of this complex pathology. Acclaimed surgeons from Brazil, Canada, Japan, Turkey, the USA, and the UK are contributors. The book starts with a historical overview, epidemiology, molecular pathogenesis, cytogenetics, local invasion and metastasis, and pathology. A thorough discussion covers diagnostic radiological and radionuclide imaging such as MRI, PET; SPECT, PET-CT, and PET-MRI, and clinical traits of skull base and spinal chordomas as defined by imaging modalities. Subsequent chapters explore decision making including selecting the most optimal techniques, surgical procedures, specialized topics, and new horizons in chordoma treatment. Key Highlights Anterior and anterolateral approaches to the clivus The use of endoscopy and intraoperative assistive technologies Midline subfrontal, middle fossa, extended petrosal, and transcondylar approaches Craniospinal fusion techniques following resection Surgery for spinal chordomas from the cervical to the sacral region Special topics such as radiation, proton beam therapy, Gamma-Knife radiosurgery, and pediatric chordomas and chondrosarcomas This is an essential text for neurosurgeons, orthopedic spine surgeons, otolaryngologists, and radiation oncologists. Read and learn from innovators who have mastered the latest state-of-the-art treatment methodologies for chordomas.

This book addresses multiple principles of carotid endarterectomy in terms of cervical anatomy, surgical techniques, practical cases and frequent questions stemming from clinical practice. Carotid endarterectomy (CEA) is an effective way to the treatment of carotid artery stenosis, which significantly reduce the risk of stroke. This book covers the key concepts and common question in CEA. It is a practical book focusing on basic surgical technical techniques, but not covers controversial issues.

The Cervical Spine is the most comprehensive, current, and authoritative reference on the cervical spine. Prepared by internationally recognized members of The Cervical Spine Research Society Editorial Committee, the Fifth Edition presents new information, new technologies, and advances in clinical decision making. The text provides state-of-the-art coverage of basic and clinical research, diagnostic methods, and medical and surgical treatments, bringing together the latest thinking of the foremost orthopaedic surgeons, neurosurgeons, neurologists, rheumatologists, radiologists, anatomists, and bioengineers. Chapters cover anatomy, physiology, biomechanics, neurologic and functional evaluation, and radiographic evaluation and address the full range of pediatric problems, fractures, spinal cord injuries, tumors, infections, inflammatory conditions, degenerative disorders, and complications. Accompanying the text is a website with the fully searchable text plus a color image bank.

Meningiomas are the most frequently reported neuro-oncologic condition, accounting for 12% to 30% of all primary intracranial tumors. The first case of intracranial meningioma treated with stereotactic radiosurgery was reported by Backlund E-O in 1971. Since then, more than 200,000 meningiomas have been treated with stereotactic radiosurgery worldwide to date. The large number of patients treated using this method is due to the fact that meningiomas are frequently located in critical areas and microsurgery is often associated with severe and permanent neurological complications. This book discusses the advantages, risks and limits of stereotactic radiosurgery relating to all regions of interest for a neuroradiosurgical approach for the treatment of central nervous system meningiomas. Firstly, it presents an introduction focusing on the "state of the art". It then discusses the physics, imaging, neurological and neuro-oncological issues in multidisciplinary management. Lastly, it features a summary of results, including the most recent published papers regarding all the locations involved in the stereotactic radiosurgery treatment as well as new approaches to meningiomas, with particular reference to the hypofrationated treatments. Intended for anyone involved in the neuroradiosurgical treatment of brain diseases, the book provides an up-to-date overview of the latest stereotactic radiosurgery treatment of central nervous system meningiomas.

This practical guide for trainees and advanced practice providers covers the essential management of hospitalized patients with acute neurologic conditions. Divided into five sections, this text serves as an incredibly easy-to-use, visually accessible, how-to manual that covers exactly what every responding clinician needs to know to care for the patient in front of them. The first section provides tangible guidance about how to pre-round, structure a presentation, examine neurologically ill patients, and interpret the core diagnostics obtained in many neurology patients: CT, MRI and EEG. The next three sections cover common complaints encountered in the hospital: spanning from non-vascular admissions, vascular & stroke neurology topics, and core neurocritical care principals and chief complaints. Throughout are checklists, scoring systems, pro-tips, images, helpful reminders, as well as concise summary of the pertinent literature. This is an ideal guide for medical students, neurology & neurosurgery trainees and advanced practice providers, as well as experienced professionals who want to brush up on the latest updates.

A practical and succinct guide to neurophysiological monitoring for safer brain tumor surgery The surgical treatment of infiltrating brain tumors is an extremely challenging and often highly rewarding facet of neurosurgery. The decision-making process involves deeply human interconnections with patients and relatives, cutting-edge neuroscience, and fascinating technology. Video Atlas of Neurophysiological Monitoring in Surgery of Infiltrating Brain Tumors by renowned oncological neurosurgeon Michael Sabel and esteemed contributors demonstrates the practical applications of neurophysiological monitoring to achieve safe removal of infiltrating brain tumors in asleep and awake settings. Organized in three primary parts, the book starts with an introduction including a discussion of the impact and challenges posed by infiltrating gliomas and cerebral metastases and the philosophy behind supramarginal resection. The second part covers critical theoretical components including relevant anatomy, nervous system electricity and fields, transcranial monitoring methods and principles, and direct cortical and subcortical mapping including awake brain surgery. The final part provides insightful, practical guidance on decision making, monitoring set-up, planning of surgical cases, and a summary of accompanying videos. Key Highlights Discussion of impacted anatomy, physiology of the neural pathways monitored in brain tumor surgery, and key neurophysiological techniques for monitoring and testing during resection Instructive illustrations coupled with concise explanations enhance knowledge and facilitate understanding of techniques Fifteen videos covering real-life intraoperative cases provide in-depth insights on applying IONM principles to infiltrating brain tumors This is an essential resource for any neurosurgeon involved or interested in brain tumor surgery, from residents and fellows to board-certified neurosurgeons not yet trained in this field. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Unique textbook explores current and future applications of auditory brain implants Research on the auditory brainstem implant (ABI) has evolved from a highly specialized, narrow field to one involving a wide spectrum of disciplines. Neurotologists, audiologists, otolaryngologists, and neurosurgeons are on the front lines of treatment, while many other specialists play active roles. Auditory Brainstem Implants by renowned ABI experts Eric P. Wilkinson and Marc S. Schwartz is the first dedicated book on ABIs published to date. The state-of-the-art monograph brings together a rich array of materials and resources from an impressive group of pioneering clinicians from around the world. The text starts with introductory chapters encompassing the history and development of ABIs; relevant neuroanatomy and physiology; imaging of the cochlea, cochlear nerve, brainstem, and auditory system; and clinical indications for ABIs. Surgical chapters detail translabyrinthine, retrosigmoid, and retrolabyrinthine approaches, pediatric applications, auditory midbrain implants, device-specific engineering, and intraoperative monitoring. Auditory testing, performance variables, and results are also reviewed. The final chapters focus on innovative future directions, such as penetrating multisite microelectrodes and the use of optogenetics. Key Highlights In-depth analyses and overviews enable clinicians from different disciplines to expand their armamentarium and solidify current areas of expertise Unique material on the relevant neuroanatomy of brainstem implants improves understanding of ABI challenges and outcomes Description of ABI results in tone languages demonstrates applications in special populations Pediatric topics including evaluation and surgery and implant outcomes from the Hacettepe University team provide invaluable treatment pearls Insightful perspectives on programming, rehabilitation, and outcome assessment in adults enhance knowledge Trainee and practicing otolaryngologists, neurosurgeons, neurologists, audiologists, and speech pathologists will benefit from reading this comprehensive ABI resource, either cover-to-cover or by consulting specific chapters. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This two-volume book offers a comprehensive guide to anesthetic management and critical care management in neurosurgical and neurological patients. This second volume focuses on neurocritical care. The book begins with basic information on the principles of neurocritical care. Management of various neurological problems such as myasthenia gravis, Guillain-Barre syndrome, epilepsy, stroke and many more are discussed in detail. Subsequent sections address nursing care, physiotherapy and psychological care, issues related to brain death and organ donation, and common complications observed in neurological patients during their ICS stays. Each complication is discussed in detail, guiding readers in their clinical practice. In turn, the book's closing chapters cover e.g. the role of hypothermia and evidence-based practice. The book offers a valuable resource for all residents, fellows and trainees in the fields of neurointensive care and critical care; it will also benefit intensivists and neurocritical care experts.

This atlas serves as a comprehensive working reference for a wide range of clinicians practicing in the field of clinical neurophysiology, including adult and pediatric neurologists, epileptologists, neurocritical care specialists, and electroneurodiagnostic technologists. Covering EEG, EMG, MEG, evoked potentials, sleep and autonomic studies, EP, and intraoperative monitoring techniques, expert authors share examples of common and novel artifacts and highlight signature features to help practitioners recognize patterns and make accurate distinctions. This visual compendium of information in atlas format addresses the artifact in all areas of clinical neurophysiology and highlights the traps and pitfalls that can taint studies and lead to misdiagnosis if not properly identified. Atlas of Artifacts in Clinical Neurophysiology provides full-page examples of waveforms and recordings to enhance appreciation of the nuances involved in distinguishing artifacts from neurological findings that require intervention. With the most up to date information available on artifact present during procedures in both adult and pediatric patients, this book provides readers with an in-depth understanding of artifact interpretation that is essential to any clinician working in the field of clinical neurophysiology given the ubiquitous nature of artifact during electrophysiological recording. Key Features: The only dedicated reference on artifacts in all areas of clinical neurophysiologic testing Large-format examples of both common and unusual artifacts encountered in each procedure category Up-to-date text in each chapter provides greater depth of explanation Draws on the expertise and clinical wisdom of leading practitioners to develop mastery in recognizing artifacts and avoiding diagnostic pitfalls Includes access to the digital book

This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.

An essential backpack-size resource on the treatment of pediatric neurological conditions Pediatric neurosurgery has witnessed considerable technological advances, resulting in more efficacious outcomes for young patients with hydrocephalus, epilepsy, brain tumors, spinal deformities, and a host of other conditions. The art of pediatric neurosurgery is a delicate balancing act—taking into account child and parents and emotional and disease challenges. As such, the management of serious neurological conditions in pediatric patients must encompass the big picture in addition to treating underlying pathologies. Handbook of Pediatric Neurosurgery by George Jallo, Karl Kothbauer, and Violette Recinos covers the full depth and breadth of this uniquely rewarding subspecialty including congenital, developmental, and acquired disorders. The latest information is provided on anatomy, radiological imaging, and principles guiding the surgical and nonsurgical management of a full spectrum of neurological pathologies impacting infants and children. The book is divided into 11 sections and 56 chapters with state-of-the-art procedures, best practices, and clinical pearls from top pediatric neurosurgeons. Key Features Cranial disorders including Chiari malformations, encephaloceles, Dandy-Walker malformation, and craniosynostosis Benign and malignant tumors—from the hypothalamus and optic pathways to the brainstem and spinal column Spinal abnormalities such as spina bifida, tethered cord, and scoliosis Clinical questions and answers at the end of chapters—ideal for self-testing and exam prep Comprehensive and compact, this is the perfect backpack reference for neurosurgery residents and pediatric neurosurgery fellows to carry on rounds. It is also a must-have resource for seasoned pediatric neurosurgeons and all practitioners entrusted with the neurological care of pediatric patients.

This book introduces the latest advances relating to the pathophysiology, biophysics, monitoring and treatment of traumatic brain injury, hydrocephalus, and stroke presented at the 16th International Conference on Intracranial Pressure and Neuromonitoring (the "ICP Conference"), held in Cambridge, Massachusetts, in June 2016 in conjunction with the 6th Annual Meeting of the Cerebral Autoregulation Research Network. Additionally, the conference held special sessions on neurocritical care informatics and cerebrovascular autoregulation. The peer-reviewed papers included were written by leading experts in neurosurgery, neurointensive care, anesthesiology, physiology, clinical engineering, clinical informatics and mathematics who have made important contributions in this translational area of research, and their focus ranges from the latest research findings and developments to clinical trials and experimental studies. The book continues the proud tradition of publishing key work from the ICP Conferences and is a must-read for anyone wishing to stay abreast of recent advances in the field.

This book offers essential guidance on selecting the most appropriate surgical management option for a variety of spinal conditions, including idiopathic problems, and degenerative disease. While the first part of the book discusses the neuroanatomy and biomechanics of the spine, pain mechanisms, and imaging techniques, the second guides the reader through the diagnostic process and treatment selection for disorders of the different regions of the spine, based on the principles of evidence-based medicine. I.e., it clearly explains why a particular technique should be selected for a specific patient on the basis of the available evidence, which is carefully reviewed. The book identifies potential complications and highlights technical pearls, describing newer surgical techniques and illustrating them with the help of images and accompanying videos. Though primarily intended for neurosurgeons, the book will also be of interest to orthopaedic surgeons, specialists in physical medicine, and pain specialists.

Practical Q&A guide enhanced with unique diagrams and tables to ace the ABNS primary exam! Neurosurgery Primary Examination Review: High Yield Questions, Answers, Diagrams, and Tables by Amgad S. Hanna addresses the knowledge gaps in currently existing neurosurgical board study guides. It is based on a collection of highly effective practice questions previously administered to neurosurgical residents at the University of Wisconsin. Each chapter covers two to three topics with 60 multiple choice and matching questions and only one correct answer. The reader-friendly content and layout make it easy to organize and review the complex subject matter in preparation for the ABNS written exam or for educational review. Section I is divided into 20 chapters with questions followed by answer keys. This section covers anatomy, neurology, pathology, radiology, critical care, neurosurgery, and neurobiology. Chapters 17-20 cover comprehensive exam questions and answers across all specialty areas including sarcoidosis, lead toxicity, central neurocytoma, and prion disease. Key Highlights Approximately 600 questions divided into 10 tests cover relevant knowledge for the exam Answer keys include salient information on important differentials More than 60 tables and diagrams provide a practical, self-directed method for organizing and retaining important facts More than 200 high-quality images including radiographs, pathology slides, anatomical drawings, and operative photographs accompany questions and answers This concise textbook is a must-have reference for all neurosurgical residents preparing to sit for the ABNS primary exam. Its format is also ideal for incorporating into the neurosurgical curriculum or as a study guide for the maintenance of certification exams.

Since its introduction about sixty years ago, stereotactic and functional neurosurgery has evolved into a fascinating and interdisciplinary endeavor that combines modern neurosurgery, neurobiology, and neuroimaging with innovative diagnostic and treatment strategies. In this collection, acknowledged experts from Europe and North and South America present their scientific and clinical experience in stereotactic and functional neurosurgery for movement disorders and brain tumors. The contributions present a wide range from the beginnings of human stereotactic neurosurgery to the most modern molecular and restorative strategies to treat diseases of the human nervous system. They clearly demonstrate that the discipline is still young and dynamic with alternative and sometimes competing strategies whose evaluation is underway. They also document that operative lesioning techniques such as thalamotomies, though still chosen under certain circumstances, have been succeeded by novel neuromodulation techniques such as deep brain stimulation in the great majority of clinical cases.