Arachnoid Cysts: Clinical and Surgical Management gives a broad and updated presentation of the condition, including symptomatology, diagnostics, management and treatment. The book covers the effects of surgical treatment on clinical symptoms and the effects cysts have on cognition, as well as cognitive improvement after surgical cyst decompression. This book is written for researchers, residents and clinical practitioners in clinical neuroscience, neurology, neurosurgery, neuroradiology and pediatrics.

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.

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.

This timely book reports recent progress in research on traumatic brain injury (TBI) by leading investigators encompassing translational and clinical studies. The text covers epidemiology, pathophysiology, brain imaging, cognition, behavioral sequelae, and clinical trials of innovative treatments, including new approaches to rehabilitation. The range of TBI mechanisms represented in this cutting-edge book includes closed head trauma and blast-related injury, and the spectrum of TBI severity. Chapters offer a developmental perspective, including the effects of TBI on cognitive development in children and outcome studies in adults. Contributors from various countries provide a global perspective on this worldwide health problem. The editors have synthesized the contents in a concluding chapter. Researchers and clinicians will find this volume to be an informative, authoritative reference for current TBI research.

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.

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.

Part of the Oxford Case Histories series, this volume includes 65 neurosurgical cases covering core topics specified in the UK Neurosurgical Training Curriculum. Cases are drawn from the following clinical areas: trauma, vascular neurosurgery, tumours, spinal neurosurgery, hydrocephalus and paediatric neurosurgery, functional neurosurgery, and medical problems in neurosurgery. Revolving around actual patients and the relevant knowledge required in specific situations for decision making in clinical practice, this book will serve as an invaluable educational tool to help trainees, doctors, and pratising neurosurgeons manage the a wide variety of clinical scenarios encountered in neurosurgery.

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.

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.

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.

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.

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.

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.

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.

Neurosurgery is a rapidly developing and technically demanding branch of surgery that requires a detailed knowledge of the basic neuro-sciences and a thorough clinical approach. The Oxford Textbook of Neurological Surgery is an up-to-date, objective and readable text that covers the full scope of neurosurgical practice. It is part of the Oxford Textbooks in Surgery series, edited by Professor Sir Peter Morris. The book is split into 20 overarching sections (Principles of Neurosurgery, Neuro-oncology of Intrinsic Tumours; Extra-axial Tumours and Skull Lesions; Cerebro-Pontine Angle Tumours; Sellar and Supra-Sellar Tumours; Posterior Fossa Tumours; Pineal tumours; Uncommon Tumours and Tumour Syndromes; Neurotrauma and Intensive Care; Vascular Neurosurgery; Principles of Spinal Surgery; Spinal Pathology; Spinal Trauma; Peripheral Nerve Surgery; Functional Neurosurgery; Epilepsy; Paediatric Neurosurgery; Neurosurgery for Cerebrospinal Fluid Disorders and Neurosurgical Infection). Each section takes a dual approach with, 'Generic Surgical Management' chapters that focus on specific clinical problems facing the neurosurgeon (e.g. sellar/supra-sellar tumour, Intradural Spina Tumours etc.) and 'Pathology-Specific' chapters (e.g. Glioma, Meningeal Tumours, Scoliosis and Spinal Deformity, Aneurysm etc.). Where appropriate, this division provides the reader with easily accessible information for both clinical problems which present in a regional fashion and specific pathologies. The generic chapters cover aspects such as operative approaches, neuroanatomy and nuances. Specifically each chapter in the book incorporates several strands. Firstly the fundamental neuroscience (anatomy, pathology, genetics etc.) that underlies the clinical practice. Secondly, a review of the requisite clinical investigations (e.g. angiography, electrodiagnostics, radiology). Thirdly, a thorough evidence based review of clinical practice. Following this a consideration of the key debates and controversies in the field with 'pro-' and 'con-' sections (e.g. minimally invasive spine surgery, microsurgical treatment of aneurysms) is provided. A summary of the key papers and clinical scales relevant to neurosurgery form the concluding part. The book is a 'one-stop' text for trainees and consultants in neurosurgery, residents, those preparing for sub-specialty exams and other professionals allied to surgery who need to gain an understanding of the field. It acts as both a point of reference to provide a focussed refresher for the experienced neurosurgeon as well as a trusted training resource.

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.

Cerebral Revascularization: Techniques in Extracranial-to-Intracranial Bypass Surgery, by Saleem I. Abdulrauf, MD, FACS, offers unmatched expert guidance. Through a series of dynamic, step-by-step instructional videos of the most common and uncommon procedures, you will deepen your understanding of these techniques and be able to confidently perform them. Edited and written by international leaders in neurosurgery, this definitive reference - with a foreword written by M. Gazi Yasargil, MD creator of the procedure - is the first and only text entirely dedicated to this surgery and provides you with exclusive, authoritative information. Access the full text, video library, and reference links to PubMed at www.expertconsult.com.

Presents evidence-based information on idiopathic scoliosis treatment and outcomes Based on over a decade of research and observation conducted by the members of the Harms Study Group and other spinal deformity experts from around the world, this must-have clinical reference provides focused coverage of the most current evaluation and treatment guidelines for idiopathic scoliosis. It draws on case studies to guide readers through specific surgical and nonoperative approaches to the multiple types of adolescent idiopathic spinal deformity, including practical information on the rationale for each approach, techniques, and results. Features: In-depth information culled from vast clinical data of world-renowned experts in the Harms Study Group Curve assessment and treatment recommendations listed by curve type and pattern - Comprehensive discussion of pathogenesis and epidemiology, osteobiologics for spinal fusion, anesthesia for scoliosis surgery, surgical complications, and more Chapters on key treatment decisions, such as the selection of fusion levels, that teach readers how to critically address clinical questions More than 600 high-quality illustrations, including numerous full-color clinical photographs, detailed line drawings, and complementary high-resolution radiographs This state-of-the-art text is ideal for orthopaedic surgeons, neurosurgeons, and spine fellows, and is an invaluable companion for any practitioner involved in the surgical and nonsurgical care of patients with spinal deformity.

Minimally Invasive Percutaneous Spinal Techniques, by Daniel H. Kim, MD, FACS, Kyung Hoon Kim, MD, and Yong Chul Kim, MD, helps you apply methods of spinal pain relief that involve less risk and shorter recovery times. Focusing on the broad appeal of this goal for you and your patients, this volume will help surgeons and specialists in various areas of pain management provide less invasive alternatives and faster recovery procedures for those suffering with spinal injuries. Step-by-step techniques are well-illustrated in the book and demonstrated extensively on DVD and online. Get accurate, step-by-step guidance by reviewing full-color, richly illustrated descriptions of various techniques. Make the most of extensive surgical videos demonstrating many of the procedures from the book on expertconsult.com and on DVD. Reduce the risk associated with invasive spinal procedures by considering new perspectives on pain management techniques that can be used by specialists from various disciplines. Address the growing need for less invasive surgeries with shorter recovery times among a large and aging population with musculoskeletal problems. You and your patients both want less invasive, less risky options for faster recovery & better outcomes

The definitive reference on intraoperative MR-guided neurosurgery Comprehensive in scope and packed with practical information, Intraoperative MR-Guided Neurosurgery contains detailed coverage of this state-of-the-art technology from the pioneers who developed it. Renowned neurosurgeons and neuroradiologists combine their collective wisdom and experience to demonstrate how MR-guided neuronavigation can be used to view real-time images of a patient's brain during surgery to help remove tumors with greater precision. The authors provide step-by-step descriptions of how to perform procedures, including advice based on their clinical results. Readers will learn about the advantages and drawbacks of the various MR imaging systems, clinical indications for MR-guidance, anesthesia considerations, safety concerns related to working in a magnetic environment, and much more. Features: *In-depth coverage of all MR imaging systems helps readers to make informed choices about which technique will best suit their surgical needs *Guidelines on the most appropriate imaging sequences for the resection of different types of brain tumors *More than 200 high-quality intraoperative photographs taken during actual procedures to orient readers who want to use MRI in the operating room *Tips from the experts on safety issues, suitable magnet designs and field strengths, cost and benefit analysis, room design, equipment, and logistics *Discussion of other forms of technology that have been combined with intraoperative MR-guidance, such as focused ultrasound, neurosurgical robotics, and other promising innovations This leading-edge text has everything that neurosurgeons, neuroradiologists, and interventionalists need to know to implement an intraoperative MR-guided neurosurgery program.

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.

This comprehensive textbook covers a multitude of issues in pediatric epilepsy surgery, from basic information about diagnosis and management of epilepsy in childhood to most sophisticated relevant surgical techniques and their details. The frequency of epilepsy in childhood is very high and children of all ages can suffer from medically intractable seizure disorder secondary to a number of syndromes and diseases. Although the majority of children can be treated with drugs, at least more than 30% of them are medically intractable patients and surgical interventions have been increasingly used for patients resistant to medical treatment. During the past decade, epilepsy surgery has rapidly become a mainstay treatment option instead of a last resort, even for infants and young children. A variety of surgical procedures for epilepsy in children have been performed in all major pediatric neurosurgery centers today. As a result, considerable work has been dedicated to patient selection criteria, indications, surgical techniques, results and outcome in pediatric epilepsy surgery. Therefore significant data and experience accumulated within the last decade in this field. This book will cover all aspects of pediatric epilepsy surgery, including medical treatment and medical intractability, pre-operative assessment and patient selection for surgical intervention, all relevant surgical techniques, postoperative outcome, and potential future advances and promising techniques in this field. All chapters will end with brief overview of the topics by the editors. This book will be a collaborative effort among international experts in pediatric epilepsy and pediatric epilepsy surgery to provide most up to date information on the subjects. It will be a valued resource in neurosurgeon, neurologist and pediatrician offices and institutional libraries throughout the US and possibly the world.

Designed to challenge the reader and bring active participation and efficiency to the learning and review process, this indispensable study guide is the ideal companion to the sixth edition of Dr. Greenberg's bestselling "Handbook of Neurosurgery." Developed from Dr. Kranzler's highly regarded annual review course, the text fully explores each neurosurgical topic and breaks down complex subjects into digestible bits with over 7,000 individual questions and answers. Each question topic is referenced to a specific page in Greenberg's "Handbook" to enable readers to easily find relevant background material. Packed with mnemonic devices, helpful hints, and study charts, this book is an essential review tool that tests and reinforces knowledge as it teaches.

Highlights: Over 7,000 strategically sequenced questions and answers that directly refer to a specific location in the "Handbook"Short answers that appear on the same page as questions to save time Emphasis on repetition and alternate arrangements of material to aid comprehension and retention Progressive withdrawal of cues that forces users to recall more and more information

The ideal companion to Dr. Greenberg's acclaimed reference text, this book is a valuable study guide for residents, fellows, and clinicians in neurosurgery, neurology, neuroradiology, and neuropathology preparing for board or recertification exams.