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Books > Medicine > Surgery > Neurosurgery
Moyamoya Disease: Diagnosis and Treatment covers the key clinical disciplines involved in managing patients with moyamoya disease, including diagnostic work up, imaging, neurocognitive evaluation, and surgical options for pediatric and adult patients. The text and accompanying videos provide neurosurgeons and other health professionals treating Moyamoya patients with all the information they need to make the right diagnostic and surgical decisions. Key Features: Includes online access to videos and animations, narrated by Dr. Wanebo, demonstrating surgical techniques discussed in the book Written and edited by world-renowned experts at the Barrow Neurological Institute and other centers of excellence focused on Moyamoya Covers these dynamic topics in Moyamoya: cortical microvasculature, genetics, neuropsychiatric evaluation, and endovascular therapy Contains detailed illustrations and descriptions of technical aspects of treatment such as the direct and indirect methods of revascularization All neurosurgeons and neurologists caring for Moyamoya patients will find this book to be an important reference that they will consult often in their daily practice.
Rapid diagnosis and treatment are crucial to successful outcomes in infections involving the central nervous system, which can cause significant neurological morbidity and mortality. Neurosurgical Infectious Disease: Surgical and Nonsurgical Management is a comprehensive guide that gives surgeons the core knowledge they need to diagnose, treat, and prevent infectious diseases of the central nervous system. Key Features: Emphasizes newer surgical techniques, including: endoscopy, neuronavigation, and intraoperative guidance Covers contemporary radiologic diagnostic techniques and provides excellent imaging examples Includes chapters on antibiotic prophylaxis, intracranial infection, and the infection of implanted devices This excellent neurosurgical reference will be an essential part of the armamentarium used by neurosurgeons and infectious disease specialists in their daily practice.
A state-of-the-art neurovascular surgery atlas from internationally renowned neurosurgeon R. Loch Macdonald Neurosurgical Operative Atlas: Vascular Neurosurgery, Third Edition, by R. Loch Macdonald and expert contributors, reflects the latest advances in endoscopic, endovascular, microsurgical, and bypass techniques used in the treatment of cerebrovascular disease. The entire atlas has been streamlined and updated with new content, including 38 videos that complement the concise step-by-step guidance in the text. The book begins with five chapters on vascular and microsurgical instrumentation and equipment, clipping versus coiling, aneurysm surgery techniques, the pterional approach, and minimally invasive approaches. Disease and procedure-specific chapters are organized by three sections: aneurysms and subarachnoid hemorrhage, vascular malformations, and ischemic and other cerebrovascular disease. Every chapter includes salient tips on patient selection and procedural indications, preoperative information and tests, patient positioning, operative nuances, and postoperative complications. Key Highlights Nearly 300 high-quality color illustrations detail impacted anatomy and procedures The latest techniques for treating a full spectrum of aneurysms, such as ophthalmic segment, supraclinoid internal carotid artery, middle and anterior cerebral artery, basilar and posterior cerebral artery, and others Treatment of vascular abnormalities including arteriovenous malformations, superficial and brainstem cavernous malformations, arteriovenous fistulae, Moyamoya disease, and more Neurosurgical residents will benefit from the firsthand knowledge shared by international masters, while veteran neurosurgeons will glean invaluable insights on cutting-edge endovascular techniques to enhance clinical practice. This book includes complimentary access to a digital copy on https://medone.thieme.com.
Developed and written by top international experts in the field, this lucid new work is a comprehensive yet concise manual for reviewing the basics of peripheral nerve anatomy, pathophysiology, all typical and classic lesions, and the appropriate diagnostics. The chapters culminate in a description of the complex step-by-step surgical repair of these lesions. Succinctly written, the manual covers a range of topics normally only seen in larger works: included are the various plexus systems and associated injuries, facial nerve surgery, compression neuropathies and tumors, gunshot wounds, pain management, and much more. Key Features: Developed and written by members of the World Federation of Neurosurgical Societies (WFNS) Peripheral Nerve Committee Full coverage of all typical nerve lesions from the basics of anatomy and pathophysiology to the most complex surgical solutions Conceived for neurosurgeons, plastic surgeons, orthopaedic surgeons, and hand surgeons, both in training and in professional practice More than 250 images-radiological images, color illustrations, and photographs of dissections-which help in visualizing and comprehending the text better The Manual of Peripheral Nerve Surgery: From the Basics to Complex Procedures is certain to become a much-used reference resource for residents and practicing surgeons alike.
Part of the Neuro Spinal Surgery Operative Techniques series, this book is a guide to micro lumbar discectomy, for spine surgeons and trainees. Divided into ten chapters, the book begins with an overview of basic anatomy and the importance of preoperative planning. The following chapters discuss different case scenarios and the most appropriate operative techniques, as well as potential complications and their avoidance. The remaining chapters cover epidural medications, instruments, microscopes, and more. The book is enhanced by nearly 300 images, including intraoperative photographs. Other titles in the series include Anterior Cervical Discectomy and Fusion, and Lateral Mass Fixation in Sub-axial Cervical Spine. Key points Guide to micro lumbar discectomy for spine surgeons and trainees Part of the Neuro Spinal Surgery Operative Techniques series Covers different operative techniques and potential complications Features nearly 300 images including intraoperative photographs
The limbic system (also known as the paleomammalian brain) is a collection of brain structures located in the middle of the brain. It is not a discrete system itself but rather a collection of structures-anatomically related but varying greatly in function. The limbic system is the centre for emotional responsiveness, motivation, memory formation and integration, olfaction, and the mechanisms to keep ourselves safe (Neuropsychotherapist.com). This book is a guide to surgical procedures for the limbic system. Beginning with an overview of brain embryology and anatomy, each of the following sections covers surgical approaches for disorders in different parts of the limbic system. Procedures are explained in a step by step approach, with emphasis on anatomical markers and avoidance of complications. The final chapters discuss brain mapping during surgery, giant and unusual tumours, and vascular lesions. Authored by a team of highly experienced, Illinois and Wisconsin-based neurosurgeons, the book is enhanced by anatomical dissections, operative photographs and illustrations, and includes a DVD ROM demonstrating surgical procedures. Key points Guide to surgical procedures for the limbic system Step by step approach with emphasis on anatomical markers and avoidance of complications Highly experienced, Illinois and Wisconsin-based author team Includes DVD ROM demonstrating surgical procedures
Interdisciplinary Management of Orbital Diseases: Textbook and Atlas The successful evaluation and treatment of the orbital region-subject to a wide range of diseases affecting multiple organ systems-entails the knowledge and expertise of a multidisciplinary team of specialists. Interdisciplinary Management of Orbital Diseases: Textbook and Atlas brings this team together to offer comprehensive and authoritative discussion of all diseases of the orbital region, with descriptions of topographic and surgical anatomy, pathology, diagnostic steps, imaging, conservative treatment measures, operative approaches, radiotherapy, and orbital reconstruction. Readers will find key information for diagnosing conditions early and achieving maximum therapeutic and aesthetic results. Key Features: Valuable guidance from leading specialists in otorhinolaryngology, craniomaxillofacial surgery, ophthalmology, neurosurgery, endocrinology, and other relevant fields Coverage of the spectrum of orbital pathologies and diseases, including congenital malformations and posttraumatic deformities, orbital and skull base tumors and inflammation, sinus complications, thyroid eye disease, and more Useful details on patient examination, surgical techniques and pitfalls, and postoperative management aid in daily practice More than 650 full-color photographs and illustrations that allow for rapid learning and application of concepts Videos accessed through Thieme MediaCenter that enhance understanding of surgical procedures Interdisciplinary Management of Orbital Diseases: Textbook and Atlas is an important addition to the armamentarium of otolaryngologists, craniomaxillofacial surgeons, ophthalmologists, and neurosurgeons. Clinicians at all levels, and residents and fellows, will gain the interdisciplinary perspective crucial for handling the complexities of the orbital region.
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.
Refinements in the neurosurgical armamentarium continue to push the borders of neurosurgery forward. Lesions considered inoperable a few years ago can now be resected, especially in the region of the skull base. These new developments, plus rapid technological innovations in microneurosurgery, have dramatically altered the scope of modern neurosurgery. Now, with Volume 2 of the acclaimed Color Atlas of Microneurosurgery, the distinguished authors provide detailed descriptions of surgical anatomy and the major neurosurgical approaches to cerebrovascular lesions. You will find coverage of aneurysms, arteriovenuous malformations, cerebrovascular malformations, and vascular compression - all derived from a wide range of etiologies. Divided into three sections on anatomy, surgical approaches, and underlying pathology, the book demonstrates the most innovative new techniques, procedures and approaches as performed in hundreds of clinical cases. The result is the most detailed and comprehensive microneurosurgical atlas ever compiled, an ideal reference for practicing neurosurgeons and residents-in-training.
Volume IVB describes surgical approaches, strategies, and management techniques for specific tumors in their typical locations, surgical outcomes and results, instruments, and laboratory training. It covers also the related disciplines neuroradiology and neuroanesthesia. The last installment in this well–known series.
World-renowned experts debate key topics in pediatric neurosurgery In Controversies in Pediatric Neurosurgery, leading clinicians from around the globe present concrete advice and frank commentary on alternative options for the treatment and management of specific cranial and spinal disorders. Each succinct, easily accessible chapter addresses a different condition in a point/counterpoint format that discusses the pros and cons of the various treatment options, including surgical approaches and techniques. This highly practical, balanced coverage equips readers to make well-informed choices when selecting the most appropriate treatment modality for a particular diagnosis. Features: Lessons Learned at the end of each chapter, in which the authors summarize the debate with multiple viewpoints and carefully considered recommendations based on published evidence and their own clinical experience Incisive dialogue on twenty hot topics in the field, including how to manage arachnoid cysts, craniosynostosis, tethered cord, hydrocephalus, chiari malformations, epilepsy, aneurysms, and more Clinical and personal insights from international contributors on the variability of surgical training, experience, and available resources in different parts of the world Guidance on how to discuss treatment options and strategies to patients and their families This book is essential reading for every clinician, resident, or fellow who needs a firm understanding of the most controversial issues in pediatric neurosurgery to be able to make the best decision for the appropriate treatment option for patients in their care.
Here is the first book to bring basic and clinical science together in the challenging field of spinal deformities. A renowned team of international authors provide the "soup-to-nuts" information you need, demonstrating not only how to stop progression of a deformity, but also how to quickly and safely correct it. Beginning with an introduction to surgical anatomy, the book covers physiology, pharmacology, neurology, radiology, instrumentation, surgical techniques, complications, and more. It provides vital details on every aspect of spinal deformities from degenerative disc disease and neuromuscular scoliosis to fusion techniques and revision surgery. Special features of this encyclopedic resource: State-of-the-art approaches to clinical evaluation, treatment, and rehabilitation from a "who's who" of leading experts More than 1,000 high-quality illustrations demonstrate all surgical procedures Detailed, in-depth analysis of everything from anatomy and pharmacology to biomechanics and anesthesiology Endorsed by the world's leading scoliosis/spinal organization, The Scoliosis Research Society This book is the "bible" for treating spinal deformities that every orthopaedic surgeon, neurosurgeon, and resident needs. Take advantage of this single-volume text that contains all the facts and information necessary to successfully manage spinal deformities
An overview of practice and theory in both neural specialties, encouraging a broader therapeutic approach to problems such as movement disorders and intractable pain. The concept of this book is to merge neurological and neurosurgical principles and practice, for improved patient care. This includes a review of the basic neurosciences, especially neurogenetics. Details of the neurological examination and neurodiagnostic studies are oriented to specific clinical factors. Attention is directed to advances in molecular biology in the current research in metabolic disorders affecting the neurological system. There is a comprehensive approach to demyelinating diseases and dementia, as well as practical aspects in the diagnosis and management of neurological disorders caused by trauma, vascular lesions, neoplasms and infection. The goal is to share the expertise of both neural specialties in therapy of problems such as movement disorders and intractable pain. A general need for the above has become apparent, in an era of an aging population and increased incidence of neurological disorders. Frank P. Smith, MD, is Professor of Neurosurgery Emeritus, University of Rochester Medical Center
"An extraordinary story that you will pick up and finish in a few hours of remarkable reading. The account of her son's and her family's regeneration is simply inspiring. It will be instructive to any family with a child with a disabling condition. But as the account of a transfiguring experience and the sensitive interpretation of how it came about, it speaks to all of us."--Arthur Kleinman, Harvard Medical School, author of "Writing at the Margin" "Ruthann Johansen's loving account of the aftermath of her son's traumatic brain injury is an extraordinary book, . . . at once a profound meditation about the inextricable relationship between language, story-telling, and self-formation and a moving account of how one young man reconstructed his life in dialogue with the solicitations and offerings of family, friends, and caring others. This book should be read by everyone who is interested in the nature of identity and selfhood."--Janice A. Radway, Duke University, author of "A Feeling for Books: The Book-Of-The-Month Club, Literary Taste, and Middle-Class Desire "This book clearly asks the question: Who speaks for the traumatically brain injured? It should be required reading for all neuroscientists who are providers of care or who are diligently conducting research to find a therapy that truly produces recovery of function."--David A. Hovda, Professor of Neurosurgery and Director of the Brain Injury Research Center, University of California, Los Angeles "A singular contribution to our understanding of brain injury as illness experience, of the family dynamics of care, and of the narrative nature of lives and brains. The writing is lyrical, moving, and scholarly, not by turns butat the same time. Johansen conveys mother love, feminist self-awareness, and a critical social perspective to provide a unique account of family life through continuing trauma."--Arthur W. Frank, author of "The Wounded Storyteller: Body, Illness, and Ethics "This book is gripping and inspired. . . . It will be of great solace and usefulness to others who find themselves in such circumstances, part of the literature of family disaster. It will find an audience as well among all those concerned with what might be called the construction of the self, which would include a good many in various psychological fields."--F. Robert Rodman, author of "Not Dying: A Memoir
Emotions, behaviors, thoughts, creations, planning, daily physical
activities, and routines are programmed within our brains. To
acquire these capacities, the brain takes time to fully develop--a
process that may take the first 20 years of life. Disruptions of
the brain involving neurons, axons, dendrites, synapses,
neurotransmitters or brain infrastructure produce profound changes
in development and functions of the one organ that makes us unique.
To understand the functions and development of the brain is
difficult enough, but to reverse the consequences of trauma and
repair the damage is even more challenging. To meet this challenge
and increase understanding, a host of disciplines working and
communicating together are required.
Preoperative Events switches the focus from post-operative
rehabilitation to preoperative experiences and personal histories
to lessen the consequences of brain damage. These papers document
the relationship between preoperative experience and postoperative
performance and discuss a variety of protective preoperative
experiences that can ameliorate the deleterious effects of brain
damage.
First prize from the 2016 BMA Medical Book Awards for Surgical Specialties! Winner of the 2017 PROSE Awards for Textbook/Clinical Medicine This state-of-the-art volume is an unparalleled teaching tool that reveals invaluable tricks of the trade. It is an essential resource for pediatric and general neurosurgeons, neurosurgery residents and fellows. Pediatric Neurosurgery is a uniquely exacting subspecialty in which surgeons are given the extraordinary privilege of alleviating suffering for gravely ill children, and in best-case scenarios, restoring their health. Understanding the vast and complex anatomy, pathology, and pathophysiology that evolves throughout childhood presents considerable challenges. Further, the field is rapidly progressing with advancements in neurodiagnostic imaging and surgical instrumentation, as well as an expanding knowledge of the molecular and genetic bases underlying many neurosurgical disorders. While this book's primary focus is on how to achieve technical excellence in the OR, this is a remarkably personal book about the art of pediatric neurosurgery. In it you will find wisdom gained from decades of experience. Read this book, use the knowledge you gain from it, and you will become a safer, more skillful neurosurgeon. Special Features: More than 800 stunning, full-color illustrations Online access to videos in which experts from all over the world demonstrate the operative nuances and techniques that help surgeons get patients safely in and out of the OR Written by master surgeons from 10 countries who share a wealth of insightful wisdom garnered from years of experience, refinement of surgical techniques, and development of numerous innovations Surgical pearls, operative nuances, procedural modifications, and techniques for avoiding and dealing with pitfalls
Highly Commended by the BMA Medical Book Awards for Surgical Specialties! An estimated 11.7% of the U.S. population or nearly 38 million adults and children suffer from migraine headaches. A severe and highly debilitating type of headache, migraine is the third most common and eighth most disabling disease in the world. People who suffer from migraines often experience neurological symptoms such as nausea and visual disturbances. Despite optimal preventive and abortive pharmacologic treatment, as many as one-third of migraine patients experience refractory headaches and persistent symptoms. Migraine Surgery by world-renowned plastic surgeon Bahman Guyuron reflects significant knowledge gleaned from 17 years of migraine research, pioneering development of nerve decompression surgery, and 2,500 migraine surgery procedures. With contributions from top neurologists and plastic surgeons, this state-of-the-art book is the only one on the market dedicated to the surgical treatment of migraines. The book begins with a brief history of migraines, followed by a concise overview covering clinical presentation, imaging, abortive, and preventive treatments such as over-the-counter and prescription medications, neurotoxin injections, peripheral nerve blocks, and neuromodulation. Key Highlights Discussion of migraine trigger points including impacted anatomy, detection methods, and trigger point deactivation surgery Surgical treatment of frontal, temporal, rhinogenic, occipital, auriculotemporal, lesser occipital, and nummular migraines including postoperative care and complications Superb illustrations provide visual insights on compressions points, trigger sites, nerves, and the surgical treatment of headaches Extensive high-quality videos posted in the Thieme Media Center delineate life-altering surgical approaches This one-of-a-kind book is the ultimate guide to headache surgery and a must have for resident and veteran plastic surgeons alike. Neurologists and neurosurgeons will also benefit from reading this succinct yet masterful resource.
While most spine deformities such as scoliosis, kyphosis, and lordosis are idiopathic, muscular dystrophy, cerebral palsy, spinal cord tumors and lesions are associated with more severe curve progression. Bracing typically does not prevent progression of spinal curves, and surgery is necessary for these patients. Neuromuscular Spine Deformity by Amer F. Samdani et al is the most comprehensive book on this topic to date, detailing the latest surgical techniques for a wide range of common to rare neuromuscular pathologies, in 27 well-illustrated chapters. The comprehensive content derives from the authors' collective years of hands-on expertise, evidence-based knowledge from the literature, and multicenter scoliosis studies performed by the prestigious Harms Study Group, a worldwide research-based association of spine surgeons. The text begins with discussion of preoperative evaluation, nonoperative management, and surgical considerations such as anesthesia, neuromonitoring, and estimated blood loss. Section two highlights pathology-specific surgical interventions, while sections three and four provide clinical pearls on a wide array of surgical techniques, complications, and patient outcomes. Key Highlights Disease-related challenges including dislocated hips, hyperlordotic/hyperkyphotic spine in cerebral palsy, myelomeningocele-related myelodysplasia and spine deformity, Duchenne's muscular dystrophy, and spinal muscular atrophy Guidance on assessing the sagittal profile preoperatively and executing it intraoperatively in patients with spinal cord injury Multiple options for fixation including the new sacral alar iliac screw approach for sacropelvic fixation and correction of pelvic obliquity Postoperative issues including ICU management, incidence and management of early and late wound infection, instrumentation failure, junctional kyphosis, and cervical extension Health-related quality of life outcomes in pediatric patients with cerebral palsy who have undergone scoliosis surgery This state-of-the-art resource is essential reading for orthopaedic surgeons, neurosurgeons, and trainees in these specialties. It is also a must-have reference for academic programs and institutional departments specializing in pediatric spine pathologies.
Definitive guide on management of malformations of the brain, spinal cord, dura mater and arachnoid from leading international masters With contributions from leading multidisciplinary experts, this book is a comprehensive compendium on state-of-the-art management of intracranial arteriovenous malformations (AVMs) and arteriovenous fistulas (AVF). All major treatment approaches are encompassed including microsurgery, endovascular treatment, and radiosurgery. The text begins with in-depth coverage of cerebrovascular anatomy susceptible to abnormalities, followed by pathogenesis, physiology, hemodynamics, natural history, clinical presentation, and indications for treatment of AVMs and AVFs. Throughout the book, internationally renowned experts provide clinical pearls and insights based on hand-on surgical expertise, case studies, and evidence-based data. Key Highlights Diagnosis and treatment of uncommon congenital syndromes including Wyburn-Mason syndrome and Parkes-Weber syndrome; and autosomal dominant genetic disorders such as Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu syndrome) and Capillary malformation/arteriovenous malformation (CM-AVM) syndrome. More than 300 high quality illustrations plus videos elucidate impacted cerebrovasculature and treatment modalities. The utilization of preoperative and postoperative imaging for AVM evaluation and intraoperative imaging for AVMs and AVFs. Surgical management of lobar AVMs, brain dural arteriovenous fistulas, cerebellar AVMs, basal ganglia, thalamic, and brainstem AVMs. Complications and controversies including hemorrhaging, inoperable malformations, pediatric cases, residual or recurrent AVMs, epilepsy, and seizures. With step-by-step tutorials and classification systems for brain AVMs and fistulas, this is a must-have guide on cerebrovascular malformations. It will benefit trainee and experienced neurosurgeons alike.
Gain confidence in acquiring basic manual skills for brain tumor surgery... In training to become a neurosurgeon, many of the crucial manual skills that must be acquired can only be mastered through growing experience during the rigorous and lengthy training process. Yet, many - often essential - practical skills can quickly be learned, practiced, and even mastered, away from the OR. The author's motivation for writing this guide arose during his own training and his need for just such a practical aid. Getting Ready for Brain Tumor Surgery provides the readers with a basic set of exercises that will allow him to develop and improve their motor skills, handling of various tissues, and general technical competence. Detailed instructions are given in the illustrated text and in accompanying videos. Topics include: Planning: visualization of the procedure The craniotomy - using a coconut Working with the microscope Removing a gyrus: subpial resection Removing a brain tumor using an artificial model Microsurgical training: the chicken wing model Junior neurosurgical residents and interns will benefit greatly from this handy guide.
Atlas of Neurosurgical Techniques: Spine and Peripheral Nerves Originally published in 2006, the second edition of this award-winning neurosurgical atlas is written by a notable cadre of world-renowned spine surgeons. Reflecting the enormous depth and breadth of spine surgery, this volume has been completely updated with current, state-of-the-art surgical methodologies and minimally invasive options. Pathologies include degenerative changes, congenital abnormalities, rheumatic diseases, tumors, and trauma. The authors have divided the book into six consistent sections: occipital-cervical, midcervical spine, cervicothoracic junction, thoracic and thoracolumbar spine, lumbar and lumbosacral spine, and peripheral nerve. Within each section, the opening chapters cover comprehensive discussion of pathology, etiology, and differential diagnosis. Succeeding chapters present step-by-step surgical techniques encompassing anterior, anterolateral, posterior, and posterolateral approaches, separately and in sequence. Minimally invasive techniques and peripheral nerve procedures, including the brachial plexus, lumbosacral plexus, and individual nerves are covered independently, following the same organization. Key Highlights: Clearly delineated indications, contraindications, advantages, and disadvantages provided for each surgery Operations with same opening and closing technique covered just once, thereby minimizing redundancy Beautifully illustrated with more than 1,000 images Video compendium created by master surgeons provides up-close guidance on a wide array of surgical procedures Ideal for both the busy practitioner seeking review and resident looking for robust study materials This book is an incomparable learning tool for residents, who will likely read it several times during the course of residency. A precisely edited, didactic atlas, neurosurgeons and orthopaedic surgeons will also find it an invaluable resource.
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. |
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