"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

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

The perfect white coat study companion for acing the ABNS oral boards! The certification by the American Board of Neurological Surgery is considered as the gold standard for neurosurgeons. The final hurdle in accomplishing the certification process is the challenging oral examination. In 2017, the format of the ABNS oral exam was revised to make it more relevant, rigorous, and reflective of recent advances in neurosurgery. Therefore, in the third edition of Neurosurgery Oral Board Review the authors have expanded on the widely acclaimed prior editions. The user-friendly book is packed with all the essentials that are needed to prepare for the exam. It can be used either for a rapid review a few days prior to the exam or as an outline to organize study preparation. Each chapter starts with a collection of salient facts, followed by cases that simulate the actual oral board experience. Key Highlights Eighty entirely new, first-rate cases supplemented by a large number of images In-depth focus on the current state-of-the-art in neurosurgery, including endovascular and functional approaches, minimally-invasive brain and spine procedures, arthrodesis, etc. More than 300 outstanding anatomic drawings and radiographs to enhance the ability to visualize complex concepts Complications and emergency procedures discussed in greater detail This quintessential pocket-sized oral board review has earned its place as a trusted study companion in the past 15 years. The new and improved edition will continue to play an invaluable role for neurosurgeons prepping for this challenging final stage of ABNS certification. This book includes complimentary access to a digital copy on https://medone.thieme.com.

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.

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.

Handbook of Minimally Invasive and Percutaneous Spine Surgery, edited by Drs. Wang, Anderson, Ludwig, and Mummaneni, is destined to become a favorite with all students of spine surgery, whether residents in training or experienced practitioners. Small enough to fit in a lab coat pocket, this exceptional manual is just the resource you need. It will prove invaluable as a quick reference in daily practice or simply as a refresher when confronting a difficult clinical problem. This fully illustrated fundamental guide focuses on procedures and techniques that require minimal exposure. Presented in a concise and readable format, this text delivers the basics for those new to minimally invasive surgery as well as pointers and tips for more advanced surgeons. It is destined to become a favorite with all students of spine surgery. Composed of 11 chapters, this practical manual begins with the true foundation of minimally invasive surgery-imaging. Safe and effective surgery performed through minimal exposures demands a thorough mind's-eye understanding of anatomy without visualization. Moreover, it requires a keen ability to mentally translate two-dimensional imaging into three-dimensional anatomy. Next, the most common techniques of cannulation are covered in a logical step-by-step fashion, just as it is taught in the operating room. Minimally invasive options for pedicle screw placement are completed with a chapter describing the mini-open technique. The second half of this book focuses on fusion and pedicle screw insertion. Finally, this handbook does not ignore the endpoint of all these techniques-achieving successful fusion. Techniques to enhance the success of this outcome are discussed in Chapter 9, whereas potential complications and methods to avoid them are outlined in Chapter 8. Each chapter concludes with "Surgical Pearls and Pitfalls," which provide summaries of the salient points discussed in the chapter. Unique to this text are highlighted boxes outlining "Bailouts/Alternative Strategies" for completing the task when classic techniques fail. Furthermore, each chapter is well illustrated, with step-by-step images that clearly demonstrate the points being made. Written by world-recognized minimally invasive spine surgeons, this handbook provides essential coverage of key topics.

" Four stars] Could not be published at a better time... superb illustrations, well-referenced text... technique insights... not only a superb book, but also one with historical significance... unparalleled in the book literature on aneurysm clipping. Doodys Review"

"Seven Aneurysms: Tenets and Techniques for Clipping" combines the instructive nature of a textbook with the visual aspects of an atlas to guide readers through the surgical principles, approaches, and techniques they need to dissect and clip cerebral aneurysms.

Comprised of three concise sections, the book distills the distinguished author's vast experience into a series of easily accessible tutorials presented through clear, systematic descriptions and stunning, full-color illustrations. The first section explains the critical concepts and basic tenets of aneurysm microsurgery followed by a section on the various craniotomies and exposures necessary for successful clipping. The final section covers microsurgical anatomy, dissection strategies, and clipping techniques for each of the seven most common aneurysm types that are the focus of this book.

Features: Strategies for handling the seven aneurysms most often seen by neurosurgeons: PCoA, MCA, ACoA, OphA, PcaA, basilar bifurcation, and PICA 383 full-color surgical photographs demonstrate operative techniques; 77 high-quality drawings display anatomy and spatial relationships Succinct text facilitates quick reading and easy reference

Clipping remains an essential treatment method for the most frequently encountered aneurysms. This must-have guide will enable neurosurgery residents, fellows, or practicing neurosurgeons to handle the majority of the aneurysms they will encounter with confidence and poise.

The nervous system constitutes arguably the most complex organ system in the human body, which contributes to the over-susceptibility of disease in this area. Although brain tumors were once an automatic death sentence, the outlook for recovery has brightened significantly in the past decade. The pathologist plays an indispensable role in surgical diagnosis; he or she must accurately diagnose a potentially wide array of disease entities, determine the spread of disease within millimeters, and assess patient prognosis. This new and modern reference in neuropathology comprehensively covers all the methods used by pathologists to accurately diagnose a wide array of neurologic illnesses. Brain and spinal cord tumors are the predominant focus, but a full spectrum of infectious, inflammatory, and congenital disorders are also covered in detail, in both pediatric and adult populations, with a full range of diagnostic modalities. The book is illustrated with more than 1,200 full-color photomicrographs and accompanied by a CD-ROM of all images in a downloadable format.

Our understanding of human neuro-anatomy, and ability to safely access lesions in complex locations, are in continuous evolution. The subcortical white matter space is among the most intricate, yet least understood, regions of the brain, with regards to its billions of connections and the subtle clinical and clinical functions it subserves. Neurosurgical procedures in the subcortical space and intraventricular system have been traditionally very difficult due to their depth, the need for brain retraction, and limited understanding and imaging capability of this region. Common lesions encountered in the subcortical space include brain metastases, gliomas, and intracerebral hemorrhage. Surgical access to this region has classically been hindered, and is highly limited by evolving technological applications to medicine and surgery. Traditionally, the technology (optics, imaging, resection devices, illumination) needed to perform safe subcortical surgery was not commensurate with the surgeon's needs. Over the past decade, major strides in our ability to image, navigate, and safely access subcortical tumors and other lesions have been made. These include parafascicular, trans-sulcal approaches that may be channel-based to provide safe retraction of the cortical and subcortical matter. A confluence of optical, computational and mechanical technology have greatly enabled our ability to treat such lesions, and include advanced MR imaging such as diffusion tractography, neuronavigation, channel-based access ports, exoscopic visualization, fiber-optic illumination, and novel resection devices. Parafascicular, channel-based subcortical surgery is a relatively new field with evolving indications and approaches that promises to evolve considerably over the next several decades. We aim to develop the first comprehensive reference text compiling the known evidence and experience from expert practitioners in the field of subcortical parafascicular surgery. This book will provide a major foundation for future development of the field, and be a first and definitive reference for decades to come. Subcortical Neurosurgery: Open and Parafascicular Channel-Based Approaches for Subcortical and Intraventricular Lesions will be the definitive reference on surgery of the subcortical region. It will comprehensively discuss all aspects of treatment of subcortical and intraventricular lesions, including neuroanatomy and neuroimaging of the subcortical space, principles of parafascicular subcortical channel-based surgery, common indications and approaches, and focused chapters for common subcortical lesions. The first section of the reference focuses on the intricate anatomy and neuro-imaging of the subcortical space and ventricular system, with special emphasis on intricate white matter tracts and diffusion tractography imaging. The next section of the book discusses principles of both open and parafascicular, channel-based approaches to subcortical and intraventricular lesions, in addition to workhorse approaches to common subcortical compartments. Finally, specific pathological subcortical lesions that can be commonly addressed via parafascicular channel-based approaches, including brain metastases, gliomas, and intracerebral hemorrhage will be addressed. Authored by experts in the field of subcortical neurosurgery, this book was developed to provide a unique, comprehensive text for neurosurgeons, neuro-radiologists, and trainees from a variety of specialties interested in evolving minimally disruptive access and treatment of the subcortical space.

Filling a gap in the literature, this is the first book to comprehensively discuss 3D printing applied to bone surgery. It provides both the scientific basics and practical applications, with a special focus on 3D-printed, custom-made titanium prostheses (3DPCMP) used for bone reconstruction following tumor resection. Initially applied to pelvic and scapular prostheses - because of their of highly complex anatomy - this technology is increasingly being adopted in other fields of orthopedics, such as limb surgery, traumatology and degenerative diseases. Throughout the book, experts from various fields share their knowledge, describing 3D printing applied to the reconstruction of different bone segments, reviewing each application and comparing it with traditional reconstruction. They also present real-world case studies from their clinical practice. Uniquely responding to the growing interest surrounding 3D printing for bone reconstruction, this book is invaluable for orthopedic, neuro- , head and neck as well as maxillofacial surgeons wishing to gain insights into this new and promising field.

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.

This book has included 19 recent topics about the treatment of cerebrovascular diseases from basics to surgical (include microneurosurgical, endovascular, endoscopic and Stereotactic radiosurgical techniques) aspects in the management of cerebrovascular diseases. With illustrative cases, the treatment strategies, techniques and complication avoidance have been covered extensively in the chapters to guide the readers on when and what to expect the worst in surgeries. The neurosurgical aspect in the present scenario of COVID is also included. This book will assist the junior neurosurgeons and junior neurological physicians in endeavoring to learn the core concepts and common problems of cerebrovascular surgery. This is a worthwhile addition in this ever growing field of cerebrovascular surgery.

This Atlas summarizes current surgical strategy for cerebral revascularization in the treatment of complex neurovascular diseases. It focuses on complex intracranial aneurysms, which are mostly large/giant, irregular and short of enough collateral compensation. In the first part, it starts from the extracranial-intracranial (EC-IC) bypass strategy. For the complex middle cerebral artery aneurysms, the types of EC-IC bypass are determined based on the angioarchitecture. Furthermore, various intracranial-intracranial (IC-IC) bypasses are introduced, with the advantage of no need for graft vessel harvesting and preferable matching of donor and receipt arteries. This Atlas provides useful knowledge and cases about this basic and indispensable skill for neurosurgeons.

The quintessential reference for bedside medical management of neurocritical care patients Medical management of patients in the neurocritical care unit (NCCU) often spells the difference between life or death and return to normal function or a lifetime disability. As such, it is vital that patients with life-threatening neurological and neurosurgical illnesses receive prompt diagnosis and rapid interventions in the NCCU. The Jefferson Manual for Neurocritical Care by renowned neurosurgeon Jack I. Jallo, neurointensive care physician Jacqueline S. Urtecho, and distinguished colleagues is a high-yield pocket resource ideal for the bedside care of patients with serious, life-altering diseases. Nineteen concise chapters encompass cerebrovascular, neuromuscular, oncologic, and traumatic conditions, as well as core clinical topics applicable to the care of neurocritical patients. Key Highlights Evidence-based management strategies created at Thomas Jefferson University's Vickie and Jack Farber Institute for Neuroscience presented in reader-friendly algorithms, pictures, and charts General chapters cover brain death, sodium dysregulation, nutrition, sedation, pain management, neuromonitoring, and ventilation strategies Disease-specific chapters featuring succinct, bulleted format include epidemiology, causes, diagnostic tests, treatment options, symptoms, common clinical presentation, risk factors, differential diagnoses, and more This manual is an indispensable resource for neurocritical care residents and fellows, NCCU nurses, nurse practitioners, physician assistants, general intensive care physicians, and neurointensivists. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The aim of this book is to educate and train practitioners in the safe and professional use of diagnostic ultrasound imaging in the visualization and interpretation of various cerebral conditions not only in neurointensive care, but also in the operating room and, in general, cardiothoracic and neurocritical care settings. It is chiefly intended for anaesthetists and intensivists with a basic knowledge of ultrasound physics, but also for neurosurgeons and neurologists. All chapters were coordinated by the Editors, with experiences in hands-on courses on Echography and Doppler of the Brain, and prepared by international experts. The book covers from basic principles to estimation of intracranial pressure and cerebral perfusion. The topics cover emergency department and prehospital brain US as part of POCUS and US multiorgan evaluation to general intensive care, neurointensive care and anesthesia, including special populations as pregnant and children and setting as LMIC. Clinical scenarios complete the book. An innovative and unique guide that equips readers to perform bedside and non-invasive assessments for a range of cerebrovascular diseases.

Essential neuroradiology cases and board-type Q&A review to help you pass your exam! Neuro Imaging Second Edition from Roy Riascos, Eliana Bonfante, and Susana Calle features 100 new cases along with two board-type multiple choice questions for each. This latest edition features state-of-the-art imaging technologies including perfusion techniques, spectroscopy, nuclear medicine, and 3D reconstructions. Updated and new classification systems have been integrated into brain tumor, traumatic spine injury, and intracranial aneurysm cases. For maximum ease of self-assessment, each case begins with the clinical presentation on the right-hand page; study that and then turn the page for imaging findings, differential diagnoses with the definitive diagnosis, essential facts, pearls and pitfalls, and more. Key Features New to this edition, a question-and-answer section for each case reinforces key concepts Easy-to-read bulleted formatting and concise, point-by-point presentation of the Essential Facts enables learning and retention of high-yield facts and skill-building in neuroradiologic diagnosis Online access to additional cases enables residents to arrange study sessions, quickly extract and master information, and prepare for specialized neuroradiology conferences Thieme's RadCases means cases selected to simulate what you will see on your exams, rounds, and rotations. RadCases helps you to identify the correct differential diagnosis for each case, including the most critical. The series comprehensively covers the following specialties: Breast Imaging · Cardiac Imaging · Emergency Imaging · Gastrointestinal Imaging · Genitourinary Imaging · Head and Neck Imaging · Interventional Radiology · Musculoskeletal Radiology · Neuro Imaging · Nuclear Medicine · Pediatric Imaging · Thoracic Imaging · Ultrasound Imaging Each RadCases second edition has a code allowing you one year of access to Thieme's online database of 350 cases: the 100 cases in this book plus 250 cases more. Master your cases, pass your exams, and diagnose with confidence: RadCases!

The definitive textbook on state-of-the-art fluorescence-guided neurosurgery Advances in fluorescence-guided surgery (FGS) have resulted in a paradigm shift in neurosurgical approaches to neuro-oncological and cerebrovascular pathologies. Edited by two of the foremost authorities on the topic, Fluorescence-Guided Neurosurgery: Neuro-oncology and Cerebrovascular Applications encompasses the depth and breadth of this groundbreaking, still nascent technology. The book reflects significant contributions made by world renowned neurosurgeons Constantinos Hadjipanayis, Walter Stummer, and esteemed contributors on the growing uses of 5-aminolevulinic acid (5-ALA) and other FGS agents. The European Medicine Agency approved 5-ALA in 2007, heralding the birth of FGS globally. In 2017, the U.S. Food and Drug Administration approved 5-ALA (Gleolan) as an imaging agent to facilitate realtime detection and visualization of malignant tissue during glioma surgery. In the two decades since Dr. Stummer's initial description of 5-ALA FGS in a human patient, major strides have been made in its practical applications, leading to improved resection outcomes. As FGS is increasingly incorporated into neurosurgical practice, it holds promise for future innovations. Generously-illustrated and enhanced with online videos, this textbook is the definitive resource on the subject. Key Features The improved efficacy of 5-ALA for resecting high- and low-grade gliomas, recurrences, meningiomas, brain metastases, spinal cord tumors, pediatric brain tumors, and other adult tumors The future of fluorescence, including potentially powerful new fluorophores molecularly targeted specifically to tumors The use of the fluorescent agent indocyanine green (ICG) for brain tumors, cerebral aneurysms, AVMs, and cerebral vascularization Special topics such as fluorescein, illuminating tumor paint, confocal microscopy, Raman spectroscopy, and integrating FGS with intraoperative imaging and brain mapping This single accessible reference presents the current state-of-the-art on this emerging, exciting surgical technology. As such, it is a must-have for neurosurgical residents, fellows, and practicing neurosurgeons. This book includes complimentary access to a digital copy on https://medone.thieme.com.

A comprehensive overview of the contemporary management of skull base meningiomas Meningiomas, the second most frequent of intracranial tumors, are characterized by a protean range of possible locations and appearances, due to their origin from the extensive and intricately formed meninges. As such, a wide variety of differential diagnoses is typical, and the therapies chosen are necessarily highly variable. The introductory chapters of this book cover the pathology of these tumors, the evolution of special surgical methods, instrumentation, intraoperative monitoring, and the role of radiosurgery. Ten surgical chapters cover the individual regions of occurrence, including the sphenoid wing, olfactory groove, cerebellopontine angle, etc., all of which require a specialized approach and therapeutic strategy. Key Features: Discussion of pathology and therapy organized by anatomic location of the lesions with the goal of providing best patient outcomes New WHO meningioma classification system based on most recent research in growth patterns, gene sequencing, and molecular patterns of development Important updates on the newest developments in treatment modalities for meningioma, including the lesser invasive radiotherapy and radiosurgery for the smaller lesions and to avoid the necessity of performing radical surgery Meningiomas of the Skull Base: Treatment Nuances in Contemporary Neurosurgery is an essential reference guide for neurosurgeons and neurologists (in training and in practice) and will also be welcomed by skull base surgeons and otolaryngologists. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Authored by two world-renowned pioneers in the field of spinal surgery, Modern Management of Spinal Deformities: A Theoretical, Practical, and Evidence-Based Text covers the range of spinal deformities-emphasizing scoliosis-and their etiologies, including idiopathic, congenital, neuromuscular, tumors, neurofibromatosis, and more. All too often in other works, too much attention has been focused on how to put in metalwork, without sufficiently discussing the what, when, and why. Authors Dickson and Harms provide a wealth of knowledge through experience that shows how important newer therapeutic concepts and surgical methods are, such that beyond just preventing the progression of deformity, it is now possible, with correctly performed surgery, to eliminate deformity and straighten spines permanently. Features: Evidence-based diagnostic and treatment concepts, emphasis on an understanding of the scientific principles providing the basis for good practice Superbly illustrated with many radiographs, CT images, and drawings Special newer surgical techniques, such as the anterior approach to the spine Spine surgeons, whether orthopaedically or neurosurgically trained, will value this authoritative treatise on spinal deformities.

In the last two decades, spine instrumentation and surgery have undergone many improvements. The second edition benefits from contributions by renowned orthopaedic surgeons and neurosurgeons who helped create and refine the systems described in the book, and devoted their careers to educating next generations of spine surgeons. Advancements in instrumentation - plates, cages, rods, screws, disc replacements, spacers, and fusion devices - have led to improved outcomes for patients. The spinal device field has grown exponentially, and surgeons are faced with an increasingly diverse choice of instrumentation options. While the first edition categorized available systems, the new edition is focused on helping clinicians avoid complications and quickly recognize and manage complications when they do occur. Key Features A concise yet comprehensive reference that educates clinicians on the causes, recognition, and avoidance of instrumentation complications Organized by anatomical region and condition, the visualization of relevant anatomical landmarks is discussed in context with safe use of spinal instrumentation Now four-color, with more than 230 new and original illustrations Easy-to-digest text helps translate classroom knowledge into clinical application This up-to-date book will help orthopaedic surgeons and neurosurgeons learn how to utilize spinal devices more efficaciously and safely. The text is also an excellent reference for radiologists, spine fellows and residents, and physician extenders who are interested in attaining knowledge and experience in spinal instrumentation.

An estimated 9 million children every year are affected by pediatric spinal deformities, encompassing a broad spectrum of pathologies. New classification systems, innovative imaging modalities, and advances in surgical techniques have contributed to a continually evolving, evidence-based treatment paradigm. Patient variables such as the age of onset, severity, course of deformity progression, as well as the availability of technology pose individualized challenges. AOSpine Masters Series, Volume 9: Pediatric Spinal Deformity is a concise yet comprehensive review of fundamental surgical and nonsurgical approaches, contemporary issues, and treatment obstacles. Internationally renowned spine surgeons Luis Roberto Vialle, Marinus de Kleuver, and Sigurd Berven and a cadre of esteemed contributors deliver a state-of-the-art reference on deformities of the pediatric spine. From early childhood to adolescent spine disorders, 17 richly illustrated chapters cover diagnosis, preoperative evaluation, imaging, spine surgery interventions, non-fusion procedures, and long-term management. Key Highlights Overviews on the classification and natural history of early onset scoliosis and adolescent idiopathic scoliosis, with subsequent chapters covering non-operative management and contemporary surgical techniques Evidence-based discussion of long-term surgical care outcomes, indications for revision surgery, and strategies for achieving optimal results Management of congenital and developmental kyphosis, lordosis, syndromic conditions, and low and high grade spondylolisthesis Clinical pearls on spine surgery in the developing world, safety issues and complications, and the importance of developing outcome metrics The AOSpine Masters series, a copublication of Thieme and the AOSpine Foundation, addresses current clinical issues featuring international masters sharing their expertise in the core areas in the field. The goal of the series is to contribute to an evolving, dynamic model of evidence-based approach to spine care. This outstanding textbook is a must have for spine surgeons, in particular those who specialize in treating childhood spine disorders. Orthopaedic and neurosurgery residents, as well as veteran surgeons with extensive knowledge will find this an indispensable tool for daily practice.