A medical degree opens many doors, but how do you decide which is the right one to go through? Whether you are wondering how to choose a career or want to know how to follow a particular path, you'll find the answers in this book. Deciding which medical career to pursue has a huge impact on your future, and yet few doctors or medical students ever receive formal careers advice. Fortunately help is at hand: this book has been fully rewritten to include the latest information on training and career progression, as well as summaries of over 100 different careers open to medical graduates. Whether you aspire to be a general practitioner, medical manager, forensic pathologist or even a brain surgeon, you'll find details on the job, lifestyle, and specific career route. Each career chapter has been written by specialists in their field to give you a unique 'insider's opinion', resulting in the most complete and up to date medical careers guide ever published. Alongside the careers chapters there are new and updated sections on the Foundation Programme, Core Training, Specialty Training, and Academic Training. These describe the major hurdles in each area and how to overcome them. In addition, alternatives and adaptations to formal training are explored, including taking time out, working outside the UK, and working less than full time. From choosing jobs and filling application forms, to interviews and improving your CV, this book covers every aspect in detail.

Deep brain stimulation (DBS) is now a firmly established treatment for movement disorders, and an increasing body of evidence supports DBS in the treatment of other neurological and psychiatric disorders. This essential reference guide outlines a practical approach to the use of this paradigm-shifting therapy and covers key aspects of DBS practice. Chapters describe how to implement a DBS program and select appropriate patients, device programming to achieve optimal symptom control, and long-term management of patients. Thoroughly revised, this third edition includes additional chapters on managing patients with emerging applications of DBS. An entire chapter is dedicated to troubleshooting common problems with the therapy as many 'failures' are preventable and addressable. With contributions from experts in the field, this is a must-have reference guide for any clinician working with DBS patients.

When the brain suffers an injury, the effects can be delayed and unpredictable. Cerebrospinal fluid can slowly build up, causing dangerously high levels of intracranial pressure (ICP), and the brain tissue can be displaced into adjacent compartments, resulting in cerebral herniation syndrome (CHS). Within the burgeoning field of neurocritical care, experts are just beginning to understand the nuanced, sometimes counterintuitive relationship between ICP and CHS. Written by leading researchers who also have extensive first-hand clinical experience treating brain injury patients, Cerebral Herniation Syndromes and Intracranial Hypertension provides an up-to-date guide to this complex aspect of neurocritical care. Drawing from expertise gained working in high-volume medical centers, the book's contributors reveal that there is no universal metric for gauging acceptable levels of intracranial pressure. Instead, they demonstrate the best practices for offering patients individualized care, based on their specific conditions and manifest symptoms. Bringing together internationally-renowned neurocritical care experts from a variety of neurology, critical care, surgery, and neurosurgery disciplines, this volume takes a comprehensive look at a complicated issue. A concise, practical, and timely review, Cerebral Herniation Syndromes and Intracranial Hypertension offers vital information for all medical personnel concerned with improving neurocritical patient care.

This book represents the first interdisciplinary text on the emerging field of rehabilitative surgery, in which state of the art procedures from multiple surgical specialties are combined. It proposes a completely new framework for understanding, coordinating, and providing treatment for paralyzed or severely neurologically impaired patients and explains the potentially critical impact of surgery in creating a new baseline of functional status, thereby improving the patient's daily life. Every major aspect of reconstructive surgical treatment is considered, including anesthesia, orthopedic surgery, plastic surgery, neurosurgery, general surgery, vascular surgery, and otolaryngology. The most up-to-date and evidence-based surgeries are clearly described and evaluated, with coverage of treatment of pressure sores, placement of feeding tubes, and upper extremity interventions to improve function and hygiene. Cutting-edge protocols are presented for the surgical treatment of severe nerve injuries, spinal cord injuries, and stroke or cerebrovascular accidents, and a first description and evaluation of phrenic nerve repair to assist weaning of paralyzed patients from ventilators is provided. Both surgical and nonsurgical readers will find this book to be an ideal guide and reference.

1 Die Chirurgie des Felsenbeins und der lateralen Schadelbasis.- 1 Unsere Langzeiterfahrungen bei der Behandlung von jugulotympanalen Paragangliomen.- 2 Der Wert der Somatostatinszintigraphie in der Diagnostik der Paragangliome.- 3 Das Felsenbeinkarzinom - eine interdisziplinare Herausforderung.- 4 Unser Konzept beim Karzinom des ausseren Gehoerganges.- 5 Moeglichkeiten und Grenzen der Karotiskanalchirurgie.- 6 Intrakraniell bedrohliche Erkrankungen durch unscheinbare Entzundungen des Mittelohrs.- 7 Der transtemporale Zugang zum Klivus und zur petroklivalen Region Chirurgische Anatomie und klinische Erfahrung.- 8 Topographische Anatomie der Felsenbeinspitze und des Dorello-Kanals.- 9 Differentialdiagnosen von Raumforderungen des inneren Gehoergangs.- 10 Zum Stellenwert der Sakkotomierevision in der Behandlung des Morbus Meniere.- 11 Der subtemporale Zugangsweg - eine gehoererhaltende Alternative beim Felsenbeincholesteatom.- 12 Wie stellt sich die laterale Schadelbasis im Dunnschnittplastinat dar?.- 13 Langerhans-Zellhistiozytose mit Beteiligung des Felsenbeins.- 14 Massive Osteolyse Gorham-Stout des Felsenbeins und des kraniozervikalen UEbergangs.- 15 Falldarstellung: Lymphangiom des Felsenbeins.- 16 Missbildungen der lateralen Schadelbasis.- 2 Die Therapie des Vestibularisschwannoms.- 17 Funktionserhaltende Chirurgie des Akustikusneurinoms - Ergebnisse interdisziplinarer Kooperation.- 18 Hoervermoegen vor, wahrend und nach transtemporaler Akustikusneurinomexstirpation.- 19 Wurzburger Schule der Akustikusneurinomchirurgie Interdisziplinare Chirurgie des Akustikusneurinoms - Wurzburger Konzept aus der Sicht des Otochirurgen.- 20 Zur Wait-and-See-Strategie beim einseitigen Akustikusneurinom.- 21 Die radiochirurgische Therapie des Akustikusneurinoms Technik im internationalen Vergleich.- 22 Rundtischgesprach zur Therapie des Vestibularisschwannoms.- 3 "Multi-information-guided therapy", CAS und neue Technologien in der Schadelbasischirurgie.- 23 3D-Navigation an der frontalen und lateralen Schadelbasis.- 24 Intraoperative Bildgebung und Neuronavigation - Gegenwart und Weiterentwicklung.- 25 Die Kombination der konventionellen CAS mit der intraoperativen Navigation der Laterobasis: enhanced CAS.- 26 Telemedizin in der Chirurgie der lateralen Schadelbasis - Vergleich ISDN, Internet, ATM.- 27 Computerassistierte Chirurgie der lateralen Schadelbasis Aktuelle Moeglichkeiten und zukunftige Entwicklungen.- 28 Variationen des navigationsgestutzten Zugangs zur lateralen Schadelbasis.- 29 Moegliche Fehler bei der Anwendung von CAS-Systemen an der Schadelbasis.- 30 Anwendungsmoeglichkeiten der Telemedizin in der Schadelbasischirurgie.- 31 MRT-Visualisierung der Schadelbasisregion von unfixierten und kurzzeitfixierten Materialien.- 4 Experimentelle und histopathologische Untersuchungen zur Chirurgie der lateralen Schadelbasis.- 32 Tierexperimentelle Untersuchung zur medikamentoesen Therapie der traumatischen Optikusneuropathie.- 33 Molekulargenetische und zellbiologische Untersuchungen am NF2-Gen.- 34 Analyse des adenoidzystischen Karzinomes mittels Laser-Scanning-Zytometrie.- 35 Das maligne fibroese Histiozytom der Kieferhoehle.- 36 Das intratemporale Fazialisneurinom: Diagnostik und Therapie.- 37 Neurobiokompatibilitat von Titan, Gold und Silikon in vitro.- 38 Angiosarkomentstehung in Schwannomen des Nervus vagus.- 39 Minimal-invasiv applizierbare Zell- und Gewebetrager fur die Schadelbasischirurgie.- 40 Dehiszenzen des Paries jugularies und Haufigkeit zusatzlicher Knochenkanale der Fossa jugularis.- 5 Aktuelle Aspekte der Chirurgie der vorderen Schadelbasis.- 41 Neue Aspekte zur Therapie des Lagophthalmus.- 42 Invasive Mukozelen der Stirnhoehle - therapeutisches Vorgehen.- 43 Das Osteosarkom der Schadelbasis.- 44 Dorsale und ventrale kraniozervikale Stabilisierung bei progredienter basilarer Impression nach Densresektion bei PCP.- 45 Optikusdekompression bei bewusstlosen Patienten.- 46 Dislokation des

For more than 30 years, the highly regarded Secrets Series (R) has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Spine Secrets Plus, 3rd Edition, by Dr. Vincent J. Devlin, features the Secrets' popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style - making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series (R) format gives you the most return for your time - succinct, easy to read, engaging, and highly effective. Fully revised and updated throughout, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices. Expanded PLUS format includes extended coverage, a larger format, colorful visual elements, and larger, detailed images and illustrations to provide an overall enhanced learning experience. Remain at the forefront of the nuances of spine surgery and related specialties with updates on new techniques and technologies, as well as changing treatment options and drug information. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Zero in on key information with bulleted lists, mnemonics, and practical tips from prominent specialists - all providing a concise overview of important, board-relevant content. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

In "Revision Sinus Surgery" the world’s most prominent rhinologists illustrate their experience in diagnosing and managing recurrent sinus disease and skull base lesions. Starting with preoperative planning and medical management, these challenging cases are well-illustrated with the relevant surgical techniques. This invaluable resource is designed to prevent complications and improve the outcomes of revision sinus surgeries. Both practicing and in-training otolaryngologists can use this comprehensive volume as an all-in-one source for the evaluation and management of recurrent sinus disease and skull base pathology.

Foundations for Clinical Neurology presents basic principles of neurology in a user-friendly way for practicing neurologists as well residents, fellows, and students. Written in a clear and concise format, this book will perfectly complement the "traditional" neurology textbook. This volume on neurology is divided in to three primary sections. The first section "Practicing Neurology" covers bedside investigation, diagnosis, imaging techniques, and therapeutics; Section 2, "Topics in Neurologic Disease" reviews subjects in neurologic disease that are often overlooked but are very important; and the third section, "Perspectives" provides insight in to how we talk, think, and develop concepts in neurology. With understanding of the evolution of neurologic concepts, the terminology and classifications used by neurologists, and the methodologies used to prove cause of disorder and disease, the practicing neurologist can provide the most effective care. Topics discussed in Foundations for Clinical Neurology include... -Verbal and nonverbal communication, especially during the history-taking portion of a neurologic examination; -How to be effective and avoid common pitfalls in the neurologic exam; -Difficulties in applying diagnostic criteria and formulating diagnoses; and -Advantages of using CT or MRI scanning in various clinical situations.

Cell Therapy for Brain Injury is a thorough examination of using state-of-the-art cell therapy in the treatment of strokes and other traumatic brain injuries. This invaluable book covers this niche topic in depth from basic stem cell biology and principles of cell therapy through proposed mechanisms of action of cell therapy in stroke, pre-clinical data in stroke models, ongoing clinical trials, imaging and tracking of cells with MRI, neural stem cells in stroke and the "big pharma" perspective of cell therapy. Each chapter is written by well-known leaders in each field, thus providing a wealth of expertise. The breadth of this book makes it essential reading for neuroscientists, stem cell biologists, researchers or clinical trialists at pharmaceutical or biotechnology companies. It also serves as a thorough introduction for graduate students or post-doctoral fellows who hope to work in these fields.

This comprehensive and practical book fills the current knowledge gap about the incidence and characteristics of seizures in all kinds of cerebrovascular disorders. Chapters are divided according to the nature of cerebrovascular diseases and highlight incidence, early versus late onset seizure types, pathophysiology, electro-clinical manifestations, treatment and prognosis. Authored by leaders in the field of epilepsy and stroke, Seizures in Cerebrovascular Disorders is an excellent resource for the daily management of patients suffering from this disease overlap.

Behavioral neuroscience encompasses the disciplines of neurobiology and psychology to study mechanisms of behavior. This volume provides a contemporary overview of the current state of how ethics informs behavioral neuroscience research. There is dual emphasis on ethical challenges in experimental animal approaches and in clinical and nonclinical research involving human participants.

Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.

This book, featuring more than 180 high spatial resolution images obtained with state-of-the-art MDCT and MRI scanners, depicts in superb detail the anatomy of the temporal bone, recognized to be one of the most complex anatomic areas. In order to facilitate identification of individual anatomic structures, the images are presented in the same way in which they emanate from contemporary imaging modalities, namely as consecutive submillimeter sections in standardized slice orientations, with all anatomic landmarks labeled. While various previous publications have addressed the topic of temporal bone anatomy, none has presented complete isotropic submillimeter 3D volume datasets of MDCT or MRI examinations. The Temporal Bone MDCT and MRI Anatomy offers radiologists, head and neck surgeons, neurosurgeons, and anatomists a comprehensive guide to temporal bone sectional anatomy that resembles as closely as possible the way in which it is now routinely reviewed, i.e., on the screens of diagnostic workstations or picture archiving and communication systems (PACS).

Volume 13: Pineal, Pituitary, and Spinal Tumors is organized in six sections, for convenience and quick access to critical information. Section I, Types of Tumors includes a chapter on molecular characterization of Embryonal tumors, a chapter on diagnosis of metastatic oligodendroglioma using fine-needle aspiration cytology, one covering intra-arterial chemotherapy of oligodendroglial tumors and another on the role of cyclooxygenase-2 in the development and growth of Schwannomas, and others, closing with a chapter on trigeminal neuralgia with cerebellopontine angle tumors. Section II, Diagnosis, includes two chapters on cell counting in histopathologic slides of tumors. Section III offers three chapters which discuss aspects of intraoperative ultrasonography. Section IV covers brain tumor surgery, and Section V surveys Brain Metastasis. The final section offers a wide-ranging review of General Diseases, with chapters on, among others, Alexander Disease; Lipoma; Transplantation of human umbilical cord blood mononuclear cells in cases of neonatal hypoxic-ischemic brain damage; and a chapter discussing the use of mobile phones and brain cancer risk in children. Like its twelve predecessors in the series, this volume merits distinction for its thorough approach, its roster of 78 distinguished contributors representing 14 different countries and its detailed examination of leading-edge technology and methods.

This book offers a complete overview on non colorectal non neuroendocrine (NCRNNE) liver metastases and describes in detail the currently available therapies. Each chapter focuses on the treatment of metastases from a particular primary malignancy and also provides valuable information on incidence, natural history and diagnosis. NCRNNE liver metastases are rare entities compared with colorectal and neuroendocrine metastases, for which the treatments are well codified. While more publications have appeared on the topic in recent years, an in-depth study has to date been lacking. Furthermore, most published series are insufficiently comparable as they comprise patients with NCRNNE hepatic metastases from a variety of primary malignancies and consequently overlook differences in tumor behavior, frequency of isolated hepatic metastases, response to neoadjuvant or adjuvant therapy and interval between diagnosis of the primary tumor and the liver metastases. This book, with its more specific approach, will serve not only as an up-to-date guide to diagnosis and treatment but also as a reference on which to base future studies.

This volume of Advances and Technical Standards in Neurosurgery covers some important new developments in functional neurosurgery and endovascular therapy. In the Technical Standards section a variety of topics are considered, including optic pathway gliomas, pineal lesions, cavernous sinus meningiomas and the eternal problem of minor and repetitive head injury. Endovascular treatment of a variety of lesions is now common practice and the state of the art in endovascular treatment for acute ischemic stroke is reviewed. An appraisal of the evidence on whether there is a place for microsurgical vascular decompression for essential hypertension raises interesting questions. The volume is completed by contributions on neurosurgical treatment of cluster headaches and occipital nerve stimulation.

This book describes the specific surgical techniques currently employed in patients with intractable epilepsy; it also covers the relevant technical aspects of general neurosurgery. All of the approaches associated with the various foci of epilepsy within the cerebral hemispheres are considered, including temporal and frontal lobectomies and corticectomies, parietal and occipital lobe resections, corpus callosotomy, hemispherectomy, and multiple subpial incisions. In addition, an individual chapter is devoted to electrocortical stimulation and functional localization of the so-called eloquent cortex. The more general topics on which guidance is provided include bipolar coagulation (with coverage of the physical principles, strength of the coagulating current, use of coagulation forceps, the advantages of correct irrigation, and use of cottonoid patties) and all of the measures required during the performance of operations under local anesthesia. The book is designed to meet the need for a practically oriented source of precise information on the operative procedures employed in epilepsy patients and will be of special value for neurosurgical residents and fellows.

Brain Injury is the second volume in the book series, Molecular and Cellular Biology of Critical Care Medicine. In this volume, a group of internationally regarded experts in important areas of neuroscience and neurointensive care research address the molecular and cellular basis of acute brain injury. This text covers acute brain injury within a context relevant to the care of patients with critical neurologic injuries such as cardiac arrest, trauma and stroke. It includes recent data pertaining to established pathways such as neurotransmission, exitotoxicity, ionic-mechanisms, oxidative stress, inflammation, and cerebral vascular injury. In addition, rapidly developing areas such as cell signaling, adenosine pharmacology, apoptosis, mitochondrial dysfunction, neurocytoskeletal changes, and the role of trophic factors are reviewed from the level of in vitro modeling to human data. Other topics covered that are highly clinically relevant include the effect of genetic background and gender differences in outcome after brain injury, preconditioning, and the effects of currently used anesthetics and sedative agents in patients with brain injury.

This book is dedicated to Dr. Philip A. Schwartzkroin. The book has a novel format because it is not intended to be a set of reviews. Instead, it is an effort to explore important topics in the epilepsy research field. Because articles are written by leaders in the field who have years of experience and individuals with diverse expertise, articles are likely to have a long-lasting impact and be relevant for both epileptologists and neuroscientists. Authors address topics that are important, unresolved questions in the field of epilepsy research, drawing on available data from both the bench and the clinic to support their points. A given topic is addressed by one or more authors, each writing from his/her own unique perspective. For all of the individuals who have been trained or worked with Philip Schwartzkroin in the past and/or have appreciated his contributions to the epilepsy field, this volume is an excellent way to celebrate his achievements and look to the ways they have moved the field forward and continue to stimulate its growth.

This book is designed to provide the practicing interventionist with a comprehensive list of procedural reports that covers the vast majority of the currently performed interventional procedures outside the cardiac system. It offers up-to-date explanatory notes, synopsis of the indications, contraindications and potential complications in an organized and practical format that follows the various body systems and progresses from the simple image guided FNA to the most complex procedures and incorporates the current societal guidelines. The book is divided for ease of reference into three main parts: Non vascular, Vascular and Neurovascular interventions. This information is not currently available in any single publication. The text provides residents, fellows as well as staff members with a quick, detailed and user-friendly resource for documentation of image-guided interventional procedures that will facilitate their tasks, improve the standard of documentation and reduce errors. The text can serve as a valuable tool for a quick review prior to a procedure or in preparation for an oral board certifying examination. The entries are vetted by recognized experts in the field of image-guided intervention. Procedural Dictations in Image-Guided Intervention: Non-Vascular, Vascular & Neuro Interventions covers the vast majority of the currently practiced image-guided interventions in the various body systems. This information is supported by up-to-date references and international guidelines. This book is a must-have for residents and fellows undergoing training and all specialists in image-guided intervention.

This series has already become a classic. In general, one volume is published per year. The advances section presents fields of neurosurgery and related areas in which important recent progress has been made. The technical standards section features detailed descriptions of standard procedures to assist young neurosurgeons in their post-graduate training. The contributions are written by experienced clinicians and are reviewed by all members of the editorial board.

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

This second, updated edition of Inflammatory Diseases of the Brain provides a comprehensive overview of the field from a neuroradiological point of view. In order to ensure a standardized approach throughout, each disease-oriented chapter is again subdivided into three principal sections: epidemiology, clinical presentation, and therapy; imaging; and differential diagnosis. A separate chapter addresses technical and methodological issues and imaging protocols. An important focus of the book is the current role of advanced MR imaging techniques, such as diffusion and perfusion MRI and MR spectroscopy, in the differentiation of inflammatory and other brain diseases. All of the authors are recognized experts, and the numerous high-quality and informative illustrations include some not contained in the first edition. This book will be of great value not only to neuroradiologists but also to neurologists, neuropediatricians, and general radiologists.

This book follows a context-based approach to management of early-onset scoliosis (EOS) in countries with limited resources in education, finance, and research. Due to the great variety in etiology, onset age, progression rate, and severity associated with EOS, it calls for a unique treatment plan. This book enumerates the optimal provision of surgical and non-surgical services, from education/training of local surgeons, to effective teamwork, to implementing an effective data collection system; helping the surgeon to gain a hands-on experience. It also illustrates the successful execution of deformity correction using real life experiences from countries in Asia, Africa, and Latin America. Key Features Discusses biomedical principles that will help to get universally standard implants that are credible and affordable for countries with limited resources. Specific surgical Guidelines and the ability to develop evidence-based practice for this service would be an interesting read for surgeons working in global organizations as well as to local surgeons. First book to focus on countries with limited resources for the management of early onset scoliosis.