This book covers the explosion of new information about the relationship between the brain and its blood supply since the first edition was published in 2009. With new knowledge and its impact on clinical care, neurovascular neuropsychology has become a recognized sub-specialty that has been integrated into health care systems in the US and abroad. The second edition brings to this larger audience the latest word on these matters, with new emphasis on women's issues, relevance to the pediatric population, insights from modern imaging, and advances in medical and surgical treatments such as heart transplantation, cardiovascular transarterial therapies, and noninvasive brain stimulation in connection with neurocognitive outcomes.

This book addresses wound care in vascular surgery, neurosurgery and lower extremity ulcers, while also providing detailed information on the latest concepts in antimicrobial therapy. The book presents essential content on the assessment, care, measurement and repair of wounds, and describes important scientific aspects as well as current clinical techniques. Due to the various topics covered, the book offers a valuable resource not only for plastic surgeons, but also for neurosurgeons, vascular surgeons and all clinicians who are interested in learning about current antimicrobial agents and their use.

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

"

An easy to follow step-by-step guide to the most useful surgical skills from knot tying to simple procedures. Illustrated with colour photographs and video clips to demonstrate techniques, this book makes these practical skills as clear and easy to follow as possible. Including coverage of surgical instruments, wound management and suturing, and minor surgical procedures, it also explains how to use these essential surgical skills to make the most of a surgical placement. Healthcare students or junior professionals undertaking a placement in surgery or emergency medicine will feel confident and capable, and will be able to take an active role in surgical placements. Learning basic surgical skills is important for such placements, as well as for undertaking exams such as the Membership of the Royal College of Surgeons (MRCS).

Designed to evaluate candidates' expertise and provide direction for continued learning, the American Board of Neurological Surgery (ABNS) primary (written) examination is a required step to attaining board certification in the U.S. The rigorous exam requires substantial preparation. Each author brings unique qualifications to this publication from writing previous editions, to achieving the second highest exam score in the U.S. to the insights of a current chief resident. Their mission is to help readers comprehend the material and retain this knowledge, rather than solely striving for the highest score. This essential board prep review mirrors the exam's multiple-choice format and seven sections: neurosurgery, clinical neurology, neuroanatomy, neurobiology, neuropathology, neuroradiology, and clinical skills/critical care. Presented in a new and improved layout, the third edition encompasses the numerous advances in neurosurgery since the 2004 edition was published. New Key Features: Expanded coverage of endovascular techniques for the treatment of cerebral aneurysms, the latest advanced imaging technologies, and treatment paradigm updates for acute ischemic stroke More than 1,000 questions with answers that include detailed, insightful explanations High-quality illustrations and superb anatomical dissections by Albert L. Rhoton Jr., MD, and other masters This invaluable board review will help neurosurgical residents prepare thoroughly for the primary ABNS exam. It is also beneficial for neuroscience residents specializing in neurology and neuropathology.

This book equips the intraoperative monitoring provider (both technologist and physician) with details of commonly monitored surgical procedures of the spine. This knowledge better allows the monitorist to identify critical phases of the surgery and correlate those with neuroanatomical and functional risk at each phase. Chapters are authored by a surgeon and neurophysiologist, with the surgeon contributing procedural content and the neurophysiologist contributing information on how the monitoring integrates within the context of the procedure. It is the first book that incorporates content about the surgical procedure directly with the intraoperative monitoring plan for the surgery. This text will have a wide audience throughout the medical specialty of intraoperative neurophysiological monitoring; it will be of interest to technologists, interpreting physicians or neurophysiologists, anesthesiologists, and surgeons; essentially anyone on the surgical team that lacks a detailed knowledge of both the surgical procedure and the neurophysiology.

This issue of Neurosurgery Clinics, edited by Drs. Shahid Nimjee and Russell Lonser, will cover Coagulation and Hematology in Neurological Surgery. Topics include Biology of coagulation and coagulopathy; Evaluation of the coagulation in the neurosurgery patient; Genetics of hyper- and hypo-coagulable states; Anticoagulants: pharmacokinetics, mechanisms of action and indications; Use of antiplatelet agents in the neurosurgical patient; Common conditions requiring long-term anti-coagulation in the neurosurgical patient; Reversal of systemic and antiplatelet anticoagulants; Intraoperative blood and factor replacement neurosurgery; Management of Intraoperative coagulopathy; Deep vein thrombosis prophylaxis in the neurosurgical patient; Postoperative anticoagulation after neurological surgery; Management of venous sinus thrombosis; Management of acute ischemic thrombosis; and Management of intracranial hemorrhage the anticoagulated patient.

This issue of Neurosurgery Clinics, edited by Drs. Sigurd Berven and Praveen V. Mummaneni, will cover Degenerative Spinal Deformity: Creating Lordosis in the Lumbar Spine. Topics will include, but are not limited to, Spinopelvic Parameters; Location of lordosis (priority for L4-S1) and Age Adjustments; Approach Selection; Nuances of Pedicle Subtraction Osteotomy; Preventing Pseudarthrosis and PJK; The Challenge of Creating Lordosis in High Grade Dysplastic Spondylolisthesis; Sacropelvic Fixation; Evolution of the MISDEF Algorithm; Transpsoas Approach Nuances; Lateral Prepsoas Approach Nuances; Anterior Column Release; Navigation assisted MIS deformity correction; MIS TLIF; MIS PSO; and The challenge of L4-S1- fractional curves.

This comprehensive book pulls together the essential elements needed to assess sleep apnea patients for the transoral robotic surgical approach and how to optimize the surgery. Detailed information on patient selection, pre-operative work up, anesthesiological pre and post-operative management, surgery, complication prevention and management is provided along with background on sleep medicine and sleep surgery. Authored for ENT surgeons, head and neck specialists and neurologists, pneumonologists, sleep doctors as well for anesthesiologists, chapters offer solutions pulled from experts in the field of sleep surgery and information relevant to geographic areas worldwide.

This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery. After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, and a summary of current guidelines and best practices is provided. By bringing together the latest knowledge from across the discipline, this book will serve as a sound basis for informed decision making in surgical practice. It will be of daily value for neurosurgeons and trainees worldwide and will also be of interest to emergency room physicians, surgeons in general, critical care physicians, neurologists, and hospital medicine specialists.

This issue of Neurosurgery Clinics, edited by Alejandro A. Rabinstein, will focus on Neurocritical Care. Topics will include Anoxic-Ischemic Brain Injury, Practical Approach to Posttraumatic Intracranial Hypertension According to Pathophysiologic Reasoning, Management of Traumatic Brain Injury: An Update, Cortical Spreading Depression and Ischemia in Neurocritical Patients, Targeted Temperature Management in Brain-Injured Patients, Herpes Virus Encephalitis in Adults: Current Knowledge and Old Myths, Primary Acute Neuromuscular Respiratory Failure, Intensive Care Unit-Acquired Weakness, Recent Advances in the Acute Management of Intracerebral Hemorrhage, New Developments in Refractory Status Epilepticus, Acute Cardiac Complications in Critical Brain Disease, Nosocomial Infections in the Neurointensive Care Unit, Neurologic Complications of Solid Organ Transplantation, and Shared Decision Making in Neurocritical Care.

Traumatic brain injury (TBI) refers to nondegenerative, noncongenital damage to the brain from an external mechanical force, which can lead to permanent or temporary impairment of cognitive, physical, and psychosocial functions, with an associated diminished or altered state of consciousness. Despite this broad definition, it is estimated that more than 1.500.000 people suffer TBI annually in US, with 20% afflicted with moderate or severe forms. Additionally, a high percentage of these patients are unable to return to their daily routine (approximately 50%). In this context, both motor and cognitive rehabilitation are extremely important for these individuals. The aim of cognitive and motor rehabilitation is to recover an individual's ability to process, interpret and respond to environmental inputs, as well as to create strategies and procedures to compensate for lost functions that are necessary in familial, social, educational and occupational settings. The purpose of this book is to review the basic concepts related to TBI, including mechanisms of injury, acute and post-acute care, severity levels, the most common findings in mild, moderate and severe TBI survivors, and the most frequent cognitive and motor impairments following TBI, as well as to discuss the strategies used to support post-TBI patients. The most important rehabilitation techniques, both from cognitive and motor perspectives, are addressed. Finally, information regarding work and community re-entry and familial and psychological support are discussed in detail. Topics in Cognitive Rehabilitation in the TBI Post-Hospital Phase is intended as a reference guide for all professionals who have contact with or are related to patients suffering from TBI. Any professionals who work with or are related to patients suffering from TBI will find here a broad and comprehensive overview of TBI, addressing all essential issues, from acute care to rehabilitation strategies, follow up and re-socialization.

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.

The diagnosis and treatment of the diseases of the nose, paranasal sinuses and skull base have changed dramatically in the past few years, transforming rhinol ogy in one of most exciting and attractive medical fields. The increasing advance in this area has addressed the ENT physicians to keep up with the expanding information in the high tech area of sinus surgery and its expansion into skull base surgery. The intention of this book is to present in a unique way basic information on Anatomy, Endoscopy, Rhinomanometry, Imaging, Allergy, Nasosinus Infection, and Polyposis followed by by clinical and surgical chapters written by some of the most experienced rhinosurgeons around the world. We belive that this book will be of value for all levels of Otolaryngology, from house officers to experienced surgeons and, although principally for Otolaryngologists, Radiologists, Patholo gists, Maxillofacial surgeons, Ophthalmologists, Neurosurgeons, and Infectious Diseases Specialists may find the book of value because of its overlap with their interests. We would like to show that, both from the technical and conceptual points of view, success can be achieved using different techniques and philosophies. Cer tainly, both endoscopic instrumentation and the surgical microscope have proved to be of great assistance in nasal and sinus surgery, and now image systems are providing further progress.

Epileptogenic lesions are often small and do not change over time. Moreover, several genetically determined epilepsy syndromes exist, and by definition are not caused by underlying structural lesions. As a result of these circumstances, there is frequently a degree of uncertainty over whether an epileptogenic lesion is being overlooked or simply is not present. MRI can play an important role in resolving such uncertainty and localizing epileptogenic foci. This book aims to provide the clinical and imaging information required in order to decide whether an MRI scan is appropriate and whether it is likely to be sufficient to detect a lesion. The first part of the book presents background information on epilepsy and explains how to perform an MRI examination. Detailed attention is paid to functional MRI and post-processing, and the examination of subcategories of patients is also discussed. The second part of the book then documents the MRI findings obtained in the full range of epileptogenic lesions with the aid of high-quality images. Throughout, emphasis is placed on guiding the reader in the correct interpretation of the imaging findings. Both radiologists and referring physicians will find this book to be an indispensable guide to the optimal use of MRI in epilepsy.

The quintessential neurosurgical text review for acing the ABNS written exam! Since its publication nearly 20 years ago, Comprehensive Neurosurgery Board Review has garnered legendary status as the leading high-yield review for neurosurgical residents preparing for the American Board of Neurological Surgery (ABNS) primary exam. The updated third edition by Jonathan S. Citow and associate editors R. Loch Macdonald, Ross C. Puffer, Syed I. Khalid, Bob S. Carter, Alan R. Cohen, Robert J. Spinner, and Daniel Refai reflects technological advances made in the past decade. Seven comprehensive, systematically formatted chapters succinctly cover the tested core topics: anatomy, physiology, neuropathology, neuroradiology, neurology, neurosurgery, and critical care. Key Highlights: The streamlined outline format and handy tables enhance memorization and retention of knowledge More than 1200 high-quality illustrations and images, many in full color, detail impacted anatomy and processes Each chapter has concise sections encompassing important concepts, disease states, diagnostic criteria, and treatment approaches As with prior editions, this reader-friendly textbook does a remarkable job summarizing the vast data and knowledge required to ace the ABNS exam. The new edition is destined to build on its legacy as an indispensable resource for every young neurosurgeon sitting for the exam. This book includes complimentary access to a digital copy on https://medone.thieme.com.