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Books > Medicine > Surgery > Neurosurgery
In this issue of Neurosurgery Clinics, guest editors Drs. David D. Limbrick and Jeffrey Leonard bring their considerable expertise to Chiari I Malformation. Top experts in the field cover key topics such as comorbidities associated with Chiari I malformation; orthostatic intolerance and Chiari I malformation; clinical manifestations of Chiari I malformation; imaging in Chiari I malformation; posterior fossa decompression for Chiari I malformation; and more. Contains 21 relevant, practice-oriented topics sociodemographics of Chiari I malformation; Chiari I malformation and sleep disordered breathing; complex Chiari: diagnosis, evaluation, and treatment; new insights into craniovertebral junction instability in Chiari I malformation; spine deformity associated with Chiari I malformation and syringomyelia; and more. Provides in-depth clinical reviews on Chiari I malformation, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Neurovascular diseases and conditions, and their associated risk factors, represent a significant cause of cognitive disability in the United States and throughout the world. In the USA alone there are 750,000 new strokes each year, representing the number one cause of disability in the country. Hypertension, found in approximately 50 million Americans, has been shown to be associated with alterations of cognitive function, even in the absence of stroke and dementia. Recent studies of neurovascular disease have now revealed that neuropsychological function may be a more sensitive measure of brain integrity than coordination, motor or sensory function and correlates will with functional outcome measures. Neurovascular Neuropsychology focuses on focal and diffuse neurovascular disease in addition to systemic conditions in which cognition and behavior have been uniquely associated with different pathologic states. With an increasing number of patients being treated by healthcare professionals, Neurovascular Neuropsychology will prove to be a strong reference to consult in regards to neuropsychological syndromes.
Although the disease is not very often, every otorhinolaryngologist will experience some patients suffering from vocal fold paralysis. This is the first and unique book solely devoted to this topic. Offers step-by-step descriptions and evaluations of the materials and/or methods of well-established techniques and new therapeutic options and approaches. Written by leading experts: Blitzer is speaker of the American Academy of Otorhinolaryngology and Head and Neck Surgery (AAO-HNS); Sulica, also a speaker of the AAO-HNS, works in his department. Vocal Fold Paralysis is a clinically useful reference for evaluation and treatment, as well as a summary of current knowledge and investigational approaches.
Carpal Tunnel Syndrome, with its surgical profile, is a must for those specialising in this condition (hand surgeons, orthopaedic surgeons, plastic surgeons, physiatrists and hand physical therapists), for both experts and newcomers to this field. For the young surgeon just starting out, the book explains the technical modalities of surgical treatment for this condition and describes alternative non-surgical procedures. It also depicts the complications that can arise in treatment. For more experienced surgeons, this book is an instrument for deepening their knowledge of this condition and its management. It can be considered a moment for reflection on a condition that is erroneously considered simple to treat and easy to resolve. The surgical chapters compare various complications as well as various conservative and rehabilitative treatment options, thus underlining that this condition must not be underestimated. Incorrect treatment can have many negative ramifications: not only that the patient is dissatisfied but it can also lead to the hand s functional loss and render the patient an invalid. This book is also intended for all physicians and medical students interested in this subject, presenting the broad range of problems caused by this condition and how best to manage them."
The overall incidence of meningiomas, particularly in the developed countries, is rising due to a growing size of the aging population, with people living longer and enjoying healthier lives than ever before. Additionally, an increased utilization of imaging studies such as computer tomography (CT) and magnetic resonance (MR) for routine evaluation of closed head injuries, paranasal sinus problems and various non-specific neurological symptoms, ranging from headaches to dizziness, has contributed to enhanced detection of incidental meningiomas. The book contains the most up-to-date information in all matters related to meningiomas, and is written by multiple contributors - internationally recognized experts in their respective fields from Asia, USA and Europe. This is an essential reference guide to neurosurgeons and neurologists (in training and in practice), as well as medical libraries, throughout the world.
Written by internationally renowned experts, this volume is a collection of chapters dealing with imaging diagnosis and interventional therapies in neuroradiology and diseases of the spine. The different topics are disease-oriented and encompass all the relevant imaging modalities including X-ray technology, nuclear medicine, ultrasound and magnetic resonance, as well as image-guided interventional techniques. It represents a unique experience for residents in radiology as well as for experienced radiologists wishing to be updated on the current state of the art.
During the 1940s and 1950s, tens of thousands of Americans underwent some form of psychosurgery; that is, their brains were operated upon for the putative purpose of treating mental illness. From today's perspective, such medical practices appear foolhardy at best, perhaps even barbaric; most commentators thus have seen in the story of lobotomy an important warning about the kinds of hazards that society will face whenever incompetent or malicious physicians are allowed to overstep the boundaries of valid medical science. Last Resort challenges the previously accepted psychosurgery story and raises new questions about what we should consider its important lessons.
Der Weg zur richtigen Therapieentscheidung in der HWS-Chirurgie. Zur Behandlung degenerativer Erkrankungen der Halswirbelsaule hat sich eine Vielzahl unterschiedlicher Verfahren mit spezifischen Indikationen, Vor- und Nachteilen entwickelt. Neben der konservativen Therapie steht die operative Stabilisierung der Halswirbelsaule mit Diskusprothesen, Cages und Wirbelkoerperersatz im Vordergrund. Basierend auf ihrer Erfahrung sowie biomechanischen und klinischen Studien stellen die Autoren eine klare Strategie bei der Auswahl des operativen Zugangswegs und des Implantats vor. Neben den anatomischen, biomechanischen und klinischen Grundlagen beschreiben sie im einzelnen - die Auswahl des operativen Zugangswegs - die Auswahl des Implantats - die Operationstechnik bei den einzelnen Verfahren. Zahlreiche Abbildungen illustrieren die Befunde, die zur Therapieentscheidung fuhren, und Schritt fur Schritt die operativen Verfahren. Empfehlungen zur Aufklarung und Beratung des Patienten, zum wichtigen Aspekt der Implantatsicherheit und zu den moeglichen Komplikationen sowie ein Ausblick auf zukunftige Entwicklungen runden die Darstellung ab. Umfassend, fundiert und reich illustriert - alle Aspekte der operativen Behandlung degenerativer Erkrankungen der Halswirbelsaule
The Musician's Hand - A Clinical Guide was the first book to focus on the specialised topic of the upper limb and hand in musicians: the conditions they suffer, the modified assessment and treatment they require and the importance of prevention. Since its publication in 1998, scientific and clinical progress has been made in all these areas. The second edition of The Musician's Hand has been completely revised under the editorship of hand surgeon Ian Winspur to reflect this expansion in our knowledge. The book opens with introductory chapters describing the principles of hand and arm pain as it is experienced by musicians, and summarising the problems associated with playing various instruments (woodwind, violin, piano, etc). Subsequent chapters cover the specific disorders seen in musicians, (Dupuytren's, nerve compression syndromes, etc) describing the therapeutic solutions to each one and highlighting the key prevention strategies available. Closing chapters focus on related topics such as performance psychology and pharmacotherapy. Featuring contributions from world renowned performers such as Imogen Cooper and global experts in the field, The Musician's Hand, Second Edition provides essential insight to upper limb problems in musicians, not only for surgeons, doctors and therapists, but for all students and teachers of performing arts medicine and to musicians themselves.
During the 1940s and 1950s, tens of thousands of Americans underwent some form of psychosurgery; that is, their brains were operated upon for the putative purpose of treating mental illness. From today's perspective, such medical practices appear foolhardy at best, perhaps even barbaric; most commentators thus have seen in the story of lobotomy an important warning about the kinds of hazards that society will face whenever incompetent or malicious physicians are allowed to overstep the boundaries of valid medical science. Last Resort challenges the previously accepted psychosurgery story and raises new questions about what we should consider its important lessons.
Joint replacement is a logical step in the treatment of severe joint pathologies with irreversible lesions resisting conservative therapy. At the spinal level, arthrodesis became, very early, the gold standard of treatment for severe intervertebral disc pathologies. The next logical step was to envision functional replacement, and this step was taken as early as 1956, when the first intervertebral implant was described. However, it took many more years and a great variety of proposed implant designs before clinical applications could be attempted.
The book provides a general understanding of the biology of spinal cord injury (SCI) in animal models and their relationship to naturally occurring injury in man, and secondly reviews novel means to induce functional recovery from spinal cord injury based on developmental biophysics and physiology.
Praise for "The Lobotomist" "Written with such clarity and engaging detail that a reader has
difficulty in putting it down." "One of the many virtues of El-Hai's text is the rich detail he
provides about Freeman's life and ideas." "Fascinating . . . an important and disturbing contribution to
the history of psychiatry." "Captivating. . . . No history of modern psychiatry is complete
without this story." "The Lobotomist" explores one of the darkest chapters of American medicine: the desperate attempt to treat the hundreds of thousands of psychiatric patients in need of help during the middle decades of the twentieth century. Into this crisis stepped Walter Freeman, M.D., who saw a solution in lobotomy, a brain operation intended to reduce the severity of psychotic symptoms. Although many patients did not benefit from the thousands of lobotomies Freeman performed, others believed their lobotomies changed them for the better. Drawing on a rich collection of documents Freeman left behind and interviews with Freeman's family, Jack El-Hai takes a penetrating look into the life of this complex scientific genius and traces the physician's fascinating life and work.
Peripheral nerve injury and entrapment neuropathy often are complicated by injury to adjacent tissue such as bone, joints, blood vessels, and tendons. Clinicians who provide primary care in these areas require extensive knowledge of methods for treating wounds and nerve injuries. The most important element in the treatment of peripheral nerve injury is appropriate surgical repair or functional reconstruction; postoperative physical and occupational therapy are also necessary. This book summarizes current topics in Japan and other countries in the field of surgical nerve repair, including selection of treatment methods for peripheral nerve paralysis, practical issues in surgery, and aspects of postoperative care. The importance of evidence-based medicine is emphasized, with appropriate therapy decided on the basis of objective data. The book has a broad appeal to include general clinicians, clinical trainees, and allied health-care professionals.
Rapid progress in technology and its application to diagnosis and monitoring of brain tissue temperature and metabolism have resulted in advances in therapy for critically brain-injured patients and breakthroughs in understanding the pathophysiology of brain damage. The latest concept of brain hypothermia therapy clarifies targets such as brain thermal pooling, masking brain hypoxia associated with catecholamine surge, the metabolic shift from glucose to lipids, and selective radical damage of dopamine in the central nervous system. This volume explains the mechanism of brain injury and how brain hypothermia treatment differs from other hypothermia therapy in four major sections: Brain Injury Mechanism, Pathophysiology of Hypothermia, Basic Research of Hypothermia Treatment, and Clinical Studies of Brain Hypothermia. The book is a valuable source for practitioners and researchers in neurosurgery and neurology and in critical care and emergency medicine.
The first monograph dealing exclusively with the neuropsychological and psychosocial sequelae of subarachnoid hemorrhage (SAH) and its treatment. It provides an overview of basic treatment modalities and functional outcome after SAH with special emphasis on aneurysm surgery. In the methods section, neuropsychological, neuropsychiatric and capacity of daily life assessment issues in patients after SAH are reviewed, and the neuroanatomical basis of the neurobehavioral abnormalities after SAH is critically discussed. Furthermore, the frequently overseen aspects of psychological adjustment including quality of life after SAH, the hemorrhage as a psychological trauma, and rehabilitational issues are met in this book.
Spinal Cord Injuryor disease can happen to anyone at any time and the effectscan be devastating. Ifound this outpersonallywhen Iwas thrown from the back ofa pick up truck at age 15 was left paralyzed from the waistdown. It was during my recuperation as a young teenager that I first gained insight into the importance ofrehabilitation. My family, doctors, nurses, fellow patients and researchers who were dedicated to helping me over- come my personal tragedy helped me pull through. Today, rehabilita- tion medicine is taking great strides and empowering the person with the injury to take control oftheir future, overcome their setbacks and, through collaborativesupport, reach their personal goals and potential. Since 1987 the Legacy raised by my Man in Motion World Tour (24901 miles wheeled around the world March 1985-May 1987) has pro- vided over $13 million dollars to research and rehabilitation in the areas of spinal cord injury. I hope that in some small way this funding has contributed to the development ofthe vital programmes that supported me andmanyothers. The effects ofspinal cord injury are traumatic and life-shattering and require a skilled interdisciplinary approach. I congratulate those who have contributed to this book and challenge each one ofyou to never give up on yourdreams to find the answers to the optimum treatment of spinal cord injuryand disease.
Clinical neurophysiologic testing plays a critical role as a complement to the clinical assessment in patients who are being evaluated for a variety of neurologic symptoms. Many different techniques and methods of assessment can be used to evaluate the function of the nervous system, including electroencephalography, electromyography, evoked potentials, movement disorder studies, and sleep studies. An accurate understanding of the role of these tests and reliable technical performance and interpretation of these studies is critical in clinical practice. This new edition in the Contemporary Neurology Series remains an essential resource for physicians and technologists learning or utilizing clinical neurophysiology in their training or practice. This fifth edition updates the basic concepts underlying each of the techniques used in clinical neurophysiology and provides detailed descriptions of the methods, findings, studies, and value of the wide range of electrophysiologic testing available for patients with epilepsy and spells, neuromuscular diseases, movement disorders, demyelinating diseases, sleep disorders, autonomic disorders, and those undergoing orthopaedic and neurosurgical procedures in the operative setting. The role of each type of study, the interpretation of findings, and the application of the studies to different types of clinical problems are detailed throughout the text. It is a practical textbook for neurologists, physiatrists and clinical neurophysiologists in clinical or research practice or in training.
Rontgenthoraxaufnahmen richtig interpretieren Thoraxaufnahmen, die auf der Intensivstation aufgenommen werden, unterscheiden sich in der Aufnahmetechnik und in den veranderten physiologischen und anatomischen Verhaltnissen von Standard-Thoraxaufnahmen, die am Rasterwandstativ angefertigt werden. Die Interpretation dieser Bilder bereitet selbst erfahrenen Radiologen und Intensivmedizinern haufig Schwierigkeiten. Der Weg zur korrekten Interpretation: - Rontgen- und Aufnahmetechnik - Strahlenschutz und -belastung - Klinische Problematik und Interpretation von Thoraxaufnahmen auf der Intensivstation. Neu in der 2. Auflage: Bildmaterial moderner Aufnahmeverfahren Indikationsstellung fur CT-Aufnahmen Vergleich von Projektionsradiographie und Schnittbildradiographie und mogliche Pitfalls Ein Praxisbuch von Radiologen, Intensivmedizinern und Medizinphysikern zum Lernen und Nachschlagen. Ein Muss fur jeden auf der Intensivstation tatigen Arzt "
On the threshold of an exciting new era for acute stroke diagnosis and treatment, the Third International Symposium on Thrombolytic Therapy in Acute Ischemic Stroke was held in Nara, Japan, in April 1994. The symposium brought together some 200 basic and clinical scientists for presentations and discussions of issues vital to the understanding of thrombolytic therapy. This volume compiles the major presentations of the symposium, with attention to applications of new diagnostic measures such as diffusion and perfusion MRI, contrast-enhanced transcranial Doppler and angioscopy. Other presentations examine the mechanisms of ischemia/reperfusion injury, hemorrhagic transformation, and reocclusion, with reviews of recent developments in thrombolytic agents. The proceedings of the symposium will be of special interest to researchers, physicians, and students in the fields of neurology, neurosurgery, and nuclear medicine, as well as those in pharmacology, critical care medicine, and related fields.
Spinal cord injury produces a unique multiplicity of problems which must be clearly understood by the considerable numbers of health care and rehabilitation professionals involved in their lifetime management. This book assumes an educational approach to spinal cord injury management, in which the individual becomes an active participant in goal setting, problem solving, and in assuming self responsibility. Rehabilitation is discussed in terms of client empowerment, client-professional partnerships and examines the client in the context of his unique socio-cultural environment.;This book attempts to present an educational and psychosocial model for the rehabilitation of people with spinal cord injuries. In line with this approach, the first chapters present a concept of empowerment in rehabilitation and of an educational view of the process of learning to live with a suddenly acquired disability. The medical aspects of spinal cord injury follow, with a study of aetiology, impairments, acute care, disability reduction and engagement in self care activities. The management of high lesions in a rehabilitation context is examined separately, since this is a highly specialised area and one which is largely ignored both in therapy literature and in professional practice. The final chapters focus upon psychological issues, and upon such issues as productivity, leisure, socialization which are important both in early phases of management and in the long term.
In this issue of Neurosurgery Clinics, guest editor Dr. Michael T. Lawton brings his considerable expertise to the topic of Update on Open Vascular Surgery. The field of open vascular neurosurgery has undergone significant change as endovascular technologies have advanced and endovascular market share has grown. In this issue, top experts in the field explore various responses to these trends, providing valuable information to neurosurgeons aspiring to stay current with contemporary management of aneurysms, brain arteriovenous malformations, cavernous malformations, and bypass techniques. Contains 15 practice-oriented topics including wide neck and bifurcation aneurysms: balancing open and endovascular therapies; application of big data in vascular neurosurgery; rethinking cerebral bypass surgery; AI, machine learning and cavernous malformations; the transcavernous approach in vascular neurosurgery; and more. Provides in-depth clinical reviews on open vascular surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews. |
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