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 diffferent 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.

The rise and widespread acceptance of psychosurgery constitutes one of the most troubling chapters in the history of modern medicine. By the late 1950s, tens of thousands of Americans had been lobotomized as treatment for a host of psychiatric disorders. Though the procedure would later be decried as devastating and grossly unscientific, many patients, families, and physicians reported veritable improvement from the surgery; some patients were even considered cured. The Lobotomy Letters gives an account of why this controversial procedure was sanctioned by psychiatrists and doctors of modern medicine. Drawing from original correspondence penned by lobotomy patients and their families as well as from the professional papers of lobotomy pioneer and neurologist Walter Freeman, the volume reconstructs how physicians, patients, and their families viewed lobotomy and analyzes the reasons for its overwhelming use. Mical Raz, MD/PhD, is a physician and historian of medicine.

What does "Starting Again" mean to the many different people this book reaches out to? This positive title may draw the reader to enquire why an immensely experienced physiotherapist is considering starting again. Perhaps it challenges patients to rethink their own limitations, or therapists to reconsider their own management strategies. Does it refer to a change in life for head-injured patients and their carers, or does it hint at a fresh approach to old problems? Since "Steps to Follow" and "Right in the Middle," Pat Davies has not been idle. She has remained aware of what may be new and worthwile in therapy around the world, incorporated it into her own vast experience and taken ideas, concepts and techniques back to her patients to test their clinical validity. This is, therefore, not a pedestrian text but one brimming with new ideas for immediate use. That in itself should be a message of hope for all involved in the consequences of head injury. The future will always hold new and better management strategies, the understanding of the nature and consequences of head injury will improve, and thus there should never be limits placed on what patients can achieve. Reduced to its simplicity and presented in modem day thinking, the nervous system is a neural network. It requires input for output, yet it possesses a delicate, powerful, inherent feedback system so it can drive itself optimally, test itself out, learn and adapt.

This book is a complete review of the indications, techniques and outcomes of minimally invasive spine surgery (MISS) for neuro- and orthopaedic surgeons. Divided into seven sections the text begins with an overview of the fundamentals of MISS, explaining the development of techniques, anatomy, and imaging. The next chapters cover MISS for numerous disorders in both the cervical and lumbar spine followed by sections on surgery for tumours, infections and osteoporosis, and pain management. The book concludes with discussion on recent advances in the field of MISS, including robotics. The comprehensive text is highly illustrated with nearly 400 surgical images and tables. Key points Comprehensive review of minimally invasive spine surgery (MISS) In depth discussion on procedures for cervical and lumbar spine disorders Covers recent advances in MISS including robotics Highly illustrated with nearly 400 surgical images and tables

Cerebral Revascularization: Techniques in Extracranial-to-Intracranial Bypass Surgery, by Saleem I. Abdulrauf, MD, FACS, offers unmatched expert guidance. Through a series of dynamic, step-by-step instructional videos of the most common and uncommon procedures, you will deepen your understanding of these techniques and be able to confidently perform them. Edited and written by international leaders in neurosurgery, this definitive reference - with a foreword written by M. Gazi Yasargil, MD creator of the procedure - is the first and only text entirely dedicated to this surgery and provides you with exclusive, authoritative information. Access the full text, video library, and reference links to PubMed at www.expertconsult.com.

This practical handbook allows nurses, advanced practice nurses, physician assistants, and allied health professionals practicing in the fields of neurosurgery, neurology, and spinal care to quickly review essentials while in the work environment. It emphasizes procedural steps and critical elements in patient management, including intensive care, the neurological examination, differential diagnoses, and pain management. Written by a multidisciplinary team of experts, the handbook is expected to become a well-worn companion and essential aid to the busy practitioner.

"Essential Neurosurgery" provides a comprehensive introduction to neurosurgery for junior surgical trainees and medical students. The book concentrates on the principles of neurosurgical diagnosis and management of the more common central nervous system problems, including an understanding of neurology and the pathological basis of neurological disease. There is also coverage of neurosurgical techniques and postoperative patient management.

This new edition brings the text fully up to date and includes many of the biological and technological advances made in the field of neurosurgery that have improved surgical possibilities and patient outcomes.

Review quotations from the previous edition

'flowing and well highlighted text keeps the reader interested in the subject'
"British Journal of Neurosurgery"

'an excellent text...well organised and clearly set out'
"Journal of Neurology, Neurosurgery and Psychiatry"

This 14th volume of Advanaes in Neurosurgery includes the papers presented at the 36th Annual Meeting of the German Society of Neurosurgery in Berlin, May 12-15, 1985. I would like to take this opportunity to thank the members of the program committee of the Society, Priv.-Doz. Dr. Klinger, Professors Brock, Dietz, Frowein, Lausberg, Wlillenweber, and Dr. Reuter for their assistance in selecting the contributions and in organizing the scientific program. The first main topic of the meeting was Spinal Cord Tumors. Introductory lectures dealing with basic anatomic knowledge, neuropathological as pects, and neurologic problems were followed by reports on examinations using conventional neuroradiology, scintiscanning, computer tomography as well as the most recent method in the diagnosis of spinal tumors, the magnetic resonance tomography. Also presented were the results of a multicentered study on spinal tumors, ascertained in cooperation with 43 German and Austrian neurosurgical clinics. The participants reported in great detail on the statistical data they recorded from 3056 cases and on the scientific findings obtained from this study. The session concluded with lectures on the possibilities for surgical treatment of spinal tumors and on oncologic and radiotherapeutic mea sures. E: x: perimental Neurosurgery was the second main topic. Leading authorities in the field presented interesting papers on topics such as the therapy of vasculogenetic brain edema, the determination of neurotransmitters in brain tumors, results of cerebral blood flow measurement, and im proved operative techniques using laser radiation."

Building upon the success of prior editions, "Practical Neuroangiography, Third Edition," provides a detailed and richly illustrated guide to diagnostic and interventional neuroangiography and its role in the management of neurovascular disease.The Third Edition provides the new fellow with the background knowledge needed to understand these procedures, the unusual variant anatomy that can affect treatment and outcomes, and the field's current limitations.Organized for ease of use, the book's four sections address techniques and safety; normal anatomy & pathology correlated with angiographic images; angiographic findings of neurovascular diseases; and an introduction to interventional techniques and emergency procedures. Actual patient cases provide practical stepwise coverage of each procedure, tips for accurate diagnosis, and guidance in clinical decision-making.NEW to the Third Edition...
- CT and MR perfusion studies address the therapeutic challenges of vessel occlusion and damage to cranial tissue.
- More detailed techniques and concise patient cases combine to create a hands-on guide to successful outcomes.
- Strong emphasis on radiation risk & safety put the patient's well-being first during therapeutic decision-making.
- Emphasis on the angiographic anatomy of the cerebrovascular system details key pathologic features that affect therapeutic approaches.
- Companion website with text/image search and additional cases is cross-referenced to specific chapters in the text for easy access to critical information.

Advances J. Maarrawi, P. Mertens, R. Peyron, L. Garcia-Larrea, M. Sindou: Functional exploration for neuropathic pain. - Z. H. Rappaport: The neuroscientific foundations of free will. - A. Hejcl, P. Jendelova, E. Sykova: Experimental reconstruction of the injured spinal cord. - M. Visocchi: Advances in video-assisted anterior surgical approach to the craniovertebral junction. Technical Standards N. Akalan: Myelomeningocele (Open spina bifida): Surgical management. - M. Stoffel, C. Stuer, F. Ringel, B. Meyer: Treatment of infections of the spine. - I. Massimi, F. Novegno, C. di Rocco: Chiari Type 1 malformation in children.

The definitive guide to surgical management of epilepsy in pediatric patients This fully revised and updated second edition of Pediatric Epilepsy Surgery, edited by internationally renowned pediatric neurosurgeons and epilepsy surgery experts O uz Cataltepe and George Jallo, fills a void in the literature, encompassing the full spectrum of topics related to the surgical treatment of intractable epilepsy and seizures in children. The prodigiously illustrated book and its accompanying videos feature contributions from distinguished specialists in several different countries across a wide range of disciplines. From epidemiology, genetics, pathology, preoperative electrophysiological assessment and neuroimaging to state-of-the-art surgical approaches, this remarkable resource covers the full depth and breadth of surgical management of pediatric epilepsy. Topics include awake anesthesia, intracranial stimulation and mapping techniques, temporal and extratemporal epilepsy surgery techniques, insular, multilobar and hemispheric surgery approaches, and diverse disconnection, neuromodulation, and ablative procedures. Insights are provided on postoperative issues including seizure control, neuropsychological and psychosocial outcomes, surgical failure and re-operation, and much more. Key Features A review of topographic anatomy of the cerebral cortex and white matter with numerous illustrations provides enhanced understanding of eloquent anatomy. Discussion of cutting-edge techniques such as stereo-electroencephalography, multi-modality imaging and tractography, endoscopic and laser ablation approaches in hypothalamic hamartomas, peri-insular quadrantotomy, and various hemispherotomy approaches. Overview of common cortical stimulation and mapping techniques including magnetic and electrical stimulation modalities, functional MRI, and the WADA test. 13 videos demonstrate seizure semiology, stimulation, awake surgery, hemispherotomy, amygdalohippocampectomy, and endoscopic corpus callosotomy. This state-of-the-art resource is a must-have for epilepsy surgeons and epileptologists. It will also greatly benefit neurosurgeons, neurologists, clinical neuropsychologists, electrophysiologists, neuroradiologists, residents, fellows, and medical students involved in the assessment and surgical management of epilepsy in pediatric patients. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Pocket-size, user-friendly roadmap outlines most common surgical procedures in neurosurgery! Surgery requires a combination of knowledge and skill acquired through years of direct observation, mentorship, and practice. The learning curve can be steep, frustrating, and intimidating for many medical students and junior residents. Too often, books and texts that attempt to translate the art of surgery are far too comprehensive for this audience and counterproductive to learning important basic skills to succeed. Neurosurgery Outlines by neurosurgeon Paul E. Kaloostian is the neuro-surgical volume in the Surgical Outlines series of textbooks that offer a simplified roadmap to surgery. This unique resource outlines key steps for common surgeries, laying a solid foundation of basic knowledge from which trainees can easily build and expand. The text serves as a starting point for learning neurosurgical techniques, with room for adding notes, details, and pearls collected during the journey. The chapters are systematically organized and formatted by subspecialty, encompassing spine, radiosurgery, brain tumors and vascular lesions, head trauma, functional neurosurgery, epilepsy, pain, and hydrocephalus. Each chapter includes symptoms and signs, surgical pathology, diagnostic modalities, differential diagnosis, treatment options, indications for surgical intervention, step-by-step procedures, pitfalls, prognosis, and references where applicable. Key Features Provides quick procedural outlines essential for understanding procedures and assisting attending neurosurgeons during rounds Spine procedures organized by cervical, thoracic, lumbar, sacral, and coccyx regions cover traumatic, elective, and tumor/vascular-related interventions Cranial topics include lesion resection for brain tumors and cerebrovascular disease and TBI treatment This is an ideal, easy-to-read resource for medical students and junior residents to utilize during the one-month neurosurgery rotations and for quick consultation during the early years of neurosurgical practice. It will also benefit operating room nurses who need a quick guide on core neurosurgical procedures. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The second edition of the highly successful Surgical Approaches to the Spine will continue the tradition of presenting clearly enumerated and illustrated, step-by-step surgical procedures for the spine. New to this edition are chapters on the anterior approach to clivus C1 & C2, transclavicular cervico-thoracic approach, transsternal approach to the cervico-thoracic & upper thoracic spine, approaches to the sacrum & pelvis, and laparoscopic approaches.

It is only recently that the use of the endoscope as the sole visualizing tool has been introduced in transsphenoidal pituitary surgery with its favorable related implications and minimal operative trauma. Of course, microscopic and endoscopic anatomy are basically the same, but the optical distorsion of endoscopic images is quite substantial compared to microscopic depictions. An endoscope lens produces images with maximal magnification at its center and severe contraction at its periphery. Nearer images are disproportionally enlarged and remote images are falsely miniaturized. This optical illusion may disorientate a surgeon who is not familiar with this peculiar condition at the skull base. This atlas acts as a guide through the endoscopic anatomy and gives detailed descriptions of the preoperative management and the surgical procedures.

For those of us who have been associated with the field of ultrasound imaging of the arterial system since its infancy, this contribution by Friihwald and Blackwell provides the source where the results of over 30 years of hard-won advances can be found. The editors and contributors summarize this burgeoning field in their lucidly written, interesting, and accurate treatise. Beginning with chapters on physical principles and technical considerations, including how to adjust equipment for best images, they consider forthwith carotid and vertebral disease in two outstanding chapters with color images of startling defini tion. Also included are diagrams in which vascular structures are clearly related to well-labeled anatomical landmarks. No other atlas contains the quality of color images and graphic displays which these two editors have compiled. Now that surgical remediation of stenosis of the extracranial carotid and, perhaps, also the vertebral arteries has been demonstrated effective there will undoubtedly be an explosion in the use of this advanced technology to identify appropriate patients and to follow lesions longitudinally over time. To accomplish this, high-quality images made by skilled sonogra phers are the vital component and this book sets standards in this domain."

Atlas provides insightful guidance on how to perform core procedures in the neuro ICU Neuro ICU Procedure Atlas by distinguished neurosurgeons Jack I. Jallo and David F. Slottje is a visually rich, step-by-step atlas describing technical aspects of common bedside procedures performed in patients with grave neurological conditions. With contributions from an impressive group of contributors, the book features 13 chapters encompassing fundamental techniques, such as shunt externalization/shunt tap, lumbar puncture, lumbar drain, ICP monitor, PbtO2 and JvO2 monitors, central and arterial line, cervical traction, intubation, cricothyrotomy, chest tube, and more. Key Highlights In-depth, reader friendly discussion of vital clinical issues including indications and contraindications, relevant anatomy/physiology, and complications Clinical pearls and troubleshooting sections for each approach Illustrations of ventricular drain or ICP monitor placement, non-conventional ventricular drain insertion points, trajectory lines for ventricular drain insertion, and more provide detailed visual learning guides This essential resource will help neurosurgical residents and early-career neurosurgeons, intensivists, nurse practitioners, and physician assistants accelerate the learning curve for the bedside care of critically ill patients. This book includes complimentary access to a digital copy on https://medone.thieme.com.

"Judith's Pavilion" is an imaginary hospital where practicing neurosurgeon Mark Flitter allows his failures to become beautifully crafted true stories of the fragility and meaning of life itself. "His gripping stories are heart-breaking and deeply moving".--"Publishers Weekly".

It is a great privilege to write the foreword for this classical work of Professor Charles Drake. There is no doubt that intracranial aneurysms have existed since the beginning of time. This terrifying disease of the brain arteries, with its dramatic consequences for the patient, has surely been observed in all human collectives, although clear definition and description in the literature began only 300 years ago. During the last century, clinical signs and symptoms have been carefully observed and analyzed, and 100 years ago, the first attempts were made for surgical treatment, such as the ligature of external and internal carotid and vertebral arteries. With the introduction of angiography, an entirely new dimension of diagnosis and differential diagnosis of the vascular diseases of CNS, was accomplished. In the years between 1945 and 1970, the neurosurgeon was increasingly stimulated to directly eliminate intracranial aneurysms. The most respected and avoided location, the aneurysms at the bifurcation of the basilar artery, remained as a "dark corner. " Several pioneers of neurosurgery attempted to explore the interpeduncular fossa, but finally retreated. Not so Charles Drake. His vision must have been stronger than his anxiety, after experiences of initial fatalities, to persevere more decisively in this desperate fight instead of to yield. Such steadfastness requires enormous courage. But what distin guishes courage Surgical courage is not just a fearless or unscrupulous action."

This book is a comprehensive illustrated surgical guide to operative exposures of the spinal nerves, also known as peripheral nerves. Each chapter is devoted to a particular nerve and describes the origin, anatomic relations, branches, surgical approaches, and clinical significance. The text is concise and easy to read and is complemented by informative color photos from cadaveric dissections and surgical procedures. A separate chapter on technical notes identifies surgical pearls relating to techniques such as nerve suturing and nerve transfers. Importantly, unlike other peripheral nerve atlases, this book is accompanied by videos of different approaches. The book will be especially valuable for residents and fellows in training and candidates for oral board and MOC examinations. It is also designed to provide a quick illustrated review for surgeons unfamiliar with a procedure. Most videos are less than 5 minutes long, and it should take less than 10 minutes to review each approach, including watching the video. Anatomy and Exposures of Spinal Nerves will effectively fill a gap caused by the absence of a peripheral nerve surgeon from many neurosurgery training programs.

The go-to resource for managing a full spectrum of clinical scenarios in acute ischemic stroke Ever-evolving technological advances have created a daunting number of emergent neurointerventional protocols and therapies for treating acute ischemic stroke. This has created an urgent need for reader-friendly, hands-on resources. Video Atlas of Acute Ischemic Stroke Intervention edited by renowned neuroinventional stroke experts Maxim Mokin, Elad I. Levy, Adnan H. Siddiqui, and esteemed contributors fills a void in education and knowledge with interactive, case-based guidance on mastering challenging stroke interventions. The atlas leverages current knowledge and decades of experience in acute stroke treatment and device innovations to familiarize clinicians at various career stages with a wide repertoire of techniques available in the neurointerventional suite. The book focuses on technical aspects of interventional stroke procedures including pitfalls and complications, an overview of the most useful tools of the trade, and discussion of pre- and post-procedural care. Eighteen chapters provide comprehensive coverage on the most common endovascular treatment approaches for acute stroke—aspiration and stent-retriever thrombectomy of proximal, distal, and tandem occlusions. Several cases focus on recognition and management of complications that clinicians may encounter during emergent procedures. Topics include the importance of arterial access, unmet need in current devices, and methods for overcoming these challenges. Key Highlights Thirty-eight individually narrated, high-definition videos describe angiographic and procedural cases, step by step High-quality illustrations emphasize and delineate key aspects of complex procedures Firsthand tips and tricks enhance the ability to manage highly challenging and less common pathologies, including arterial dissection, atherosclerosis, and venous strokes This must-have resource will benefit all practitioners involved in the interventional care of patients with acute ischemic stroke. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Lasionen der peripheren Nerven sind eine Domane der chirurgischen Behandlung. Fur die Patienten gehen Nervenverletzungen, Nerventumoren und Nervenkompressionssyndrome haufig mit schweren Funktionsbeeintrachtigungen einher. Entsprechend wichtig sind eine differenzierte, interdisziplinar ausgerichtete Diagnostik und eine gezielt auf den Patienten zugeschnittene Therapie.

Alle haufigen und seltenen Lasionen der Nerven und ihre Behandlung sind detailliert und mit zahlreichen Abbildungen illustriert in diesem Buch beschrieben: diagnostische Verfahren und ihre Bewertung, Techniken der offenen und endoskopischen Chirurgie, regionales operatives Vorgehen Nerv fur Nerv, zahlreiche Fallbeispiele und Bildserien, physio- und ergotherapeutische Nachbehandlung.

Ein Ausflug in die Moglichkeiten, welche die Ersatzplastiken den Patienten bieten, und eigene Kapitel zu biologischen Grundlagen und technischen Zukunftsperspektiven runden die Darstellung ab. Die aktuelle Literatur und die interdisziplinaren S3-Leitlinien sind uberall berucksichtigt.

Der umfassende Begleiter fur den klinischen Alltag zum raschen und gezielten Nachschlagen ebenso wie fur den systematischen Uberblick.

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The essential multidisciplinary guide for the prevention and management of vascular injury from master skull base surgeons Vascular injury is the most significant source of morbidity or mortality during skull base surgery, regardless of the surgical approach. While skull base approaches always placed arteries and veins at risk, newer endoscopic endonasal approaches have introduced new challenges for the prevention and management of vascular injury. Greater anatomic knowledge, additional surgical options, improved instrumentation, advances in interventional neuroradiology, and enhanced training all contribute to successful outcomes. Vascular Challenges in Skull Base Surgery by renowned skull base experts Paul Gardner, Carl Snyderman, Brian Jankowitz, and distinguished contributors, fills a gap in the literature, with invaluable guidance on managing rare but potentially catastrophic surgical complications. The full range of surgical approaches to the anterior, middle, and posterior cranial fossae are covered in 22 chapters. Diverse topics encompass open and endoscopic endonasal surgical approaches, endovascular techniques including balloon test occlusion and embolization, and standard and alternative bypass procedures. The last three chapters discuss venous considerations, neurophysiologic monitoring, and the role of training and simulation in vascular injury prevention. Key learning points, illustrated discussion of relevant anatomy, and tips and tricks are targeted at helping skull base surgeons leverage practical strategies to improve patient outcomes. Key Highlights An impressive group of expert, highly-experienced surgeons share firsthand knowledge Insightful analyses of root causes and clinical pearls provide indispensable prevention tactics High-quality images and videos enhance visual understanding of surgical anatomy and techniques Trainees and practicing skull base surgeons will greatly benefit from the collective knowledge and evidence-based injury avoidance strategies shared by authors who have learned to master the art of skull base surgery. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This issue of Neurosurgery Clinics, guest edited by Drs. Edjah Nduom and Jeff Olson, will focus on Metastases to the Central Nervous System. This issue is one of four selected each year by our series consulting editors, Dr. Russell R. Lonser and Dr. Daniel K. Resnick. Topics discussed in this issue will include: Epidemiology of metastatic CNS disease, Initial approach to the patient with a newly diagnosed solitary brain metastasis, Initial approach to the patient with multiple newly diagnosed brain metastases, When to consider a stereotactic biopsy for brain metastases, Techniques for open surgical resection of cerebral metastases, Laser ablation for cerebral metastases, Histopathological features and laboratory markers of common brain metastases, Recurrence vs radiation necrosis - evaluation and treatment, Anti-epileptic drugs for the management of cerebral metastases, Chemotherapy for the management of cerebral metastases, Approach to the management of metastatic leptomeningeal disease, Immune therapy for CNS metastases, Novel therapeutic targets for the treatment of cerebral metastases, Skull base metastases - diagnosis and management, and more.

The first work of its kind devoted to the pelvis and lower limb, Surgical Anatomy of the Sacral Plexus and Its Branches clearly explains and illustrates this important subset of peripheral nervous system anatomy. Ideal for physicians and residents from a wide range of medical and surgical disciplines, this unique title details new methods of imaging the sacral plexus, as well as its pathology and appropriate surgical approaches. Demonstrates the surgical anatomy of each branch of the sacral plexus using fresh cadaveric dissections. Color-codes nerves to differentiate them from other tissues and dissects them in a layer-by-layer manner. Complies the knowledge and expertise of renowned clinical anatomists and researchers Dr. R. Shane Tubbs and Dr. Joe Iwanaga in this key area of surgical anatomy

Part of the Neurosurgery by Example series, this volume on neurotrauma presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within neurotrauma, including hematoma, injury to the sinuses, concussion, orbital trauma, penetrating brain injuries, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Neurotrauma is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.