Doctors Pellet, Cannoni and Pech have joined forces to write a masterly work on the subject of otoneurosurgery and tumors of the base of the skull. The anatomic illustrations, derived from their meticulous dissections, are of excellent quality and a credit to the famed tradition of French neuroanatomists of the past. It is evident that the operative techniques described by these surgeons indicate that they have spent a great deal of time in the dissecting-room and that they have completely mastered the temporal bone. A perfect knowledge of the fundamental anatomy of the petrous bone is essential before embarking on the difficult surgical procedures in this region of the brain and base of the skull. Reading this work makes it abundantly clear that the results of this type of sur gery are vastly improved when neurosurgeons and otologists combine their skills. Each of these specialists brings his unique experience and entire knowledge to the operation for the greater benefit of the patient. We wish to congratulate Doctors Pellet, Cannoni and Pech on the publication of this excellent work. March 1990 William F. House, MD William E. Hitselberger, MD Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Basic Anatomy .. 5 The Petrous Pyramid 7 TIle Petrous Cortex 7 Surfaces 8 14 Base ....... .

This is truly an exciting time in the field of neuro-oncology, particularly in the area of hi- grade gliomas. The management of patients with high-grade gliomas has historically been one of the most challenging and disheartening fields in medicine, where failure is the rule and longevity is the exception. The jaded often state that despite purported advances in surgical and radiotherapeutic techniques and a myriad of clinical trials of medical therapies, the s- vival statistics for glioblastoma have not changed in the last three decades. The nihilism associated with these tumors is such that some practitioners still advise against treatment or even biopsy, recommending palliative care with the diagnosis based only on history and an MRI scan. If the current state-of-the-art in the diagnosis and management of high-grade gliomas was truly so bleak, there would be no reason to compile and publish a monograph on the subject. The fact is that we have recently entered an era where real progress is being made in our understanding and treatment of high-grade gliomas that is directly benefiting some patients. We are slowly but surely chipping away at this problem. One approach has exploited correlations between particular molecular markers and therapeutic response. The first such "breakthrough" in high-grade glioma was the observation that loss of chromosomes 1p and 19q uniformly predict chemosensitivity in anaplastic oligodendrogliomas (1).

The optic canal, in particular its intracranial end, represents a "locus minoris resistentiae" for optic nerve compression in a variety of pathologic conditions. The intracranial optic nerve shares the limited space within this narrow passage with the carotid and ophthalmic artery, all being surrounded by bone and rigid dura. Any pathological condition going along with an increase of soft tissue volume, such as in optic nerve sheath tumors, parasellar neoplasms, dolichoectasia of the carotid and/ or ophthalmic artery, hematomas, etc. , or reduction of the lumen of the bony optic canal by hyperpneumatization of the sphenoid sinus, hyperostosis or developmental abnormalities must act as a space-occupying lesion causing optic nerve compression either by pressing the nerve against the vessel or the neighboring dura or bone. The spectrum of clinical signs and symptoms of optic nerve compression in this area is rather wide and includes acute as well as slowly progressive visual loss and all kinds of visual field defects in the presence of a normal disk, papilledema, pri- mary optic atrophy or cavernous optic atrophy mimicking var- ious clinical disease entities such as retrobulbar optic neuritis, anterior and posterior ischemic optic neuropathy, soft glaucoma and others. Some of the lesions causing optic nerve compression in this area are rather small and need to be visualized or excluded by thin section CT such as pneumosinus dilatans of the sphenoid bone, dolichoectasia of the internal carotid artery, small men- ingiomas around the optic foramen and others.

Neurocritical care as a subspecialty has grown rapidly over the last two decades and has reached a level of distinct maturity with the advent of newer monitoring, diagnostic and therapeutic modalities in a variety of brain and spinal cord injury paradigms. Handbook of Neurocritical Care, Second Edition remains true to the operative tenet that "time is brain," and rapid diagnosis and therapeutic interventions in these challenging patients cannot be overemphasized. The second edition of this important Handbook again serves as a quick, practical reference for those involved in the care of critically ill neurological and neurosurgical patients. The care provided to this subset of critically ill patients continues to be multidisciplinary and includes care rendered from colleagues in emergency medical services, emergency medicine, neurology, neurosurgery, anesthesiology, critical care, nursing and physician assistance. Fully updated, all of the chapters again consist of easy-to-read, bulleted points followed by a list of Key Points and important references allowing for rapid access to vital information critical for fast and timely decision making. The first section covers a myriad of important general principles while the second section addresses the major diagnostic categories of neurocritical care with several new topics; these include, for example, neuroleptic malignant syndrome and malignant hyperthermia, meningitis and encephalitis, and intraventricular hemorrhage. Readers will find the algorithms, tables, and illustrations throughout the book not only useful but truly invaluable in facilitating fast and accurate decision making. Accessible and comprehensive, Handbook of Neurocritical Care, Second Edition again fills a vital need by providing readers with a succinct and practical approach to the management of critically ill neurological and neurosurgical patients.

Don t miss it The second, completely revised and expanded edition of the successful surgical manual on minimally invasive spine surgery includes 51 chapters (including more than 20 new chapters) covering all current minimally invasive techniques in spine surgery. A complete survey of all microsurgical and endoscopic techniques with a special focus on semi-invasive injection techniques for diagnostic and therapeutic purposes in low back pain is given. The clear chapter structure with terminology, history, surgical principles, advantages/disadvantages, indications, access principles, complications, and results facilitates navigation through the manual. Topics include the principles of microsurgical and endoscopic treatment, spinal navigation and computer-assisted surgery, minimally invasive reconstruction, fusion, dynamic stabilization in fractures, degenerative disc disease, spinal stenosis, low back pain and deformities. The didactic presentation of surgical steps makes the reader familiar with all types of new minimally invasive techniques in clinical use or still in ongoing clinical trials such as minimally invasive spine arthroplasty."

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 provides a valuable guide to understanding idiopathic intracranial hypertension (IIH), which is a very complex and painful disease. It is a chronic, often disabling condition resulting in headaches, visual loss, and ringing in the ears. This condition was thought to be rare but is becoming much more common, especially as the population becomes more overweight. Patients with this condition often suffer from intractable headaches with poor quality of life. Very few physicians specialize in this condition, and as a result, there is almost no information or resources available to those trying to understand this condition. The text is designed to take very complex neurosurgical anatomy, principles, and treatments and reduce them down into simple principles. The book contains 12 chapters, each organized into distinct sections. All chapters also contain key points from those paragraphs to summarize useful take home messages. Written by an expert specializing in this debilitating condition, Idiopathic Intracranial Hypertension Explained serves as a valuable guide towards understanding and treating IIH. The ultimate goal is to empower patients and families with knowledge about the disease.

Here is the first biography to appear in fifty years of Harvey Cushing, a giant of American medicine and without doubt the greatest figure in the history of brain surgery. Drawing on new collections of intimate personal and family papers, diaries and patient records, Michael Bliss captures Cushing's professional and personal life in remarkable detail. Bliss paints an engaging portrait of a man of ambition, boundless, driving energy, a fanatical work ethic, a penchant for self-promotion and ruthlessness, more than a touch of egotism and meanness, and an enormous appetite for life. Equally important, Bliss traces the rise of American surgery as seen through the eyes of one of its pioneers. The book describes how Cushing, working in the early years of the 20th century, developed remarkable new techniques that let surgeons open the skull, expose the brain, and attack tumors-all with a much higher rate of success than previously known. Indeed, Cushing made the miraculous in surgery an everyday event, as he and his team compiled an astonishing record of treating more than two thousand tumors. Moreover, Cushing was also a leading authority on the pituitary gland and a pioneer of endocrinology. And in his spare time, he won a Pulitzer Prize for his massive two-volume biography of William Osler, who was Cushing's colleague. This is the definite Cushing biography, an epic narrative of high surgical adventure. Written by a prize-winning medical historian and acclaimed author, it captures the highs and lows of an extraordinary life, illuminating the contributions of a surgeon who has earned an enduring place in the pantheon of medical history.

The definitive state-of-the-art resource on pediatric endoscopic endonasal approaches Today, expanded endonasal approaches (EEA) have revolutionized the surgical treatment paradigm for pediatric central skull base lesions. Specially adapted micro-instruments have been developed to permit passage through the narrow sinonasal pathways in children, enabling access to the entire midline skull base, from the crista galli to the cervico-medullary junction. Pediatric Endoscopic Endonasal Skull Base Surgery by Harminder Singh, Jeffrey Greenfield, Vijay Anand, and Theodore Schwartz is the first textbook focused solely on endoscopic endonasal management of cranial base pathologies in children. The book reflects in-depth expertise from an extraordinary group of international contributors from five continents, who share extensive knowledge on this emerging field. Thirty chapters are presented in three comprehensive sections. Key Features Core topics including anatomy, rhinological and anesthetic considerations, patient positioning and OR set-up, instrumentation, and endonasal corridors and approaches Fifteen chapters detail endoscopic treatment of a full spectrum of pediatric pathologies, such as craniopharyngioma, meningoencephalocele, basilar invagination, and benign and malignant tumors, among others Discussion of multiple skull-base closure techniques, managing complications, and neurosurgical and otolaryngological postoperative care Visually rich, the succinct text is enhanced with more than 200 high-quality surgical illustrations and intraoperative photographs, as well as procedural videos This unique reference is essential reading for neurosurgical and otolaryngology residents and fellows, as well as veteran surgeons, nurse-practitioners, and physician-assistants who treat and care for pediatric patients with skull-base conditions. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Core Principles of Acute Neurology is a series of short volumes that handles major topics not found in sufficient detail elsewhere and provides useful context. Identifying Neuroemergencies provides practical information how to best manage and triage patients in the first hour of admission in the emergency department. Physicians consider a neurologic emergency when the patient has clearly worsened and their neurologic signs have changed. Correct decisions are imperative: any type of neurocritical illness demands immediate treatment in the emergency department. Neurologist can assist further with the successful triage of the neurologic emergency and this volume in the Core Principles of Acute Neurology will serve as a handy, concise, reference to both the neurologist and the emergency physician.

Part of the Neurosurgery by Example series, this volume on pediatric neurosurgery 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. As pediatric neurosurgery approximates the anatomical and pathophysiological breadth of all specialty areas of adult neurosurgery, the cases provided are exemplary of those that are more relevant to, and seen in higher frequency, in pediatrics. The cases also demonstrate presentation and management appropriate for pediatrics, as both are distinct in pediatric compared to adult neurosurgery. 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, Pediatric Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.

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.

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.

Here is a book that anyone interested in how the brain works will find fascinating and enjoyable. Written in a highly readable style, the book looks at how the damaged brain can be repaired and reconstructed.

The key to neuroscience's most exciting discoveries to date is the theory that is rapidly gaining adherents in the scientific community - the theory of neuroplasticity. Neuroplasticity stresses that cells throughout the brain can not only regenerate, but can adapt their function to assume critical roles once performed by damaged tissue. The author explains how the brain manufactures complex chemicals that foster growth in damaged brain cells, and how misguided ideas can adversely affect how physicians treat patients.

A best-selling volume in France and Spain, Brain Repair provides a vividly written, wide-ranging look at the leading edge of one of science's most exciting frontiers.

This book is the first to offer a comprehensive guide to understanding the brain's architecture from a topographical viewpoint. Authored by a leading expert in surgical neuroanatomy, this practical text provides tri-dimensional understanding of the cerebral hemispheres, and the relationships between cerebral surfaces and the skull's outer surfaces through detailed brain dissections and actual clinical cases with operative photographs and correlative neuroimaging. For neurosurgeons, neuroradiologists and neurologists at all levels, this book emphasises the anatomy of the sulci and gyri of the cerebral surface. It is an essential resource for the general neurosurgery practice, and more particularly for planning surgical access routes for intracranial tumors.

Head trauma in children is a major public health problem. It is a leading cause of death, and it can result in a spectrum of difficulties involving cognition, academic achievement, and social interaction. Children are evolving organisms for whom a static conceptualization of outcome may cloud the effects of traumatic brain injury. This important book explores sources of unexplained variability in outcome by developmental stage. For clinicians, the volume will provide easy access into the mainstream of research on traumatic brain injury in children, its pathophysiology, treatment, and outcome. For scientists specializing in cognition and development, and for those in the basic neurosciences, the studies of traumatic brain injury discussed in this book offer a unique opportunity to relate brain structure to patterns of behavior. Modern neurodiagnostic techniques have created new possibilities for understanding the neurological basis of the diverse behavioral deficits shown by head-injured children. The contributors of this volume not only present detailed analyses of the present state of knowledge of the diverse determinants of outcome in children with head injury, but they also emphasize the gaps and limitations in our knowledge.

Pathology involving the skull base and adjacent soft tissues present a challenge to all physicians dealing with the anatomy of this region. The goal of Skull Base Surgery: Basic Techniques is to provide the surgeon with a descriptive, step by step, pictorial analysis of skull base surgical techniques. Emphasis is placed on the most commonly used and applicable procedures that address the majority of the pathology encountered in standard practice. This beautifully illustrated text is directed to be the most useful for individuals new to these methods, surgical trainees and mid-level practitioners. Additionally, it's likely to be useful to physicians outside of otolaryngology and neurosurgery involved in the care of these patients. It provides a description of the key components of the medical management of these cases preoperatively and postoperatively so as to maximize the opportunity for successful outcomes.

The Medicine on the Move series provides fully flexible access to subjects across the curriculum in a unique combination of print and mobile formats ideal for the busy medical student and junior doctor. No matter what your learning style, whether you are studying a subject for the first time or revisiting it during exam preparation, Medicine on the Move will give you the support you need.
This innovative print and app package will help you to connect with the topics of neurology and clinical neuroanatomy, to learn, understand and enjoy them, and to cement your knowledge in preparation for exams and future clinical practice. By using this resource in print or as an app, you really will experience the opportunity to learn medicine on the move.

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."

  This collection of epilepsy surgical cases illustrates patients with straightforward and challenging pharmacoresistant epilepsy. These cases convey the advancements, investigative strategies, past and modern surgical tools, and sophisticated state-of-the-art of epilepsy surgery and its disciplines. This textbook is organized into four major sections that parallel the contemporary FDA-approved and clinically applicable approaches: resective surgery, disconnection procedures, laser therapy, and neuromodulation. The chapters provide a case-based, interactive, and multidisciplinary integrative approach to pre-operative evaluation, data analysis, and surgical decision-making. In addition, we present alternative approaches to certain diagnostic tools, decision-making strategies, and surgical interventions. This textbook will provide trainees and clinicians with an exhaustive understanding of epilepsy surgery. Moreover, it will be an invaluable resource for preparation for the epilepsy board examination

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.

"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"

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."