This practical question and answer book covers topics within the field of neurocritical care, including aspects of neurology, neurosurgery, general critical care, and emergency medicine.  The updated second edition, with hundreds of new and revised test items, contains two full length practice exams that mimic the tone and scope of the recently introduced American Board of Psychiatry and Neurology (ABPN) certifying exam in Neurocritical Care, based on approval from the American Board of Medical Specialties (ABMS).  At the conclusion of each exam, answer choices, rationale, and references are provided.  The book is geared towards critical care fellows, but may also be useful for residents in the fields of neurology, neurosurgery, emergency medicine, and internal medicine.

Indispensable for both the trainee and experienced professional, this is the only truly comprehensive account of the major role of the neurosurgeon in the diagnosis and treatment of chronic pain. The elite panel of contributors were chosen due to their expertise and international reputations. The result of their achievement covers the whole spectrum from criteria for patient selection and the details of operative techniques, to the risks, complications, and expected outcomes for a wide variety of anatomic, ablative, and augmentative neurosurgical procedures in treating chronic, intractable pain. The neurosurgeon will find here chapters on the latest neuroaugmentative advances utilizing electrical stimulation and implantable drug infusion systems as well as a useful section providing algorithms and guidelines for the evaluation and treatment of specific pain syndromes. Over 100 photographs and exquisite line drawings - many specifically commissioned for this book - enhance the text. Invaluable for acquiring the critical judgement and clinical skills necessary to apply the procedures involved.

Considerable impetus was given to the study and understanding of cere- brovascular anatomy by Thomas Willis and his contemporaries in the sev",nteenth century, yet almost two hundred years were to pass before further significant advances were made in this field. Then, from the mid- nineteenth century onwards, the dark ages of cerebrovascular research gradually lifted through the efforts of such workers as Luschka, Heubner, and Windle, whose pioneering anatomical studies formed the basis of the present-day understanding of the morphology of the cerebral circulation. The turn of the century saw an increasing influence of the early neurolo- gists in describing anatomy of cerebral vessels in relation to their areas of distribution and to the production of focal deficits through specific vascu- lar lesions and anomalies. Later still, Padget and others made important observations concerning phylogenetic and developmental aspects of the cerebral circulation. These anatomical and clinical studies were remarkable enough but the real breakthrough in investigating cerebral pathophysiology and in devis- ing appropriate corrective neurosurgical procedures had to await the re- markable advances in technology of the past fifty years. These began with the advent of cerebral angiography with all its subsequent refinements and progress has been accelerated through establishing noninvasive Doppler and high resolution ultrasound imaging techniques, methods for the accu- rate measurement of cerebral blood flow, CT scanning, PET scanning, and, most recently, imaging and metabolic NMR scanning.

Part of the Oxford Case Histories series, this volume includes 65 neurosurgical cases covering core topics specified in the UK Neurosurgical Training Curriculum. Cases are drawn from the following clinical areas: trauma, vascular neurosurgery, tumours, spinal neurosurgery, hydrocephalus and paediatric neurosurgery, functional neurosurgery, and medical problems in neurosurgery. Revolving around actual patients and the relevant knowledge required in specific situations for decision making in clinical practice, this book will serve as an invaluable educational tool to help trainees, doctors, and pratising neurosurgeons manage the a wide variety of clinical scenarios encountered in neurosurgery.

As image-guided spine interventions have increasingly become a primary strategy for managing back pain, the tools and capabilities available to practitioners have grown significantly. This fully revised edition of Image-Guided Spine Interventions presents the latest procedures available to physicians who perform minimally invasive spine interventions. The comprehensive text covers the fundamentals -- such as spine anatomy, procedural materials, and pharmacological requirements -- along with chapters devoted to key topics such as discography, percutaneous descectomy, vertebroplasty and balloon kyphoplasty, epidural steroid injections, and autonomic nerve blocks. Additionally, three new chapters are included in the Second Edition, covering pulsed radiofrequency procedures, sacroplasty, and spinal cord stimulation. Each technique is presented in a straightforward manner that allows the reader to effectively evaluate and implement new procedures. The text is further enhanced by nearly 200 images and illustrations. Edited by Dr. John Mathis, a former president of the American Society of Spine Radiology, and Dr. Stanley Golovac, who both have clinical practices devoted solely to spine procedures and pain management, the book will be useful to all physicians dealing with back pain, including radiologists, pain anesthesiologists, spine neurosurgeons, and orthopedists. Physicians will once again find that Image-Guided Spine Interventions, 2nd Edition, is the pivotal authority on image-guided techniques for the spine.

Spinal cord injury (SCI) results from damage to the spinal cord due to trauma or disease and leads to partial or complete paralysis. Following SCI, physiological and lifestyle changes can lead to poor health outcomes. However, advances in injury stabilisation, medical treatment and rehabilitation have led to an increase in life expectancy. In this book, the authors present current research on the causes, risk factors and management of spinal cord injury. Topics include pain management following spinal cord injury; exercise training and its relation to slow bone loss in SCI; palliative and therapeutic strategies for SCI; NO-cGMP signalling in bulbospinal respiratory pathway after cervical spinal cord injury; and posterior pedicle screw fixation for thoracolumbar burst fractures.

In reflecting upon my life as a neurosurgeon, perhaps the most salient feature is that period of history involved. Trained by men who studied under Harvey Cushing, considered the father of neurological surgery, we, as early third-generation neurosurgeons, were held to those rigid standards of academic achievement and physical endurance typical of that time. The reader first identifies with the young child who dreams of becoming a doctor, and then sets out on that long path. He then re-lives the experiences of the student of medicine, and later the rigorous demands placed upon the surgeon-in-training. During the later descriptions of the private practice of brain and spinal surgery, the book transitions into an educational experience. It presents to the reader a multitude of neurological disorders requiring surgical treatment, the relevant surgical anatomy and the operative techniques involved. Often interjected are the intangibles of surgical judgment and philosophy when confronting those in pain or critically ill. Of equal importance were the major scientific advancements which occurred during that period of medical history. No longer did we have to bore a hole in the skull, or inject noxious materials into the head or spinal canal to verify a diagnosis. Rather, we had been privileged to enjoy the development of such remarkable machines as the ultrasound, CAT, and MRI. Descriptions of these devices, among others, and their impact on medical practice should prove interesting to the inquisitive reader. After 21 years in practice, and probably at the height of my career as a surgeon, I contracted hepatitis B subsequent to an accidental needle puncture in the operating room. Forced to lay down the scalpel, I turned to my second childhood dream, cattle ranching, as an alternative vocation. This then becomes a secondary focus of the book. A medical colleague, after learning of my book, expressed an interest in learning the common denominator driving a man to both neurosurgery and ranching. One can summarize with the word, "counterpoise." I had always strived to achieve a balance between the in-hospital, academic, precision-oriented work of the neurosurgeon and the outdoor, physically-demanding life of a rancher consummating the total American dream. Analogous to surgery I have always enjoyed using my hands in the shop. Throughout the book sections have been devoted to various aspects of woodworking, and an effort not only to share my enthusiasm but also to expose underlying problems and pitfalls; challenges I have encountered in striving to become an artisan of fine furniture. The practice of medicine has undergone significant change during my lifetime. Not only have I witnessed a burgeoning, unsustainable increase in the cost of healthcare, but also major changes in the way in which medicine is being practiced in the new millennium. Having been a proud product of the "Lucky Few" generation, born between the years 1929 and 1945, I am rightfully able to compare today's practice of medicine with those of the latter half of the 20th century.

This is a true story of how a seizure helped doctors discover two dangerous brain aneurysms and repair them before major disaster occurred in my life. The purpose of this little booklet is to encourage and bless anyone going through hard times.

Business tycoon, Marine, husband, father, pilot; Harold Holder nearly had his life extinguished by a silent monster building within his skull. Originally misdiagnosed as bacterial pneumonia, Holder's actual injury and ensuing surgery carry a mortality rate of more than 50%. His neurosurgeon would later tell him it was the worst he had ever seen. Compiled from a detailed journal that physical therapists encouraged Holder to write throughout his recovery, Please Leave the Lights On is a story of dramatic recovery fueled by personal drive and desire. Waking up immobile on a hospital bed deep within the Intensive Care Unit, Holder struggled to determine how much of his mental function remained post-surgery. Unable to test his physical abilities, he exercised his mental capacity by running cherished memories through his mind, attempting to remember specific names, places and dates. On the brink of death, Holder fought to regain his health during turbulent economic times when crooked bankers and lawyers threatened to take advantage of his injury and dismantle his empire. One incremental step at a time, Holder began to make progress in restoring his health, his business and his life-proving that recovery is possible even under the most trying circumstances.

Many of the earliest books, particularly those dating back to the 1900s and before, are now extremely scarce and increasingly expensive. We are republishing these classic works in affordable, high quality, modern editions, using the original text and artwork.

Considerable impetus was given to the study and understanding of cere- brovascular anatomy by Thomas Willis and his contemporaries in the seventeenth century, yet almost two hundred years were to pass before further significant advances were made in this field. Then, from the mid- nineteenth century onwards, the dark ages of cerebrovascular research gradually lifted through the efforts of such workers as Luschka, Heubner, and Windle, whose pioneering anatomieal studies formed the basis of the present-day understanding of the morphology of the cerebral circulation. The turn of the century saw an increasing influence of the early neurolo- gists in describing anatomy of cerebral vesseis in relation to their areas of distribution and to the production of focal deficits through specific vascu- lar lesions and anomalies. Later stiil, Padget and others made important observations concerning phylogenetic and developmental aspects of the cerebral circuIation. These anatomieal and dinieaI studies were remarkable enough but the real breakthrough in investigating cerebral pathophysiology and in devis- ing appropriate corrective neurosurgical procedures had to await the re- markable advances in technology of the past fifty years. These began with the advent of cerebral angiography with all its subsequent refinements and progress has been accelerated through estabIishing noninvasive Doppler and high resolution ultrasound imaging techniques, methods for the accu- rate measurement of cerebral blood f1ow, CT seanning, PET seanning, and, most recently, imaging and metabolic NMR seanning.

Neurosurgery is a rapidly developing and technically demanding branch of surgery that requires a detailed knowledge of the basic neuro-sciences and a thorough clinical approach. The Oxford Textbook of Neurological Surgery is an up-to-date, objective and readable text that covers the full scope of neurosurgical practice. It is part of the Oxford Textbooks in Surgery series, edited by Professor Sir Peter Morris. The book is split into 20 overarching sections (Principles of Neurosurgery, Neuro-oncology of Intrinsic Tumours; Extra-axial Tumours and Skull Lesions; Cerebro-Pontine Angle Tumours; Sellar and Supra-Sellar Tumours; Posterior Fossa Tumours; Pineal tumours; Uncommon Tumours and Tumour Syndromes; Neurotrauma and Intensive Care; Vascular Neurosurgery; Principles of Spinal Surgery; Spinal Pathology; Spinal Trauma; Peripheral Nerve Surgery; Functional Neurosurgery; Epilepsy; Paediatric Neurosurgery; Neurosurgery for Cerebrospinal Fluid Disorders and Neurosurgical Infection). Each section takes a dual approach with, 'Generic Surgical Management' chapters that focus on specific clinical problems facing the neurosurgeon (e.g. sellar/supra-sellar tumour, Intradural Spina Tumours etc.) and 'Pathology-Specific' chapters (e.g. Glioma, Meningeal Tumours, Scoliosis and Spinal Deformity, Aneurysm etc.). Where appropriate, this division provides the reader with easily accessible information for both clinical problems which present in a regional fashion and specific pathologies. The generic chapters cover aspects such as operative approaches, neuroanatomy and nuances. Specifically each chapter in the book incorporates several strands. Firstly the fundamental neuroscience (anatomy, pathology, genetics etc.) that underlies the clinical practice. Secondly, a review of the requisite clinical investigations (e.g. angiography, electrodiagnostics, radiology). Thirdly, a thorough evidence based review of clinical practice. Following this a consideration of the key debates and controversies in the field with 'pro-' and 'con-' sections (e.g. minimally invasive spine surgery, microsurgical treatment of aneurysms) is provided. A summary of the key papers and clinical scales relevant to neurosurgery form the concluding part. The book is a 'one-stop' text for trainees and consultants in neurosurgery, residents, those preparing for sub-specialty exams and other professionals allied to surgery who need to gain an understanding of the field. It acts as both a point of reference to provide a focussed refresher for the experienced neurosurgeon as well as a trusted training resource.

This is an EXACT reproduction of a book published before 1923. This IS NOT an OCR'd book with strange characters, introduced typographical errors, and jumbled words. This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process. We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide. We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book.

Presents evidence-based information on idiopathic scoliosis treatment and outcomes Based on over a decade of research and observation conducted by the members of the Harms Study Group and other spinal deformity experts from around the world, this must-have clinical reference provides focused coverage of the most current evaluation and treatment guidelines for idiopathic scoliosis. It draws on case studies to guide readers through specific surgical and nonoperative approaches to the multiple types of adolescent idiopathic spinal deformity, including practical information on the rationale for each approach, techniques, and results. Features: In-depth information culled from vast clinical data of world-renowned experts in the Harms Study Group Curve assessment and treatment recommendations listed by curve type and pattern - Comprehensive discussion of pathogenesis and epidemiology, osteobiologics for spinal fusion, anesthesia for scoliosis surgery, surgical complications, and more Chapters on key treatment decisions, such as the selection of fusion levels, that teach readers how to critically address clinical questions More than 600 high-quality illustrations, including numerous full-color clinical photographs, detailed line drawings, and complementary high-resolution radiographs This state-of-the-art text is ideal for orthopaedic surgeons, neurosurgeons, and spine fellows, and is an invaluable companion for any practitioner involved in the surgical and nonsurgical care of patients with spinal deformity.

Paediatric patients with neurological problems are a special population. Managing these patients requires special anaesthetic considerations and a detailed book is much needed. This book is a comprehensive reference book and includes topics ranging from basic sciences (neuroanatomy, neurophysiology, and neuropharmacology) to special situations such as brain death, ethical issues, and palliative care. Besides the chapters dealing with various neurological surgical problems, there is a dedicated section on common procedures performed on paediatric patients in the operation theatre and ICUs, such as insertion of venous cannula, arterial line, central line, etc., all of which are challenging. This section is supported by tutorial videos. The fact that basic sciences are included along with clinical sciences makes it unique and helpful for the readers.

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.

This is a reproduction of a book published before 1923. This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process. We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide. We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

Adriaan Liebenberg returns following the success and critical acclaim of Neurosurgery for Basic Surgical Trainees, Neurosurgery Explained and Neurosurgery Lecture Notes. This fourth book continues to bring neurosurgery in an accessible format to the wider audience. Neurosurgery encompasses a wide spectrum and many GP's face neurosurgical pathology on a daily basis. This book explains the basic pathology, deals with referrals to neurosurgery and has a useful spectrum of images and scans. A must have for every GP's practice.

This practical guide for trainees and advanced practice providers covers the essential management of hospitalized patients with acute neurologic conditions. Divided into five sections, this text serves as an incredibly easy-to-use, visually accessible, how-to manual that covers exactly what every responding clinician needs to know to care for the patient in front of them. The first section provides tangible guidance about how to pre-round, structure a presentation, examine neurologically ill patients, and interpret the core diagnostics obtained in many neurology patients: CT, MRI and EEG. The next three sections cover common complaints encountered in the hospital: spanning from non-vascular admissions, vascular & stroke neurology topics, and core neurocritical care principals and chief complaints. Throughout are checklists, scoring systems, pro-tips, images, helpful reminders, as well as concise summary of the pertinent literature. This is an ideal guide for medical students, neurology & neurosurgery trainees and advanced practice providers, as well as experienced professionals who want to brush up on the latest updates.

This is an open access proceeding book of 9th European-Japanese Cerebrovascular Congress at Milan 2018. Since many experts from Europe and Japan had very important and fruitful discussion on the management of Cerebrovascular diseases, the proceeding book is very attractive for the physician and scientists of the area.

This book aims to cover the majority of neurovascular diseases and management. The first section reviews neurovascular anatomy, the basics of angiography, and the basics of craniotomies for neurovascular diseases. Next, an entire section is devoted to intracranial aneurysms, covering the natural history, subarachnoid hemorrhage, endovascular management, microsurgical management, and vasospasm. Following this, a number of chapters are devoted to stroke including natural history, mechanical thrombectomy, intracranial stenosis, Moyamoya disease, bypass surgery, vertebrobasilar insufficiency, intracerebral hemorrhage, sinus thrombosis, and the surgical and endovascular management of extracranial carotid disease. Next, the text covers vascular malformations including arteriovenous malformation, arteriovenous fistulas, carotid cavernous fistulas, vein of Galen malformations, spinal malformations, and cavernous malformations. Finally, the book discusses a few miscellaneous topics including more recent advances in neurovascular care such as venous sinus stenting for idiopathic intracranial hypertension and middle meningeal artery embolization for subdural hematoma. Written by experts in the field, Introduction to Vascular Neurosurgery provides a comprehensive summary of neurovascular disease and management. The book can be used as a daily reference and serves as a trusted resource for medical students, residents, fellows, and young attendings.

Neurosurgery Lecture Notes is written with the aim to be a broad perspective containing all the important facts contained in exam questions in a clear, concise and friendly manner. The authors have a well established history of teaching and Lal Gunasekera has trained several generations of young aspiring surgeons. Adriaan Liebenberg has penned two other successful textbooks in neurosurgery (Neurosurgery for Basic Surgical Trainees, Hippocrates Books and Neurosurgery Explained, Vesuvius Books). Together with help from Andreas Demetriades they have created a book that has application not just in the class room but also in clinical attachments. The chapters on imaging, theatre and ICU are designed to be detailed to a level not seen in books this size to enable a clinical attachment to be of more value. There are 134 high quality line drawings and scans to support the text to give a work of remarkable quality and simplicity.

Endovascular intervention - using medication and devices introduced through catheters or microcatheters placed into the blood vessels through a percutaneous approach - has emerged as a relatively new minimally invasive approach to treat cerebrovascular disease and possibly intracranial neoplasms. This textbook provides a comprehensive review of principles pertinent to endovascular treatment of cerebrovascular diseases and intracranial tumors, with a detailed description of techniques for these procedures and periprocedural management strategies. Particular emphasis is placed on expert interpretation of the quality of evidence provided and implications for practice related to endovascular procedures. This will be essential reading for clinicians working in interventional neurology and cardiology, endovascular neurosurgery, vascular surgery and neuroradiology.