This textbook addresses the classical use of Transcranial Doppler (TCD) and Transcranial Color-Coded Duplex Sonography (TCCS), focusing on the usefulness of neurological monitoring beyond classical acute brain injuries present in the daily intensive care medical practice. It encompasses a wide range of critical pathologies where neurological impact is part of clinical evolution, offering practical approaches for managing, application and interpretation of neurosonology to assist the physician to making real-time individualized decisions at bedside. It is an academic guide developed and edited by international experts being a very useful resource in daily practice for intensivists, neurologists, neurosurgeons and other specialists involving in critical care.

An Hand eines Krankengutes von 422 klinisch beobachteten Patienten mit Glioblastomen wird die Semiologie dieses boesartigsten Hirntumors ana- lysiert. Es ergibt sich, dass Glioblastome beim mannlichen Geschlecht haufiger (60,6%) als beim weiblichen (39,4%) vorkommen. Sie finden sich in jedem Lebensalter, bevorzugen aber die 5. und 6. Lebensdekade. Sie sitzen haufiger in der dominanten als in der nicht dominanten Grosshirn- hemisphare. Glioblastome des Balkens und der Stammganglien sind viel seltener als Glioblastome der Grosshirnhemispharen. Lieblingslokalisationen sind das Stirn- und Schlafenhirn, gefolgt vom Occipitallappen. Die Krank- heitsentwicklung verlauft bei der grossen Mehrzahl der Patienten rasch und fuhrt 2 bis 3 Monate nach Beginn zur Behandlung. Die Symptomatologie wird vorwiegend von Kopfschmerzen, psychischen Veranderungen im Sinne eines organischen Psychosyndroms und Lahmungen beherrscht. Ausserdem spielt die symptomatische Epilepsie eine wichtige Rolle. Stauungspapillen finden sich nicht ganz bei der Halfte der Patienten. Die Blutsenkungs- geschwindigkeit war in einem Drittel der Falle erhoeht. Summary By means of records of 422 clinically observed patients with glioblastomas the semeiology of these malignant tumours was analysed. This analysis showed that males were affected more commonly (60,6%) than females (39,4%). They occur in all age groups but especially in the 5th and 6th decades. They aremorefrequent in the dominant hemisphere than in the non-dominant one. Glioblastomas of the brain stem and the basal ganglia are much rarer than in the cerebral hemi- spheres.

Die Orthopadische Kinderklinik Aschau - mit Herrn Dr. Doederlein an der Spitze - ist ein bekanntes und renommiertes Haus, wenn es um Kinder mit Infantiler Zerebralparese geht. Sein Expertenwissen vermittelt Dr. Doederlein mit der "Infantilen Zerebralparese", die nun in der 2. vollstandig uberarbeiteten und aktualisierten Auflage vorliegt. In die Behandlung von Patienten mit Infantiler Zerebralparese sind viele Berufsgruppen involviert. UEbereinstimmend setzen die Therapien an den Problemen mit den Bewegungsorganen an, die das Krankheitsbild pragen. Bewusst spricht Dr. Doederlein alle Berufsgruppen an, die an der Versorgung der Patienten beteiligt sind - er moechte die Entwicklung einer gemeinsamen Sprache foerdern. Das Buch vermittelt das Wesentliche einer zielgerichteten Diagnostik und der konservativen und operativen Therapie. Neben der vergleichenden Darstellung der normalen und der pathologischen Entwicklung werden Ursachen, Diagnostik und Klassifikation der Gangstoerungen beschrieben. Sie bieten Hilfestellung bei Entscheidungen in Bezug auf die Therapie. Neuestes aus der konservativen Therapie wird vorgestellt und die Operationen sind ausfuhrlich beschrieben und bebildert. Einige Operationsdarstellungen sind fur Elterngesprache gedacht, um an Hand der Bilder erklaren zu koennen, was wie und warum operativ gemacht wird.

The book, in its second edition, is devoted to the neurosurgical management of spasticity and focal dystonia. Starting with a chapter on the anatomical and physiological bases of spasticity and a short history of its neurosurgical treatment, it describes the neurosurgical methods currently available. As management differs between adults and children, the book is also structured accordingly, including evaluation, decision-making, Intrathecal Baclofen therapy (ITB), Botulinum toxin therapy and Surgery. The large spectrum of scales for assessing hypertonia, spasticity, dystonia, contracture and joint/bone deformities, as well as the scoring systems for quantifying functional abilities are critically reviewed. Beyond ITB, the neurosurgical options covered include the microsurgical procedures focusing on the peripheral nerves, dorsal roots, Dorsal Root Entry Zone and spinal cord, and their intra-operative monitoring. In this second edition, the orthopedic surgical interventions available will take a large place, either as alternative solutions , or even better as important complements after spasticity be solved by the neurosurgical treatments. Based on surgical experience collected with more than a thousand and eight-hundred patients, the book gathers the most important aspects of our present understanding, presented using a practical, educational approach. It stresses the importance of a multidisciplinary approach, including neurologists, pediatricians and rehabilitation specialists. Close collaborations with other surgical disciplines like orthopedic surgery and neuro-urology are outlined.

Unique resource from internationally renowned experts details the key role of sagittal spine balance Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to various spinal pathologies. Sagittal Balance of the Spine by Pierre Roussouly, Joao Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen, and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven sections and 24 chapters. Key Highlights The biomechanics of sagittal balance including spine modeling, primary parameters, spinal curves segmentation, and lumbar lordosis classification The role of sagittal balance in low back pain and degeneration, with discussion of spinal orientation and the contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms Comprehensive analysis of the relationship between sagittal imbalance and isthmic lysis spondylolisthesis, degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis Posterior and anterior treatment approaches - from spinal fixation and spinal fusion - to spinal osteotomy techniques and management of surgical failure This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes. This book includes complimentary access to a digital copy on https://medone.thieme.com.

A case-based guide to the interventional management of stroke from leading international experts! Stroke is the most prevalent cerebrovascular emergency, impacting an estimated 15 million people worldwide every year. Endovascular treatment (EVT) of ischemic stroke has expanded at an unforeseen pace, with EVT the most common neurointerventional procedure performed at most large centers. Endovascular Management of Ischemic Stroke: A Case-Based Approach by renowned stroke pioneer Vitor Mendes Pereira and distinguished co-editors features contributions from a "who's who" of global experts. This practical resource provides straightforward guidance for clinicians who need to learn and master state-of-the-art endovascular interventions reflecting the new, evidenced-based treatment paradigm for acute stroke. This carefully crafted reference takes readers on a journey from the early building blocks that led to modern stroke interventions to meticulous step-by-step descriptions of the latest approaches. Fifty high-yield cases mirror real-life scenarios trainees and professionals are likely to encounter in clinical practice. Seven sections encompass a full spectrum of diverse patient presentations, anatomical variations, advanced techniques, complex pathologies, complications, and stroke mimics. Key Highlights Discussion of emerging techniques likely to stand the test of time such as SAVE, ARTS, transradial access, and transcarotid access Stroke mimics important for differential diagnoses, including hemiplegic migraine, MELAS, RCVS, seizure, and more An appendix that covers fundamental terms, trials, and tools   This cutting-edge resource is essential reading for trainee and early-career interventionalists, as well as seasoned practitioners in interventional radiology, neuroradiology, endovascular neurosurgery, and interventional neurology. This book includes complimentary access to a digital copy on https://medone.thieme.com.

There currently is a clear tendency to an increasing number of accidental injuries in elderly people, in sport injuries and car crashes also in countries which recently joined the European Union and candidates to join the European Union. Patients expect very good functional results even after serious injuries. But in contrast to this development, Trauma Surgery as an independent field, is not yet established in all European countries. Therefore, it seems mandatory to compile a book that covers the state-of-the-art in Trauma Surgery. The book also serves to harmonise the practice of Trauma Surgery within the European Union, and to prepare for the exam of the U.E.M.S.

Surviving Neurosurgery: Vignettes of Resilience is a practical guide to the inner workings of the lives of neurosurgeons, healthcare partners, and patients. To this end, this text serves as a first-hand documentary of the unique challenges faced as one progresses through their career. It is a snapshot in time capturing the experiences of both patients and providers. The text is divided into seven parts that run the gamut of a neurosurgeon's career symbolic of the seven years of neurosurgical training. These narratives include, but are not limited to, residency challenges, surgical nuances, research and funding, embracing humanity, patient experiences, and overcoming hurdles along the journey. Chapters share the wisdom and experiences of over 100 authors consisting of patients, trainees, advanced practice providers, and attending neurosurgeons.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

This didactic book clearly and systematically describes the anatomical-surgical fundamentals of cranial neurosurgery, relating them to norm variants, imaging modalities and interdisciplinary aspects. All illustrations, hand drawn in ink by the first author, are simple and self-explanatory. The book reflects the first author's lifetime experience as an academic neurosurgeon and teacher, as well as the second author's theoretical and practical knowledge of neurosurgical subspecialties such as epilepsy surgery. In addition to its core audience in neurosurgery, it provides all connected disciplines, in particular neuroradiology, neurology, neuropathology, ENT surgery, maxillofacial surgery and eye surgery, with unique anatomical insights into the neurosurgeon's perspective.

This highly illustrated book explores the pathological and radiological diagnosis of various brain tumors. Featuring nearly 500 high-quality colored images, it covers MR images, intra-operative squash cytology, histopathology and immunohistochemistry microphotographs of various brain and spine tumors, including differential diagnosis, as well as the molecular diagnosis and prognosis of each tumor. The book also presents case studies of typical and rare presentations, and introduces readers to a new procedure for intra-operative cytology: the modified fields stain, which stains the slide within 2 minutes, allowing quick, accurate reporting. This book uses concise text and a consistent point-wise format that makes reading and reviewing easy. The radiological and pathological correlates of brain and spine tumors serve as a ready-reference resource for residents, surgical and neuropathologists, neuroradiologists, neurosurgeons, neuro-oncologists and research scientists.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Nowadays, neurovascular diseases represent a field of enormous interest in clinical and surgical areas because of their complex management and recent advances about surgical and endovascular techniques. The difficult decision-making process at the base of these pathologies comprehends a wide series of treatment options which ought to be mastered by all the specialists facing the neurovascular pathology. This book addresses every aspect of the most common neurovascular diseases, as intracranial aneurysms, brain and spinal cord AVMs and cavernous angiomas, cranial and spinal dural arteriovenous fistulas, as well as spontaneous cerebral haemorrhages. It also focuses on the newer technologies regarding the intraoperative imaging of the cerebral blood flow. A large part is dedicated to the surgical approaches, but also tips and tricks of the management of these complex pathologies, presented by expert and world-renowned neurosurgeons, neuroradiologists and other specialists. The first section reviews the anatomy of the skull base, cranial and spinal cord vasculature. The second analyses in detail the diagnosis, decision-making process, preoperative evaluation and surgical planning of the most common surgical neurovascular diseases. The third reports the most common surgical approaches employed for cranial neurovascular diseases, whereas the fourth miscellaneous section is mainly dedicated to the peculiar aspects regarding the management of giant and complex aneurysms, endovascular techniques, and also the role of radiosurgery for specific intra-axial vascular lesions. A further chapter describes the technical aspects regarding the use of indocyanine green and fluorescein videoangiography during neurovascular surgery. The main valuable strengths of this book lie in its case-based conception and wide number of coloured figures, tables and treatment algorithms. In its structured organization, this book serves as a practical case-based guide for neurosurgeons, neurologists, neuroradiologists, residents, fellows, physicians and medical students involved in the field of neuroscience. The book enables all these specialists to gain high-value insights into the preoperative evaluation, planning, surgical techniques, pitfalls, prevention and management of complications of the surgical neurovascular pathology. Thanks to the contribution of different world-renowned neurosurgeons, neuroradiologists and experts, this book also promotes an updated overview of the most recent advances in neurovascular and neuroendovascular surgery, at the same time encouraging an interdisciplinary approach.

An invaluable primer on the surgical and nonsurgical treatment of aging patients with spine conditions The growing population of people aged 65 and older has significant implications for health care systems and spine care providers. Older patients today demand interventions that enable them to return to a functional lifestyle. Treatment of degenerative spine disease in aging adults requires in-depth understanding of changes in physiology, biomechanics, function, and modifiable risk factors. Equally important, providers need to listen to patients, diagnose thoughtfully, learn about the person's goals, and teach them in plain language about the risks, alternatives, and expectations of treatment options. This foundation is critical to developing informed patient-centered treatment plans to improve outcomes. Spine Surgery in an Aging Population by Nathaniel Brooks, Andrea Strayer, and a cadre of global contributors reflects a rich array of expertise. With multidisciplinary contributions from renowned specialists in neurosurgery, orthopaedic surgery, geriatrics, and rehabilitation, the book provides invaluable insights on caring for aging adults with degenerative spine disease. Throughout 21 chapters, readers are provided with key concepts, expert knowledge, and effective management strategies to avoid complications and improve outcomes for older adult spine patients. Key Highlights Diagnosis and treatment of osteoporosis to help prevent fractures and optimize treatment approaches prior to elective surgery Management of common pathologies of the aging spine such as cervical spondylosis, lumbar stenosis, spondylolisthesis, degenerative scoliosis and trauma Special topics include value-based care, nonsurgical management of spinal pain, vertebral augmentation, minimally invasive surgery, and instrumentation considerations This one-stop compendium is essential reading for orthopaedic and neurosurgical residents and fellows, as well as veteran surgeons and allied health providers who care for older adults with spine conditions. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Goodman's Neurosurgery Oral Board Review educates and prepares neurosurgery candidates who are studying for the Neurosurgery Oral Board exam, the final step prior to board certification. It also serves as a primer for the Goodman oral board course, a bi-annual course sponsored by the AANS. The book begins by initially describing the format of the oral board exam. It then examines some of the concepts and techniques in the question-answer process that forms the major premise of the oral board exam. Each chapter contains 4-7 case presentations, which are organized similarly to how oral board questions are presented, with a brief history / physical and relevant imaging studies. The authors provide detailed analysis of these cases, as well as key references for each case with the salient conclusions from each referenced paper. While there are a few books that cover the board exams, none of them are specifically designed as case-based resources for oral board exam preparation. Goodman's Neurosurgery Oral Board Review focuses specifically on the oral board exam, and has been updated for this new edition to reflect the most recent (post-2017) style board. This review is an ideal resource for neurosurgeons who are preparing for the oral board, and is also very appropriate for those who are trying to maintain competence in neurosurgery.

The aim of this book is to educate and train practitioners in the safe and professional use of diagnostic ultrasound imaging in the visualization and interpretation of various cerebral conditions not only in neurointensive care, but also in the operating room and, in general, cardiothoracic and neurocritical care settings. It is chiefly intended for anaesthetists and intensivists with a basic knowledge of ultrasound physics, but also for neurosurgeons and neurologists. All chapters were coordinated by the Editors, with experiences in hands-on courses on Echography and Doppler of the Brain, and prepared by international experts. The book covers from basic principles to estimation of intracranial pressure and cerebral perfusion. The topics cover emergency department and prehospital brain US as part of POCUS and US multiorgan evaluation to general intensive care, neurointensive care and anesthesia, including special populations as pregnant and children and setting as LMIC. Clinical scenarios complete the book. An innovative and unique guide that equips readers to perform bedside and non-invasive assessments for a range of cerebrovascular diseases.

This book presents the essential steps involved in diagnosing and treating pain due to peripheral nerve injury and compression. In the first chapter, the relevant anatomy and diagnostic tools to identify peripheral-nerve-related issues are described. The main part of the book, however, deals with the surgical techniques to address specific types of peripheral nerve pain, e.g. neuroma, thoracic outlet or migraine. A step-by-step, practical approach is provided, including important aspects to consider both pre- and post-op. The procedures presented are minimally-invasive and maximally effective. Each chapter features detailed surgical illustrations and anatomical images. Chronic pain control is a growing need and minimally invasive yet effective surgical techniques, combining the competences of neurosurgery, plastic surgery, orthopedics, general surgery, pain management and neurology are in high demand. The increasing demand on the part of patients suffering from neuropathic pain is to date not matched by adequate practical training in peripheral nerve surgery to control pain. The authors are experts in this discipline "from head to toe" and present a valuable guide that provides medical students and experienced clinicians alike with useful information for their daily practice.