Textbook of Epilepsy Surgery" "covers all of the latest advances in the surgical management of epilepsy. The book provides a thorough understanding of epileptogenic mechanisms in etiologically different types of epilepsy and explains neuronavigation systems. It discusses new neuroimaging techniques, new surgical strategies, and more aggressive surgical approaches in cases with catastrophic epilepsies. The contributors also analyze the improved statistics of surgical outcome in different epilepsy types.

The book follows a systematic approach to the diagnostic evaluation of patients who are candidates for epilepsy surgery. It first discusses the general principles of surgery, and then describes the presurgical evaluation according to the six zones (symptomatogenic, irritative, ictal onset, epileptic lesion, functional deficit, and epileptogenic zone). This series of chapters concludes with the description of the Epilepsy Surgery Management Meeting, an essential and indispensable part of the surgical evaluation.

The book next incorporates detailed discussions of the cortical mapping techniques and the numerous surgical techniques. This is followed by the post-surgical medical management and a discussion of the surgical outcome. Finally, selected case studies are presented, along with protocols for the storage and processing of brain tissue for molecular studies. This definitive textbook is an invaluable reference for neurologists, neurosurgeons, epilepsy specialists, and those interested in epilepsy and its surgical treatment.

A complete guide to improving stroke treatment and patient outcomes from international experts! Of the more than 795,000 estimated strokes that occur annually in the U.S., 87% are ischemic due to blockages, while the remaining 13% are hemorrhagic associated with spontaneous bleeding in the brain. Ischemic Stroke Management: Medical, Interventional and Surgical Management by esteemed neurosurgeons Alejandro Spiotta, Roberto Crosa, and an impressive group of international contributors details evidence-based medical, interventional, and neurosurgical treatment of ischemic stroke. Twelve chapters cover complete management of ischemic stroke, from symptom manifestation to interventions in the ER, OR, and NICU. The first chapters cover stroke epidemiology, intravenous thrombolysis in stroke, and the crucial role stroke centers play in ensuring timely treatment of this devastating disease. Subsequent chapters discuss diagnostic imaging techniques in acute ischemic stroke, neurosurgical interventions for hemorrhagic and ischemic stroke, and neuroanesthesia considerations. Key Features With contributions from South America to Europe, North America to Asia, authors share diverse experiences treating stroke patients, delivering a unique international perspective Endovascular neurosurgery ischemic stroke approaches and discussion of scientific evidence Mechanical thrombectomy utilizing Catch, Trevo, and Solitaire stent retrievers and the evolution of direct clot aspiration approaches Special topics include neurocritical care of acute ischemic stroke, pediatric stroke, and emerging state-of-the-art techniques Truly global viewpoints encompassed in this unique book make it a must-read for trainee and veteran neurosurgeons and interventional neuroradiologists across the world. This resource is also an essential bookshelf addition for medical centers worldwide that treat stroke patients. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This book serves as an anatomic atlas of the nerves that innervate the joints of the human body in a format that also provides technical insight into pathways that both interventional pain management and surgical subspecialists can use to denervate those painful joints when traditional approaches to manage the pain are no longer successful. This book avails the knowledge of how denervation can relieve joint pain available to the many groups of physicians who care for this problem. Each chapter is devoted to a joint and reviews the neural anatomy as it relates to the clinical examination of the patient. Chapters are user friendly and provide details on the indicated nerve blocks and the clinical results of partial joint denervation. Clinical case studies also serve as a helpful guide in each chapter. Extensive intra-operative clinical photographs and photographs from new prosections provide examples to guide those physicians providing care to the patients with joint pain. Joint Denervation: Anatomic Atlas of Surgical Technique should be of interest to surgical subspecialists from Neurosurgery, Plastic Surgery, Hand Surgery, Orthopedic Surgery, Podiatric Foot & Ankle Surgery, and Oral & Maxillofacial Surgeons. It may also interest those physicians trained in Anesthesia, Radiology, and Physical & Rehabilitation Medicine for their evaluation and treatment protocols using hydrodissection, cryoablation and pulsed radiofrequency approaches to pain.

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.

An exquisitely illustrated guide to AVMs Honorable Mention at 2015 PROSE Awards! This sequel to Dr. Lawton's best-selling Seven Aneurysms focuses on microsurgical resection techniques for AVMs found in the lobes and deep regions of the brain. It categorizes the techniques into subtypes to simplify the broad spectrum of brain AVMs neurosurgeons may encounter. The book is organized into three sections: The Tenets, which establishes eight steps for AVM resection; The Seven Arteriovenous Malformations, which describes the anatomical terrain and surgical strategies for thirty-two AVM subtypes; and The Selection section, in which Dr. Lawton discusses what he believes to be the keys to successful AVM surgery: good patient selection and best application of multiple treatment modalities. Key Features: Includes more than 700 spectacular full-color illustrations developed exclusively for this book Creates a system for conceptualizing and approaching AVMs Illustrates a stepwise process for AVM resection using strategic "battle plans" Summarizing the common AVMs encountered in practice, neurosurgeons and neurosurgical residents will find this hybrid atlas-text to be an essential part of their armamentarium.

In 1910, L'Espinasse performed the first neurosurgical endoscopic procedure for choroid plexus electrocoagulation in an infant with hydrocephalus, by use of a cystoscope. One infant was successfully treated. Walter Dandy used an endoscope to perform an unsuccessful choroid plexectomy in 1922. The next year, Mixter, using a urethroscope, performed the first successful endoscopic third ventriculostomy in a 9-month-old girl with obstructive hydrocephalus. In 1935, Scarff reported his initial results about endoscopic third ventriculostomy using a novel endoscope. His ventriculoscope had an irrigation system to prevent intraventricular collapse and was equipped with a flexible unipolar probe. In 1952, Nulsen and Spitz began the era of ventricular cerebrospinal fluid (CSF) shunting, marking the end of the initial era of neuroendoscopy. This dark period for neuroendoscopy continued until 1970s. However, in this period image capabilities of endoscopes improved with technological developments. In 1978, Vries demonstrated that ETVs were technically feasible using a fiberoptic endoscope to treat patients with hydrocephalus. In 1990, Jones and colleagues described a 50% shunt-free success rate for ETV in 24 patients with various forms of hydrocephalus. Four years later, the same group reported an improved success rate of 61% in a series of 103 patients. Currently, ETV is primarily used to treat obstructive hydrocephalus due to benign aqueductal stenosis or compressive periaqueductal mass lesions. Modern shunt-free success rates range from 80 to 95%. The field of neuroendoscopy has extended beyond ventricular procedures. The endoscope is currently used for all types of neurosurgically treatable diseases such as obstructive hydrocephalus, various intraventricular lesions, hypothalamic hamartomas, craniosynostosis, skull base tumors, and spinal lesions and rare subtypes of hydrocephalus. With the evolution of surgical techniques, endoscopy has emerged as a suitable alternative to many instances of more invasive methods. Surgeons using a neuroendoscope can perform many complex operations through very small incisions. Nowadays, neurosurgeons prefer neuroendoscopic surgery for many different lesions because of less damage to healthy tissue, low complication rate and excellent results. Neuroendoscopic surgery is a specialty within neurosurgery and requires a neurosurgeon to undergo specialized training. In this book, we focused on neuroendoscopic procedures and challenges. We have created this book with the hope that it can be a guide for neurosurgeons who are interested in neuroendoscopic interventions.

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.

Featured as a single volume, this is a comprehensive guide to possible nerve entrapment syndromes and their management. Each chapter covers a single nerve, or group of closely related nerves, and goes over the clinical presentation, anatomy, physical exam, differential diagnosis, contributing factors, injection techniques, neurolytic/surgical techniques, treatments of perpetuating factors, and complications. Nerve entrapments can occur throughout the body and cause headaches, chest pain, abdominal pain, pelvic pain, low back pain, and upper and lower extremity pain. As an example, one of the most common forms of nerve entrapment syndrome, Carpal Tunnel Syndrome, affects roughly 1 in 20 people in the United States, and is only one of several types of entrapment syndromes possible for the median nerve. Chapters are also extensively illustrated and include 3D anatomical images. The additional online material enhances the book with more than 50 videos - at least 2 for each nerve. This enables readers to easily navigate the book. In addition to a conventional index it includes a "Pain Problems Index" for searching by symptom. Peripheral Nerve Entrapments: Clinical Diagnosis and Management is a long-needed resource for pain physicians, emergency room physicians, and neurologists.

A unique, visually appealing, and easy-to-read guide on spinal anatomy, pathology, and management The management of patients with spinal conditions involves a team-based approach, with professionals and trainees contributing through their respective roles. As such, medical trainees need resources that enable them to quickly and adeptly learn spine "basics," such as performing spinal examinations. This handbook is a concise, compact guide on key principles of spine surgical knowledge — from the atlanto-occipital joint to the coccyx. It provides both professionals and medical trainees with user-friendly, insightful text gleaned from the hands-on insights of seasoned spinal surgeons. Core fundamentals cover spine anatomy, clinical evaluations, spine imaging, diagnostic spine tests, and select spine procedures. Common surgical approaches are delineated in succinct bulleted text, accompanied by case studies and radiographic pathology. This format is conducive to learning and provides an ideal spine surgery review for medical students, postgraduate trainees participating in spine rotations, and residents. Key Highlights The only book on spinal pathology and management created with contributions from medical students and residents High-impact citations and questions at the end of each chapter highlight key topics Detailed drawings, diagrams, radiographic images, and MRIs elucidate and expand upon chapter topics Tables provide a quick reference, with concise information including impacted anatomy, nerves, and procedural maneuvers utilized in exams Spine Essentials Handbook: A Bulleted Review of Anatomy, Evaluation, Imaging, Tests, and Procedures is a must-have resource for orthopaedic and neurosurgery residents and medical students. It will also benefit physiatrists, spine practitioners, orthopaedic and neurosurgical trainees and nurses, and chiropractors. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This book introduces the latest advances relating to the pathophysiology, biophysics, monitoring and treatment of traumatic brain injury, hydrocephalus, and stroke presented at the 16th International Conference on Intracranial Pressure and Neuromonitoring (the "ICP Conference"), held in Cambridge, Massachusetts, in June 2016 in conjunction with the 6th Annual Meeting of the Cerebral Autoregulation Research Network. Additionally, the conference held special sessions on neurocritical care informatics and cerebrovascular autoregulation. The peer-reviewed papers included were written by leading experts in neurosurgery, neurointensive care, anesthesiology, physiology, clinical engineering, clinical informatics and mathematics who have made important contributions in this translational area of research, and their focus ranges from the latest research findings and developments to clinical trials and experimental studies. The book continues the proud tradition of publishing key work from the ICP Conferences and is a must-read for anyone wishing to stay abreast of recent advances in the field.

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.

One-of-kind textbook provides comprehensive tutorial on cranial anatomy with step-by-step text and visuals Dissection in the anatomical laboratory is a mandatory component of training for neurosurgeons. Acquisition of highly technical skills is a long and arduous task, requiring knowledge of complex surgical anatomy and basic steps for single surgical approaches. Unlike dense textbooks, Operative Cranial Neurosurgical Anatomy by Filippo Gagliardi, Cristian Gragnaniello, Pietro Mortini, and Anthony Caputy provides readers with a user-friendly tutorial on cranial approaches, clearly delineated through concise written instructions and serial images. Essential procedural aspects are discussed in 53 chapters, starting with sections on pre-surgical training and planning, patient positioning, and basic techniques. Subsequent sections detail cranial approaches; transpetrosal approaches; endonasal, transoral, and transmaxillary procedures; vascular procedures; and ventricular shunts procedures. Surgical technique fundamentals and basic variants, including surgical anatomy and landmarks, are highlighted in 500 figures and illustrations. Key Features Summaries, graphics, and schematic drawings provide immediate access to salient information to utilize during surgical dissections and for surgical preparation A wide spectrum of cranial procedures covered in 23 chapters - from the precaruncular approach to the medial orbit and central skull base - to surgical anatomy of the petrous bone Diverse endonasal procedures including sublabial, transphenoidal, modified lothrop, odontoidectomy, and endoscopic endonasal transmaxillary Vascular procedures such as middle cerebral artery bypass and internal maxillary artery bypass This reader-friendly handbook is a must-have resource for every neurosurgical resident and an excellent refresher for all neurosurgeons. It will help residents and fellows optimize the time and quality of practical training in the cadaver lab, learn fundamental surgical techniques in cranial neurosurgery, and thoroughly prepare for cranial neurosurgical cases. This book includes complimentary access to a digital copy on https://medone.thieme.com.

As one of the world's leading brain surgeons, Dr Jandial is the last hope for many patients who have extreme forms of cancer - patients who can't be saved, but deserve more time. Life on a Knife's Edge is his account of the resilience, courage and belief he has witnessed in his patients, and the lessons he has learned from them. Both an unflinching account of extreme surgeries and a profound, moving and introspective memoir, this book reveals the depths of a surgeon's psyche who is pushed to his limits, day in, day out. From keeping a gun victim's heart pumping with his own hand, to saving a woman from paralysis and performing brain surgery while time is running out on a haemorrhaging patient, we see how making life and death decisions and facing unimaginable pressure has shaped one man's life. Now, he shares the many truths about human nature that he has learned along the way: from how we deal with trauma, loss and threat to our innate belief and sense of self. From a life spent balancing on the line between life and death, above all else he reveals what it really means to survive.