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Advances and Technical Standards in Neurosurgery - Volume 34 (Paperback, Softcover reprint of hardcover 1st ed. 2009)
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Advances and Technical Standards in Neurosurgery - Volume 34 (Paperback, Softcover reprint of hardcover 1st ed. 2009)
Series: Advances and Technical Standards in Neurosurgery, 34
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Advances and Technical Standards in Neurosurgery was conceived in
1972byitsfoundingfathersJeanBrihaye,BernardPertuiset,FritzLoew
andHugoKrayenbuuhlatacombinedmeetingoftheItalianandGerman
NeurosurgicalSocietiesinTaormina. Itwasdesignedtocomplementthe
Europeanpost-graduatetrainingsystemforyoungneurosurgeonsandwas ?rst
published in 1974 initially through sponsorship by the European
AssociationofNeurosurgicalSocieties. Allcontributionshavebeenp-
lishedinEnglishtofacilitateinternationalunderstanding.
Theambitionofallsuccessiveeditorialboardshasbeentoprovidean
opportunityformaturescholarshipandre?ection,notconstrainedbyar-
?ciallimitsonspace. Theseriesprovidesaremarkableaccountofprogress
overthepast35years,bothwithregardtoadvances,detaileddescriptions of
standard operative procedures and in- depth reviews of established
knowledge. Thepresentvolumeisnoexceptionandshouldappealtoboth
experiencedneurosurgeonsandyoungneurosurgeonsintrainingalike.
TheEditors Contents Listofcontributors...XIII Advances Present and
potential future adjuvant issues in high-grade astrocytic glioma
1,2 1 1 2 1 treatment. F. LEFRANC ,M. RYNKOWSKI,O. DEWITTE,andR.
KISS, Department
ofNeurosurgery,ErasmeUniversityHospital,FreeUniversityofBrussels(U.
L. B. ), 2 Brussels,Belgium,
LaboratoryofToxicology,InstituteofPharmacy,FreeUniversity
ofBrussels(U. L. B. ),Brussels,Belgium Abstract...4
Introduction...5
Naturalresistanceofmigratingmalignantgliomacellstoapoptosis
(radiotherapyandchemotherapy)...6 Patternsofcelldeath...8
Autophagy:apotentialTrojanhorseformalignantgliomas...11
Therapeuticbene?tsoftemozolomide...13
Localtherapiesforglioblastomas...15
Ongoingclinicaltrialsforglioblastomas...16
Growthfactorreceptorinhibitors ...17 PI3K=Akt,mTORandNF-
Binhibitors...17 Matrixmetalloproteinase(MMP)inhibitors(MMPI)...18
Angiogenesistargeting ...19 Cellularandvaccinationtherapies...20
Genetherapy...20
Reducingmalignantgliomacellmotilityinordertorestore
pro-apoptoticdrugsensitivity...20
Thesodiumpumpconstitutesapotentialtargettocombat
malignantgliomas...21 Thesodiumpump...22
Cardiotonicsteroids:ligandsofthesodiumpump...24 VIII Contents
Thesodiumpumpisinvolvedincancercellproliferation,
migrationanddeath...24
Braintumorstemcellsapotentialtargettocombatmalignantgliomas...26
Conclusions...27 References...2 8
Deepbrainstimulationforpsychiatricdisorders-stateoftheart. T. E.
SCHLA APFER and B. H. BEWERNICK, Brain Stimulation Group,
Department of Psychiatry and
Psychotherapy,UniversityHospitalBonn,GermanyandDepartmentsofPsychiatry
andMentalHealth,TheJohnsHopkinsUniversity,MD,USA Abstract...37
Introduction...38 Historyofdeepbrainstimulation...39
PrinciplesofDBS...40 NeurobiologyofdepressionandOCD...41
Neurobiologyofdepression...41 NeurobiologyofOCD...42
StudiesofDBSandpsychiatricdisorders...43
Problemsintargetselection...43 Targetsindepression...43
TargetsinOCD ...46 SafetyandadvantagesofDBS...47
EthicalaspectsandstandardsinDBS...51 Ethicalconsiderations...51
ThepathtowardsmandatorystandardsforDBSinpsychiatricdisorders...52
Conclusions...53 ThefutureofDBS...54 References...54 Standards
High?owextracranialtointracranialvascularbypassprocedureforgiantan-
rysms:indications,surgicaltechnique,complicationsandoutcome. H. C.
PATEL and P. J. KIRKPATRICK, Department of Academic Neurosurgery,
Addenbrooke'
andHugoKrayenbuuhlatacombinedmeetingoftheItalianandGerman
NeurosurgicalSocietiesinTaormina. Itwasdesignedtocomplementthe
Europeanpost-graduatetrainingsystemforyoungneurosurgeonsandwas ?rst
published in 1974 initially through sponsorship by the European
AssociationofNeurosurgicalSocieties. Allcontributionshavebeenp-
lishedinEnglishtofacilitateinternationalunderstanding.
Theambitionofallsuccessiveeditorialboardshasbeentoprovidean
opportunityformaturescholarshipandre?ection,notconstrainedbyar-
?ciallimitsonspace. Theseriesprovidesaremarkableaccountofprogress
overthepast35years,bothwithregardtoadvances,detaileddescriptions of
standard operative procedures and in- depth reviews of established
knowledge. Thepresentvolumeisnoexceptionandshouldappealtoboth
experiencedneurosurgeonsandyoungneurosurgeonsintrainingalike.
TheEditors Contents Listofcontributors...XIII Advances Present and
potential future adjuvant issues in high-grade astrocytic glioma
1,2 1 1 2 1 treatment. F. LEFRANC ,M. RYNKOWSKI,O. DEWITTE,andR.
KISS, Department
ofNeurosurgery,ErasmeUniversityHospital,FreeUniversityofBrussels(U.
L. B. ), 2 Brussels,Belgium,
LaboratoryofToxicology,InstituteofPharmacy,FreeUniversity
ofBrussels(U. L. B. ),Brussels,Belgium Abstract...4
Introduction...5
Naturalresistanceofmigratingmalignantgliomacellstoapoptosis
(radiotherapyandchemotherapy)...6 Patternsofcelldeath...8
Autophagy:apotentialTrojanhorseformalignantgliomas...11
Therapeuticbene?tsoftemozolomide...1 3
Localtherapiesforglioblastomas...15
Ongoingclinicaltrialsforglioblastomas...16
Growthfactorreceptorinhibitors ...17 PI3K=Akt,mTORandNF-
Binhibitors...17 Matrixmetalloproteinase(MMP)inhibitors(MMPI)...18
Angiogenesistargeting ...19 Cellularandvaccinationtherapies...20
Genetherapy...20
Reducingmalignantgliomacellmotilityinordertorestore
pro-apoptoticdrugsensitivity...20
Thesodiumpumpconstitutesapotentialtargettocombat
malignantgliomas...21 Thesodiumpump...22
Cardiotonicsteroids:ligandsofthesodiumpump...24 VIII Contents
Thesodiumpumpisinvolvedincancercellproliferation,
migrationanddeath...24
Braintumorstemcellsapotentialtargettocombatmalignantgliomas...26
Conclusions...27 References...28 EURO
Deepbrainstimulationforpsychiatricdisorders-stateoftheart. T. E.
SCHLA APFER and B. H. BEWERNICK, Brain Stimulation Group,
Department of Psychiatry and
Psychotherapy,UniversityHospitalBonn,GermanyandDepartmentsofPsychiatry
andMentalHealth,TheJohnsHopkinsUniversity,MD,USA Abstract...37
Introduction...38 Historyofdeepbrainstimulation...39
PrinciplesofDBS...40 NeurobiologyofdepressionandOCD...41
Neurobiologyofdepression...41 NeurobiologyofOCD...42
StudiesofDBSandpsychiatricdisorders...4 3
Problemsintargetselection...43 Targetsindepression...43
TargetsinOCD ...46 SafetyandadvantagesofDBS...47
EthicalaspectsandstandardsinDBS...51 Ethicalconsiderations...51
ThepathtowardsmandatorystandardsforDBSinpsychiatricdisorders...52
Conclusions...53 ThefutureofDBS...54 References...54 Standards
High?owextracranialtointracranialvascularbypassprocedureforgiantan-
rysms:indications,surgicaltechnique,complicationsandoutcome. H. C.
PATEL and P. J. KIRKPATRICK, Department of Academic Neurosurgery,
Addenbrooke'
andHugoKrayenbuuhlatacombinedmeetingoftheItalianandGerman
NeurosurgicalSocietiesinTaormina. Itwasdesignedtocomplementthe
Europeanpost-graduatetrainingsystemforyoungneurosurgeonsandwas ?rst
published in 1974 initially through sponsorship by the European
AssociationofNeurosurgicalSocieties. Allcontributionshavebeenp-
lishedinEnglishtofacilitateinternationalunderstanding.
Theambitionofallsuccessiveeditorialboardshasbeentoprovidean
opportunityformaturescholarshipandre?ection,notconstrainedbyar-
?ciallimitsonspace. Theseriesprovidesaremarkableaccountofprogress
overthepast35years,bothwithregardtoadvances,detaileddescriptions of
standard operative procedures and in- depth reviews of established
knowledge. Thepresentvolumeisnoexceptionandshouldappealtoboth
experiencedneurosurgeonsandyoungneurosurgeonsintrainingalike.
TheEditors Contents Listofcontributors...XIII Advances Present and
potential future adjuvant issues in high-grade astrocytic glioma
1,2 1 1 2 1 treatment. F. LEFRANC ,M. RYNKOWSKI,O. DEWITTE,andR.
KISS, Department
ofNeurosurgery,ErasmeUniversityHospital,FreeUniversityofBrussels(U.
L. B. ), 2 Brussels,Belgium,
LaboratoryofToxicology,InstituteofPharmacy,FreeUniversity
ofBrussels(U. L. B. ),Brussels,Belgium Abstract...4
Introduction...5
Naturalresistanceofmigratingmalignantgliomacellstoapoptosis
(radiotherapyandchemotherapy)...6 Patternsofcelldeath...8
Autophagy:apotentialTrojanhorseformalignantgliomas...11
Therapeuticbene?tsoftemozolomide...13
Localtherapiesforglioblastomas...15
Ongoingclinicaltrialsforglioblastomas...16
Growthfactorreceptorinhibitors ...17 PI3K=Akt,mTORandNF-
Binhibitors...17 Matrixmetalloproteinase(MMP)inhibitors(MMPI)...18
Angiogenesistargeting ...1 9 Cellularandvaccinationtherapies...20
Genetherapy...20
Reducingmalignantgliomacellmotilityinordertorestore
pro-apoptoticdrugsensitivity...20
Thesodiumpumpconstitutesapotentialtargettocombat
malignantgliomas...21 Thesodiumpump...22
Cardiotonicsteroids:ligandsofthesodiumpump...24 VIII Contents
Thesodiumpumpisinvolvedincancercellproliferation,
migrationanddeath...24
Braintumorstemcellsapotentialtargettocombatmalignantgliomas...26
Conclusions...27 References...28 EURO
Deepbrainstimulationforpsychiatricdisorders-stateoftheart. T. E.
SCHLA APFER and B. H. BEWERNICK, Brain Stimulation Group,
Department of Psychiatry and
Psychotherapy,UniversityHospitalBonn,GermanyandDepartmentsofPsychiatry
andMentalHealth,TheJohnsHopkinsUniversity,MD,USA Abstract...37
Introduction...38 Historyofdeepbrainstimulation...39
PrinciplesofDBS...40 NeurobiologyofdepressionandOCD...41
Neurobiologyofdepression...41 NeurobiologyofOCD...42
StudiesofDBSandpsychiatricdisorders...43
Problemsintargetselection...43 Targetsindepression...43
TargetsinOCD ...46 SafetyandadvantagesofDBS...47
EthicalaspectsandstandardsinDBS...51 Ethicalconsiderations...51
ThepathtowardsmandatorystandardsforDBSinpsychiatricdisorders...5 2
Conclusions...53 ThefutureofDBS...54 References...54 Standards
High?owextracranialtointracranialvascularbypassprocedureforgiantan-
rysms:indications,surgicaltechnique,complicationsandoutcome. H. C.
PATEL and P. J. KIRKPATRICK, Department of Academic Neurosurgery,
Addenbrooke's Hospital,UniversityofCambridge,Cambridge,UK
Abstract...61 Introduction...62 Surgicaltechnique...67
Cranialexposure...69 Cervicalexposure...70
Saphenousveinexposure...71 Preauriculartunnel...72 Contents IX
Anastamoses...73 Distalanastamosis...73
Externalcarotidanastamosis...74 Closureandpostoperativecare...77
Discussion...77 Comparisonofoutcomes...77
Choosingthetypeofgraft...78 Longtermpatencyofgrafts...79
Ischaemiccomplications...79 Anticoagulationrelatedmorbidity...81
Conclusion...
General
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