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Advances and Technical Standards in Neurosurgery - Volume 34 (Hardcover, 2009 ed.)
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Advances and Technical Standards in Neurosurgery - Volume 34 (Hardcover, 2009 ed.)
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's Hospital,UniversityofCambridge,Cambridge,UK
Abstract...61 Introduction...62 Surgicaltechnique...67
Cranialexposure...69 Cervicalexposure...70
Saphenousveinexposure...71 Preauriculartunnel...7 2 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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