The ultimate guide to navigating and treating brainstem pathologies
from master neurosurgeon Robert Spetzler The brainstem is one of
the last bastions of surgical prohibition because of its densely
packed ascending and descending tracts and nuclei carrying
information to and from the brain. Although 10% of all pediatric
tumors and 5% of all vascular anomalies occur in the brainstem,
neurosurgeons have traditionally resisted dissecting lesions in
this area. Recent advances in imaging, microscopy, anesthesia, and
operative techniques have expanded the treatment paradigm for this
most eloquent region of the brain. Surgery of the Brainstem, by
internationally renowned neurosurgeons Robert F. Spetzler, M.
Yashar S. Kalani, and Michael T. Lawton, along with an impressive
cadre of global experts, is a comprehensive guide to managing
disorders of the brainstem, thalamic region, and basal ganglia.
Organized in seven sections with 33 chapters, the text opens with
four sections covering a variety of topics. Section I presents the
history of brainstem surgery; Section II examines anatomy,
development, and pathology; Section III reviews patient
examination, imaging, and monitoring; and Section IV provides a
succinct overview of surgical approaches. Sections V-VII cover a
wide range of adult and pediatric tumors, ischemia, stroke,
aneurysms, arteriovenous malformations, and cerebral cavernous
malformations. More than 300 high-quality clinical images and
medical illustrations enhance the text. Key Highlights A full
spectrum of treatment modalities and outcomes, including open
surgery, endoscopic approaches, stereotactic radiosurgery,
radiotherapy, endovascular techniques, and revascularization An
anatomy chapter featuring stunning Rhoton-style anatomical
dissections delineates critical landmarks in the brainstem,
thalamus, pineal region, and cranial nerves Detailed discussion of
patient positioning and exposure of various brainstem domains
Pearls on overcoming psychological, pathological, and anatomical
barriers and managing complications Understanding the basic
anatomy, pathology, and clinical complexities of the brainstem and
thalamic regions is essential for safe navigation and treatment.
This remarkable book will provide neurosurgeons with additional
insights on performing resections and achieving the best possible
outcomes for patients with pathologic conditions in this delicate
region. This book includes complimentary access to a digital copy
on https://medone.thieme.com.
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