The definitive guide to managing external ventricular and lumbar drains—a common but overlooked procedure in medical literature The most common point of contact with providers in neurocritical care units, trauma units, and emergency departments, external ventricular drains and lumbar drains are used to relieve elevated intracranial pressure, usually due to a brain hemorrhage from acute trauma. Covering indications, anatomy, planning, and procedure stages for each drain, External Ventricular and Lumbar Drains: Indications, Procedures, and Patient Care helps you troubleshoot problems that can arise in patients who undergo this procedure. The authors provide thorough coverage of why these drains are placed, why they are placed in certain locations, how they are placed, and what steps to take when there is a malfunction. This comprehensive, easy-to-understand guide covers: Cerebrospinal fluid anatomy Obstructive and communicating hydrocephalus Intracranial pressure monitoring Ventricular and lumbar entrance points EVD and LD equipment, patient positioning, procedure, and troubleshooting

In this issue of Neurosurgery Clinics, guest editor Dr. Michael T. Lawton brings his considerable expertise to the topic of Update on Open Vascular Surgery. The field of open vascular neurosurgery has undergone significant change as endovascular technologies have advanced and endovascular market share has grown. In this issue, top experts in the field explore various responses to these trends, providing valuable information to neurosurgeons aspiring to stay current with contemporary management of aneurysms, brain arteriovenous malformations, cavernous malformations, and bypass techniques. Contains 15 practice-oriented topics including wide neck and bifurcation aneurysms: balancing open and endovascular therapies; application of big data in vascular neurosurgery; rethinking cerebral bypass surgery; AI, machine learning and cavernous malformations; the transcavernous approach in vascular neurosurgery; and more. Provides in-depth clinical reviews on open vascular surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

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.

" Four stars] Could not be published at a better time... superb illustrations, well-referenced text... technique insights... not only a superb book, but also one with historical significance... unparalleled in the book literature on aneurysm clipping. Doodys Review"

"Seven Aneurysms: Tenets and Techniques for Clipping" combines the instructive nature of a textbook with the visual aspects of an atlas to guide readers through the surgical principles, approaches, and techniques they need to dissect and clip cerebral aneurysms.

Comprised of three concise sections, the book distills the distinguished author's vast experience into a series of easily accessible tutorials presented through clear, systematic descriptions and stunning, full-color illustrations. The first section explains the critical concepts and basic tenets of aneurysm microsurgery followed by a section on the various craniotomies and exposures necessary for successful clipping. The final section covers microsurgical anatomy, dissection strategies, and clipping techniques for each of the seven most common aneurysm types that are the focus of this book.

Features: Strategies for handling the seven aneurysms most often seen by neurosurgeons: PCoA, MCA, ACoA, OphA, PcaA, basilar bifurcation, and PICA 383 full-color surgical photographs demonstrate operative techniques; 77 high-quality drawings display anatomy and spatial relationships Succinct text facilitates quick reading and easy reference

Clipping remains an essential treatment method for the most frequently encountered aneurysms. This must-have guide will enable neurosurgery residents, fellows, or practicing neurosurgeons to handle the majority of the aneurysms they will encounter with confidence and poise.

Seven Bypasses: Tenets and Techniques for Revascularization is the third book in a trilogy of bravura, technical nuance, and strategy by master neurosurgeon Michael Lawton. Like his first two books on aneurysms and AVMs, Seven Bypasses provides unparalleled firsthand insights and guidance on complex pathologies in vascular neurosurgery. The fundamentals of microsurgical anastomosis and the craft of bypass surgery are explored in depth with clinical pearls in every chapter. Lawton eloquently reveals the art of cerebral revascularization in exquisite, metaphorical detail. The surgeon performing bypass surgery is like an architect envisioning and building a beautiful structure. A bypass is designed to fit the patient's unique anatomy; blueprints designate anastomotic sites, connections, and conduits; the anastomoses are constructed; and the bypass is brought to life with pulsations, flow, and reperfusion. The book highlights Lawton's aesthetic, which has evolved from the common STA-MCA bypasses to IC-IC bypasses and elaborate arterial reconstructions. Key Highlights Stepwise discussion of the three anastomoses that form the building blocks of all bypasses: end-to-side, side-to-side, and end-to-end anastomoses Ten tenets delineate nuances of bypass: dexterity, preparing donors and recipients, establishing a working zone, temporary arterial occlusion, arteriotomy, suturing technique, tissue handling, knot tying, patency, and aneurysm occlusion Step-by-step guidance on the seven bypasses: EC-IC bypass, EC-IC interpositional bypass, arterial reimplantation, in-situ bypass, reanastomosis, IC-IC interpositional bypass, and combination bypass Strategies and algorithms for aneurysms organized by specific anatomical sites, including the MCA and the Sylvian cistern, ACA and the interhemispheric cistern, basilar artery and the basal cisterns, and PICA and the cisterna magna More than 1,500 radiographs, operative photographs, and exquisite illustrations drawn by artist Kenneth Xavier Probst elucidate anatomy, surgical principles, and clinical cases Dr. Lawton has bequeathed a remarkable treasure of knowledge to current and future generations of neurosurgeons and their patients. The Seven series is destined to be an enduring classic for residents, fellows, and neurosurgeons specializing in the treatment of cerebrovascular disease, and for those who believe that manual dexterity and technical skill still matter.

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.

This book will cover recent advances in genetics and molecular biology of cerebrovascular diseases, including ischemic stroke, brain arteriovenous malformation, brain aneurysms, and cavernous malformation. Developments in diagnostics, imaging and treatment will also be discussed.Much progress has been made in recent years in these fields, but not been summarized in one comprehensive text. This volume fills the gap in the literature by compiling them in one convenient, handy volume for neuroscience researchers and medical professionals.