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Reviews the role of endoscopic endonasal techniques During the last decade the endoscopic endonasal approach (EEA) to the skull base has become a very powerful method to add to the array of neurosurgical technologies. This volume provides a broad overview of the role of transnasal approaches in a wide spectrum of skull base diseases. It starts with a historical perspective of the evolution from the microscope to the endoscope in endonasal surgery and then explores in depth the principles and techniques of the various methods. Discussed are topics based on anatomical boundaries: pituitary fossa to the suprasellar space to the cavernous sinus, clivus and the anterior cranial fossa. Access to the infratemporal and posterior fossae via both the endoscopic endonasal and the retrosigmoid approaches are reviewed. In addition, the critical topic of reconstruction following 'minimally invasive' skull base surgery and finally the learning curve and complications associated with the applications of these new and exciting approaches are discussed. This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique.
Aggressive surgical removal is generally considered the main initial management option for most intracranial gliomas. It often results in resolution or alleviation of neurological symptoms and signs, normalizes intracranial pressure, facilitates characterization of the neoplasm, creates optimal conditions for adjuvant therapy and neurorehabilitation, and leads to prolongation of progression-free and overall survival of patients. Leading experts in neurosurgical oncology have contributed to this volume, highlighting modern principles of surgery for both newly-diagnosed and recurrent intracranial gliomas in adult as well as pediatric patients. The first of a three-volume set, it details epidemiological aspects, defines the importance of preoperative imaging, and describes current perioperative adjuvant needs. In addition, contemporary methods of intraoperative neurophysiological monitoring, the value of brain mapping for functional preservation, tips to prevent complications, and postoperative results are presented and discussed. This book and its accompanying volumes are mainly directed at neurosurgeons, neuro-oncologists and other clinicians treating patients with brain tumors.
This book summarizes the current state of movement disorder management and the role of surgical therapies as an alternative to medication. Following a chapter on the history of movement disorder surgery, leaders in their fields describe the pathophysiology, functional neuroanatomy, clinical presentation, and medical management of Parkinson's disease, dystonia, and essential tremor. This is followed by chapters on the spectrum of movement disorder surgery itself, from the lesioning procedures of radiofrequency ablation, stereotactic radiosurgery, and high-frequency ultrasound to the modulatory procedures of "asleep", image-guided deep brain stimulation (DBS) and "awake", microelectrode-guided DBS. The final chapters focus on closed-loop DBS, drug-delivery, gene therapy, and other emerging neurosurgical therapies, highlighting long-standing experimental strategies that are reaching exciting phases of clinical translation. This volume is a valuable tool for accessing the wide spectrum of concepts that currently define this dynamic field.
An excellent summary of more than 30 years of accumulated experience Clinical outcomes of brain vascular malformation have been greatly improved by advances in microsurgery, endovascular techniques and stereotactic radiosurgery. Radiosurgery has proven to be the least invasive technique and is associated with documented long-term success. The papers in this volume present the experience of leading brain vascular malformation specialists who describe the outcome of radiosurgery for arteriovenous malformations, cavernous malformations and dural arteriovenous fistulas. These reviews expand the knowledge of the role of stereotactic radiosurgery alone or in combination with other treatment modalities. Evidence-based guidelines are included in each section to provide a summary of the current management strategies. This unique publication includes additional data that will further define the long-term benefit and risks of radiosurgery for these often complex vascular disorders and makes valuable reading for neurosurgeons, neurologists and endovascular specialists interested in an excellent summary of more than 30 years of accumulated experience in the management of brain vascular malformations.
The pineal region is an anatomic location where various intracranial tumors, in particular germ cell tumors and pineal parenchymal tumors, occur. Interestingly, pineal germ cell tumors are detected more frequently in Asian countries, including Japan, while pineal parenchymal tumors are less frequent in Asia than in the United States and Europe. This publication takes advantage of the knowledge and experience of Japanese experts in pineal tumors, with emphasis on epidemiology and pathological diagnosis. A variety of treatment modalities including radiotherapy, radiosurgery, surgical therapy and chemotherapy are also discussed. This valuable book will enhance the knowledge on pineal tumor treatment of not only neurosurgeons and radiation oncologists but also neurologists, neuro-oncologists, pediatricians and neuropathologists interested in pineal region tumors.
Over the past decades many surgical subspecialties have moved from traditionally open procedures towards minimally invasive approaches. With the advent of improved technology and smaller more maneuverable devices more delicate procedures have been developed. In this volume the most common neuroendovascular procedures currently practiced are discussed. Topics include management of intracranial aneurysms, arteriovenous malformations, tumors, intracranial and extracranial arterial stenoses, and arterial fistulas. This publication provides neurosurgeons, radiologists, neurologists, and trial lawyers with a concise reference that explains the background, as well as indications, and techniques for performing the most common neuroendovascular procedures.
Over the past ten years, the number of patients who have undergone Gamma knife radiosurgery has increased at a dramatic pace. At the same time there has been a continual escalation in both the safety and the efficacy of radiosurgery. This book represents the most up-to-date and comprehensive review of indications, techniques, and results for Gamma knife radiosurgery. Leading experts from many parts of the world, who are currently working with radiosurgical techniques, share their knowledge and their own particular experiences. They discuss the physics and radiobiological basis of radiosurgery, and provide detailed evaluations of specific indications for benign brain tumors, malignant brain tumors, vascular malformations, and functional disorders. Readers will be able to use this data to assess the overall impact of stereotactic radiosurgery in the management of a wide variety of neurological disorders. The book will be of immense value to neurosurgeons, radiation oncologists, medical physicians, neurologists, neuroradiologists, and patients interested in the indications, techniques and results of stereotactic radiosurgery.
The increasing recognition of concussion and its associated consequences has focused international attention on mild traumatic brain injury. The need for early diagnosis, evaluation, and management has expanded dramatically. This volume includes the experience of leading experts who describe the recent advances in the pathophysiology, biomechanics, imaging definition, and management of concussion. Advanced imaging and electrophysiological techniques are being used to help delineate the underlying metabolic and ultrastructural effects of concussive injuries. Papers in this volume review the role of emerging techniques including fMRI, SPECT, PET, DTI, MRS, and MEG, as well as report on multimodality concussion management programs which offer guidelines for selecting relevant team members, assessing community needs, and implementing management strategies that align with current practice standards. This publication provides neurosurgeons, neurologists, trauma and sports medicine specialists, physiatrists, neuropsychologists, and neuroscientists with a comprehensive overview of the current understanding of the causes of mild traumatic brain injury or concussion, newer methods to evaluate it, and current and evolving multimodality management strategies.
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