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In this issue of Neurosurgery Clinics, guest editors Drs. Peter Nakaji and Oliver Bozinov bring their considerable expertise to the topic of Ablative Therapies in Neurosurgery. Top experts in the field cover key topics such as MR-guided laser interstitial thermal therapy for infield of brain metastases; awake LITT; high frequency ultrasound ablation in neurosurgery; current application of ablative therapies for trigeminal neuralgia; and more. Contains 12 relevant, practice-oriented topics including laser interstitial thermal therapy for radionecrosis; posterior fossa LITT in children; neurosurgical applications of magnetic hyperthermia therapy (MHT); laser interstitial thermal therapy for epilepsy; pros and cons of ablation for functional neurosurgery in the neurostimulation age; and more. Provides in-depth clinical reviews on ablative therapies in neurosurgery, 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.Â
A step-by-step manual on fundamental microsurgical bypass techniques young neurosurgeons need to master! All neurosurgeons must undergo rigorous training in the laboratory and practice bypass techniques repetitively before performing microneurosurgery on a patient. Microsurgical Basics and Bypass Techniques by Evgenii Belykh, Nikolay Martirosyan, M. Yashar S. Kalani, and Peter Nakaji is a comprehensive yet succinct manual on fundamental laboratory techniques rarely included in clinical textbooks. The resource simplifies repetitive microsurgical practice in the laboratory by providing a menu of diverse, progressively challenging exercises. Step-by-step instructions accompanied by easy-to-understand illustrations, expert commentary, and videos effectively bridge the gap between laboratory practice and operating room performance. The book starts with an opening chapter on four founding principles of microsurgical practice inherited from great thinkers and concludes with a chapter featuring cerebrovascular bypass cases. Chapters 2-8 offer a complete one-week curriculum, with a different lab exercise each day, focused on learning basic microsurgery skills. Key Features Twenty-six videos cover a wide array of topics – from diverse methods for holding instruments and suturing techniques – to end-to-end, end-to-side, and side-to-side anastomosis procedures High quality color illustrations clearly demonstrate basic techniques Practical laboratory exercises include how to organize a microsurgical laboratory, essential training and skills, basic arterial and deep-field anastomoses, kidney autotransplantation, supermicrosurgery, and aneurysm clipping Invaluable tips such as preventing bypass errors and applying laboratory skills to neurosurgical practice This is an essential microsurgical learning and teaching guide for neurosurgical residents on how to perform basic bypass and anastomoses procedures step by step. Part of the Fundamental Skills in Neurosurgery Series, Series Editors: Peter Nakaji, Vadim A. Byvaltsev, and Robert F. Spetzler. This book includes complimentary access to a digital copy on https://medone.thieme.com.
Part of the Neurosurgery by Example series, this volume on cerebrovascular neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within cerebrovascular neurosurgery, including aneurysms, ischemic/occlusive disease, arteriovenous malformation, dural arteriovenous fistula, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Cerebrovascular Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.
A unique perspective on neuroendoscopic versus microsurgical techniques from world-renowned neurosurgeons In the last two decades, neuroendoscopy has evolved from a fringe neurosurgical tool to an established subspecialty focusing on the treatment of diverse cranial and spinal diseases. Today, neuroendoscopic technology is widely used to treat supratentorial diseases, skull base pathologies, craniocervical diseases, and spinal pathologies. Despite the expanded use of neuroendoscopy across several subspecialties, its benefits and disadvantages versus those of traditional microsurgical methods remain highly controversial. Contradictory evidence in the neurosurgical literature adds to the surgical decision-making challenges for veteran and novice practitioners alike. Controversies in Neuroendoscopy by Peter Nakaji and Hasan Zaidi fills an unmet need for a book encompassing best practices, patient selection, and limitations and advantages of neuroendoscopic surgical approaches. Each case presents firsthand knowledge of internationally esteemed neurosurgeons, with a moderator, an endoscopic expert, and an expert in traditional microsurgical approaches. The unique discussion of neuroendoscopy versus microsurgery enables readers to compare the benefits and pitfalls of endoscopic and open microsurgical procedures for a wide range of conditions. In-depth comparative guidance on applications of the flexible endoscope, rigid endoscope, 3D endoscope, and high-definition 2D endoscope versus the microscope A full spectrum of neurological conditions across the age continuum with comparative approaches for skull base surgery, pituitary surgery, hydrocephalus, spinal surgery, peripheral nerve surgery, and arachnoid cyst fenestration Radiological imaging and intraoperative photographs enhance cases and provide precise, insightful technical guidance High-quality color illustrations from the skilled medical illustrators at Barrow Neurological Institute reinforce key points and surgical techniques Neurosurgery residents, neurosurgeons, and spine surgeons will all benefit from reading this remarkable book cover to cover, and they will no doubt use it as a go-to resource for specific cases. This book includes complimentary access to a digital copy on https://medone.thieme.com.
First Prize Winner at the 2018 BMA Medical Book Awards! The highly complex specialty of brainstem surgery requires many years of study, a focus on precision, and a passionate dedication to excellence to prepare the neurosurgeon for navigating significant anatomic challenges. Although the brainstem is technically surgically accessible, its highly eloquent structure demands rigorous surgical decision-making. An in-depth understanding of brainstem and thalamic anatomy and the safe entry zones used to access critical areas of the brainstem is essential to traversing the brainstem safely and successfully. This remarkable, one-of-a-kind atlas draws on the senior author's decades of experience performing more than 1,000 surgeries on the brainstem, thalamus, basal ganglia, and surrounding areas. Its content is organized by anatomic region, enabling readers to study separate subdivisions of the brainstem, each of which has its own unique anatomic and surgical considerations. From cover to cover, the atlas provides readers with technical guidance on approach selection, the timing of surgery, and optimization of outcomes-elucidated by more than 1700 remarkable color illustrations, dissections, clinical images, and line drawings. Key Highlights Beautifully detailed, highly sophisticated brain slices and dissections by Kaan Yagmurlu, who trained under the internationally renowned neuroanatomist and neurosurgeon Albert Rhoton Jr. Color illustrations clearly labeled with callouts and other indicators of foci of interest delineate multiple safe entry zones to the brainstem More than 50 detailed patient cases highlight each patient's history of previous neurological disorders, presenting symptoms, preoperative imaging, diagnosis, the planned surgical approach, patient positioning, intraoperative and postoperative imaging, and outcome Seven animations and more than 50 surgical videos elucidate approach selection, anatomy, and surgical outcomes of thalamic region and brainstem lesions This illuminating atlas provides insights into the complexities of the hallowed halls of the brainstem. Neurosurgeons and neurosurgical residents alike who glean knowledge from the clinical pearls throughout each section will no doubt become more adept surgeons, to the ultimate benefit of their patients.
The complex, highly technological field of neurovascular surgery is quickly expanding, encompassing traditional surgical approaches, as well as endovascular and neurointerventional techniques. The last decade has seen increased cross-specialty interest in utilizing minimally invasive techniques to help prevent and treat cerebrovascular disease. Concurrently, there has been important research analyzing the efficacy of surgical methods versus endovascular approaches - and the clip versus coil discussion is covered herein. Written by 21st Century pioneers in the field, this second, cutting-edge edition offers the latest science throughout 1,400 pages - and a remarkable video library - covering anatomy, diagnosis, epidemiology, history, treatment indications, technical nuances, outcomes, and complications. Internationally renowned experts from across the globe share clinical pearls and best practices, from the research lab to the ER to the OR. Medical, surgical, endovascular, cerebral revascularization, bypass surgery, radiation therapy, and other procedures are covered in depth. Evidence-based and transdisciplinary, the second edition covers the full spectrum of neurovascular pathologies, preoperatively and postoperatively, including: Ischemic Stroke and Vascular Insufficiency Cerebral and Spinal Aneurysms Cerebral and Spinal Arteriovenous Fistulae and Malformations Vascular Tumors Carotid Artery Disease Moya-Moya Disease Revascularization techniques Organized into 11 primary sections, 99 richly illustrated chapters, and more than 140 videos, this volume is an invaluable, one-stop reference tool. It is a must-have for general, vascular and endovascular neurosurgeons; interventional radiologists; neurologists; critical care practitioners; and neuro-rehabilitation specialists.
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