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This is the first comprehensive book about surgery on and around
the vertebral artery all along its cervical and intracranial
course. This vessel has been considered for long as out of surgical
reach leaving many different pathologies not or incompletely
treated. The surgical exposure and control of the vertebral artery
not only permit to treat lesions of the vertebral artery wall or
developed in contact to it but also to improve the access to the
intervertebral foramen (tumors, osteophytes), to the anterior
aspect of the spinal cord (tumors, spondylotic spurs), to the
foramen magnum and to the jugular foramen. This book written by
leading experts includes all aspects of vertebral artery surgery
from anatomy to imaging, surgical techniques and pathologies; it is
illustrated by many figures especially operative views and
schematic drawings so that the beginner as well as the experienced
surgeon find useful information. One of the editors of this book
(B. GEORGE) was recently awarded the Olivecrona award for his work
on the surgery of the vertebral artery.
Arteriovenous and Cavernous Malformations, Volume 143, is the
latest addition in the ongoing HCN series, an evidence-based
compendium which addresses both the scientific and clinical aspects
of this unique disease process. The volume covers didactic aspects,
such as the epidemiology, etiology, and diagnosis of AVMs, while
also providing expert clinical information on the management and
treatment of these lesions. In addition, it provides coverage of
modern-day advances in the genetics of cavernous malformations, as
well as discussion regarding future open research questions.
Readers from the laboratory bench to the bedside can expect a
broad, yet objective, review of this pathology, with updates from
the latest scientific literature and data supporting current
practices.
This book has been expertly written and illustrated for patients
with brain aneurysms and their families and for physicians and
paramedical professionals interested in learning more about this
field. The book contains detailed information about the
investigation and screening of brain aneurysms and critical
chapters related to their treatment. A comprehensive section on
coma caused by ruptured brain aneurysms discusses the difficult
choices facing both families and physicians during the management
of critically ill aneurysm and brain hemorrhage patients. The book
explains the process of informed consent for the investigation and
treatment of brain aneurysms and the rationale for the choices
given and decisions made. The risks and benefits of various
procedures encountered by brain aneurysm patients and how the
procedures are performed are described in detail. Responses to
frequently asked questions regarding "clipping versus coiling"
aneurysms are provided, as are step-by-step details of the relevant
open surgical and endovascular procedures. An in-depth chapter
devoted to rehabilitation and recovery after treatment presents
information on what patients can expect and need to be aware of
during this process. Chapters also cover treatment-related
complications, wound issues, follow-up after coiling or clipping,
and recurrent or persistent brain aneurysms after treatment.
Finally, detailed "case histories" of persons with unruptured and
ruptured brain aneurysms personalize the experience of having an
aneurysm. Being diagnosed with a brain aneurysm and undergoing
treatment are some of the most significant events patients and
their families are likely to experience. This practical book is
amust-read for such persons.
Now in a fully revised and expanded second edition, this book
remains the gold standard guide to the surgical treatment of
diseases in the cerebellopontine angle (CPA), the fragile area of
the skull base that Harvey Cushing famously described as "the
bloody angle." This edition combines current information on the
relevant clinical diseases of the CPA with dramatically improved
surgical management of its diseases, arranged in five thematic
sections. The first section presents the basis and rationale for
treatment, including historical perspectives, microsurgical
anatomy, relevant radiology and neurology. Part two is composed of
chapters on surgical approaches, and parts three and four provide
detailed descriptions of surgical management techniques for
vestibular schwannomas and non schwannomatous lesions,
respectively. The final section provides 21 distinct clinical cases
with associated video segments, demonstrating the approaches and
techniques in real time. With images courtesy of the renowned
Barrow Neurological Institute, Surgery of the Cerebellopontine
Angle, Second Edition is a boon resource for expert specialists in
neurosurgery, neurotology, neuroradiology, otolaryngology/head and
neck surgery, and endovascular surgery.
Multi-pronged approaches to pediatric neurovascular diseases
Bridging the gap between the pediatric specialist unaccustomed to
handling neurovascular pathologies and the neurovascular specialist
unaccustomed to treating pediatric patients, this text covers the
cutting-edge, multi-modal techniques for managing pediatric
neurovascular disease, disorders, and malformations. It contains
full descriptions and insightful perspectives on the most advanced
surgical, endovascular, and medical treatments for cerebral
aneurysms, arteriovenous fistulas, arteriovenous malformations,
Galen's vein malformations, moyamoya disease, spinal vascular
malformations, pediatric stroke, and more. Highlights:
Easy-to-follow organization of disease topics according to
endovascular, surgical, or medical treatment method Discussion of
endovascular techniques and tools for angioplasty and stents in
children, as well as how to manage possible complications such as
stroke and hemorrhage More than 200 illustrations highlighting
principles of disease pathology Review of the existing literature
helps the clinician gain a full understanding of the fundamentals
in neurovascular disease management With contributions from
world-renowned experts, this is an exceptional clinical reference
for neurosurgeons, neuroradiologists, neurointerventionalists,
neurologists, and pediatricians seeking to gain expertise in a
multi-pronged approach to pediatric neurovascular disease.
Neurovascular medicine has emerged as an established,
semi-independent subspecialty of neurology and neurosurgery.
Decision Making in Neurovascular Disease focuses on the challenging
process of determining the best approach for managing patients with
intracranial atherosclerosis, carotid artery disease, stroke,
aneurysms, arteriovenous malformations, arteriovenous fistulae,
cavernous malformations, and hypervascular tumors. Leonardo
Rangel-Castilla, Robert Spetzler, esteemed coauthors, and an
impressive cadre of experts discuss highly divergent modalities
including medical management, open cerebrovascular, endovascular,
radiosurgery, and combined/multimodality alternatives. The book is
organized into seven sections: Ischemic Stroke and Vascular
Insufficiency, Aneurysms – Anterior Circulation, Aneurysms –
Posterior Circulation, Aneurysms – Other, Arteriovenous
Malformations and Fistula, Cavernous Malformations, and
Hypervascular Tumors. Chapters include an introduction,
decision-making algorithm, whether to treat, conservative
management, anatomical considerations, clinical and imaging
evaluation, differential diagnosis, treatment options, images,
clinical and radiographic follow-up, and suggested reading. Key
highlights: Simple algorithms accompanying 71 chapters supported by
the latest, most updated information in the literature More than
300 radiologic images help elucidate disease-specific treatment
decision making Step-by-step guidance, clinical pearls, surgical
nuances, complication avoidance, and evidence-based outcomes
provide in-depth understanding Point/counterpoint expert commentary
on each case provides balanced insights on potential implications
of specific treatments This essential step-by-step book is a
must-have for residents and fellows in neurosurgery, neurology,
endovascular, interventional radiology, vascular neurology, and
neurocritical care, as well as veteran clinicians in these
specialties.
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 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.
Moyamoya Disease: Diagnosis and Treatment covers the key clinical
disciplines involved in managing patients with moyamoya disease,
including diagnostic work up, imaging, neurocognitive evaluation,
and surgical options for pediatric and adult patients. The text and
accompanying videos provide neurosurgeons and other health
professionals treating Moyamoya patients with all the information
they need to make the right diagnostic and surgical decisions. Key
Features: Includes online access to videos and animations, narrated
by Dr. Wanebo, demonstrating surgical techniques discussed in the
book Written and edited by world-renowned experts at the Barrow
Neurological Institute and other centers of excellence focused on
Moyamoya Covers these dynamic topics in Moyamoya: cortical
microvasculature, genetics, neuropsychiatric evaluation, and
endovascular therapy Contains detailed illustrations and
descriptions of technical aspects of treatment such as the direct
and indirect methods of revascularization All neurosurgeons and
neurologists caring for Moyamoya patients will find this book to be
an important reference that they will consult often in their daily
practice.
Refinements in the neurosurgical armamentarium continue to push the
borders of neurosurgery forward. Lesions considered inoperable a
few years ago can now be resected, especially in the region of the
skull base. These new developments, plus rapid technological
innovations in microneurosurgery, have dramatically altered the
scope of modern neurosurgery. Now, with Volume 2 of the acclaimed
Color Atlas of Microneurosurgery, the distinguished authors provide
detailed descriptions of surgical anatomy and the major
neurosurgical approaches to cerebrovascular lesions. You will find
coverage of aneurysms, arteriovenuous malformations,
cerebrovascular malformations, and vascular compression - all
derived from a wide range of etiologies. Divided into three
sections on anatomy, surgical approaches, and underlying pathology,
the book demonstrates the most innovative new techniques,
procedures and approaches as performed in hundreds of clinical
cases. The result is the most detailed and comprehensive
microneurosurgical atlas ever compiled, an ideal reference for
practicing neurosurgeons and residents-in-training.
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