This book is focused on trigeminal neuralgias and their management, a field in which, during the two past decades, there were numerous advances in comprehension of mechanisms of the disease and diagnosis with imaging, as well as in medical therapies and in surgical treatment. The authors are well-known specialists for this treatment and summarize their long experience in this comprehensive and practical book. They are experts not only on the surgical treatment of trigeminal neuralgia with the micro-vascular decompression procedure but also with the lesioning procedures. In this pictorial guide, readers can find the pathways for diagnosis, and practical guidelines to help decision-making among the most appropriate treatments, tailored on to every patient’s need. Neurologists, neurosurgeons, and dentists, but also ENT specialists, ophthalmologists, and maxillofacial specialists, would find an invaluable support in this book devoted to a rather frequent problem to deal with.
The book, in its second edition, is devoted to the neurosurgical management of spasticity and focal dystonia. Starting with a chapter on the anatomical and physiological bases of spasticity and a short history of its neurosurgical treatment, it describes the neurosurgical methods currently available. As management differs between adults and children, the book is also structured accordingly, including evaluation, decision-making, Intrathecal Baclofen therapy (ITB), Botulinum toxin therapy and Surgery. The large spectrum of scales for assessing hypertonia, spasticity, dystonia, contracture and joint/bone deformities, as well as the scoring systems for quantifying functional abilities are critically reviewed. Beyond ITB, the neurosurgical options covered include the microsurgical procedures focusing on the peripheral nerves, dorsal roots, Dorsal Root Entry Zone and spinal cord, and their intra-operative monitoring. In this second edition, the orthopedic surgical interventions available will take a large place, either as alternative solutions , or even better as important complements after spasticity be solved by the neurosurgical treatments. Based on surgical experience collected with more than a thousand and eight-hundred patients, the book gathers the most important aspects of our present understanding, presented using a practical, educational approach. It stresses the importance of a multidisciplinary approach, including neurologists, pediatricians and rehabilitation specialists. Close collaborations with other surgical disciplines like orthopedic surgery and neuro-urology are outlined.
The first aneurysms explored by such pioneers of neurosurgery as Cushing and Dandy were the giant intracranial aneurysms. These giant aneurysms present many therapeutic difficulties and, because of their unique anatomical features and size, may present in a multitude of ways. With the advent of specialized imaging techniques such as computed tomography (CT), mag netic resonance imaging (MRI) and selective angiography, preoperative diag nosis today is most often accomplished without difficulty. However, com pletely thrombosed giant aneurysms may mimic other lesions with mass effect (such as basilar meningiomas, chordomas or chondromas) and their true anatomical shapes and relations to other cranial structures can only be ascer tained by direct operative inspection. Due to their morphological features (thrombosed, nonthrombosed, par tially thrombosed, fusiform), anatomical variations and difficult locations, giant aneurysms present new challenges for the modern neurosurgeon. Al though microsurgical techniques have rendered direct surgical treatment of giant intracranial aneurysms safer, elimination of the aneurysm without dis turbing the hemodynamics continues to be problematic. Some of these lesions have relatively small necks and can therefore be clipped fairly easily. Others have large necks, are fusiform, or contain perforators; how best to treat these lesions is a question still unresolved by presentday neurosurgery.
Psychosurgery, or the surgical treatment of mental disorders, has enjoyed a spectacular revival over the past ten years as new brain stimulation techniques have become available. Neuromodulation offers new possibilities for the treatment of psychiatric disorders such as depression, obsessive-compulsive disorder (OCD), addiction, eating disorders and autism. This work presents the history of this unique specialty and investigates current techniques and ethical challenges. With a wealth of illustrations and detailed anatomical diagrams, it provides essential information for medical practitioners, as well as anyone else interested in the fascinating advances being made in neuroscience today. « I like the book as it provides a very nice overview of psycho- surgery in general. It is easy to understand for any (para)medical practitioner, but even specialists in the field may learn new things. They may also enjoy looking the well-known and less-known figures which illustrate the book. » Professor Bart Nuttin « Reading this book is like reading an anthology, or rather an encyclopaedia of the field of psychiatric surgery, spanning more than a century. This is a work with an unprecedented degree of erudition and knowledge, and the subject is presented in a didactic, scholar, and scientific manner, and is extensively referenced and illustrated. If only one book is to be read by anybody interested in this field, regardless of specialty, this is The Book to read. » Professor Marwan Hariz
Intraoperative neurophysiologic monitoring has shown a steady increase in use for surgeries in which neural structures may be at risk of injury. Some of the surgical techniques used carry inherent risks, and these risks have changed the way in which neurophysiologic monitoring has impacted patient safety and quality of care during surgical procedures. It is therefore crucial that those performing and interpreting intraoperative neurophysiologic monitoring are adequately trained. This book is a comprehensive guide to the current practice of intraoperative neurophysiology with chapters on various modalities and clinical uses. Separate chapters devoted to anesthesia, operating room environment, special considerations in pediatrics and the interpretation and reporting of neurophysiologic data are useful and complementary. Questions and detailed answers on the topics covered can be found on the accompanying website for study review. This book will be useful to the trainee as well as the neurophysiologist already in practice.
This is the leading international professional reference text that also serves as a bench book, describing all aspects of the pathology of brain tumours - genetics, molecular biology, epidemiology, morphology, immunohistochemistry, diagnostic criteria and prognosis. Beautifully illustrated in colour throughout and comprehensively referenc
This book is focused on trigeminal neuralgias and their management, a field in which, during the two past decades, there were numerous advances in comprehension of mechanisms of the disease and diagnosis with imaging, as well as in medical therapies and in surgical treatment. The authors are well-known specialists for this treatment and summarize their long experience in this comprehensive and practical book. They are experts not only on the surgical treatment of trigeminal neuralgia with the micro-vascular decompression procedure but also with the lesioning procedures. In this pictorial guide, readers can find the pathways for diagnosis, and practical guidelines to help decision-making among the most appropriate treatments, tailored on to every patient’s need. Neurologists, neurosurgeons, and dentists, but also ENT specialists, ophthalmologists, and maxillofacial specialists, would find an invaluable support in this book devoted to a rather frequent problem to deal with.
The first aneurysms explored by such pioneers of neurosurgery as Cushing and Dandy were the giant intracranial aneurysms. These giant aneurysms present many therapeutic difficulties and, because of their unique anatomical features and size, may present in a multitude of ways. With the advent of specialized imaging techniques such as computed tomography (CT), mag netic resonance imaging (MRI) and selective angiography, preoperative diag nosis today is most often accomplished without difficulty. However, com pletely thrombosed giant aneurysms may mimic other lesions with mass effect (such as basilar meningiomas, chordomas or chondromas) and their true anatomical shapes and relations to other cranial structures can only be ascer tained by direct operative inspection. Due to their morphological features (thrombosed, nonthrombosed, par tially thrombosed, fusiform), anatomical variations and difficult locations, giant aneurysms present new challenges for the modern neurosurgeon. Al though microsurgical techniques have rendered direct surgical treatment of giant intracranial aneurysms safer, elimination of the aneurysm without dis turbing the hemodynamics continues to be problematic. Some of these lesions have relatively small necks and can therefore be clipped fairly easily. Others have large necks, are fusiform, or contain perforators; how best to treat these lesions is a question still unresolved by presentday neurosurgery.
The book, in its second edition, is devoted to the neurosurgical management of spasticity and focal dystonia. Starting with a chapter on the anatomical and physiological bases of spasticity and a short history of its neurosurgical treatment, it describes the neurosurgical methods currently available. As management differs between adults and children, the book is also structured accordingly, including evaluation, decision-making, Intrathecal Baclofen therapy (ITB), Botulinum toxin therapy and Surgery. The large spectrum of scales for assessing hypertonia, spasticity, dystonia, contracture and joint/bone deformities, as well as the scoring systems for quantifying functional abilities are critically reviewed. Beyond ITB, the neurosurgical options covered include the microsurgical procedures focusing on the peripheral nerves, dorsal roots, Dorsal Root Entry Zone and spinal cord, and their intra-operative monitoring. In this second edition, the orthopedic surgical interventions available will take a large place, either as alternative solutions , or even better as important complements after spasticity be solved by the neurosurgical treatments. Based on surgical experience collected with more than a thousand and eight-hundred patients, the book gathers the most important aspects of our present understanding, presented using a practical, educational approach. It stresses the importance of a multidisciplinary approach, including neurologists, pediatricians and rehabilitation specialists. Close collaborations with other surgical disciplines like orthopedic surgery and neuro-urology are outlined.
“Practical Handbook of Neurosurgery” invites readers to take part in a journey through the vast field of neurosurgery, in the company of internationally renowned experts. At a time when the discipline is experiencing a (detrimental) tendency to segment into various subfields and scatter in the process, it can be worthwhile to collect a number of practical lessons gleaned from experienced and leading neurosurgeons. The book also aims to present numerous important figures in the neurosurgical community, with a brief overview of the vitae and main contributions for each. We must confess that we were sad that some of the most active members were unable to participate, likely due to time constraints. We are however fortunate that the majority were able to take part. As such, though not exhaustive, the book does represent an anthology of contemporary neurosurgeons. From the preface: At the very beginning of the project, our intention was to make a “poetbook”. But month after month it became obvious that the work would be much more expansive; ultimately we produced three volumes. Nevertheless we hope that all the three volumes together will remain easily accessible and a daily companion. The pocket has to be more like a travel bag! We would like to thank all of the contributors; they have sacrficed their valuable time to deliver sound and critical views, and above all useful guidelines.
Spasticity is one of the commonest sequelae of neurological disease and during the last few years many advances have been made in the treatment of this complaint by functional neurosurgery. This book ... will appeal to neurosurgeons, orthopaedic surgeons and neurologists amongst others." Annals of the Royal College of Surgeons of England
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