Pediatric neurovascular malformations are rare. However, proper diagnosis and management are mandatory to achieve a good neurocognitive outcome. Among them several types can be identified with specificities for each. In the newborn and infancy, the most frequent cerebral venous malformation is vein of Galen aneurysmal malformation. It can be discovered antenatally, in neonates (mainly in cases with hemodynamic impact), or in infants presenting with macrocrania and hydrocephalus. Treatment of choice is endovascular, by transarterial selective occlusion of pathological vessels. Interventions are staged with a first session at around 5 months, adjusted to neurological development. Late consequences, especially if left untreated or treated outside the therapeutic window, are delayed neurocognitive development and seizures. Pial arteriovenous malformation can also be diagnosed antenatally. Regional parenchymal destruction could occur in the first months of life, requiring early endovascular treatment. Dural sinus malformations are the third main type of neurovascular malformation, and are also diagnosed antenatally or in the first months of life. Cardiac tolerance is usually good. Adverse consequences are mainly neurocognitive delay due to chronic venous hyperpressure or acute hemorrhage due to thrombosis of the pathological sinuses. Nidal-type brain arteriovenous malformation and cavernous angioma are usually seen later in children, with hemorrhage often being the first presenting symptom.
Based on the principles of functional vascular anatomy and endovascular treatment described in the first three volumes of Surgical Neuroangiography, Volumes 4 and 5 complete the series that takes a revolutionary approach in endovascular neurosurgery. The authors are world leaders, recipients of numerous prizes in medicine, and can offer the unique fruit of their combined anatomical, clinical and therapeutic experience to investigate and understand the disease process, its anatomical features and its relationship to patients' symptoms and treatment planning. Volume 4 is geared to track the vascular abnormalities of the brain; Volume 5 the vascular abnormalities of the spine and spinal cord. Both volumes identify the specifics of vascular lesions and set the interventional neuroradiological techniques before a background of proper clinical analysis and expertise. Each volume emphasizes the strategy and management objectives from an endovascular perspective taking into consideration a multidisciplinary approach where neurologists, neurosurgeons and neuroradiologists examine the clinical presentation, the diagnostic study and the therapeutic options in a joint decision-making process.
Here, the number-one authority in the field, Professor Pierre Lasjaunias provides a comprehensive and consistently structured presentation of all vascular malformations, diseases and tumours of the head and neck, skull base, brain, spine and spinal cord in neonate infants and children. This is the only book on the market to discuss the topic in such detail and - with several algorithms to help readers better understand the natural history of the diseases - the focus is clearly on the interventional neuroradiological approach and management. Some of todays most advanced MRIs are included among the over 700 high-quality illustrations.
It is well known that solid carbons can be found in various guises with different forms of bulk phases (graphites, diamonds and carbynes) as well as more molecular forms (fullerenes,nanotubes and graphenes) resulting from recent discoveries. The cause of this rich polymorphism is analyzed in the first part of this book (chapters 1-5) with the propensity of carbon atoms for forming different types of homopolar chemical bonds associated with variable coordination numbers. Precursor organic molecules and parent compounds are also described to establish specific links with this rich polymorphism. Then in a second part (chapters 6-10) a comparative review of the main classes of bulk physical properties is presented. This approach emphasizes in particular the electronic behavior of (pi) polyaromatic systems organized in plane and curved atomic sheets. Finally in a third part (chapters 11-15) the surface and interface characteristics are introduced together with the texture and morphology of these multiscale carbon materials. An overview of the main field of applications is related showing the large use and interest for these solids.
In Volume 5 of Surgical Neuroangiography we will discuss indications and approaches for endovascular treatment of disorders affecting the spine and spinal cord circulations. Our approach is similar to those discussed in volume 2 and 4, it requires integration of knowledge concerning functional vascular anatomy, lesion angioarchitecture, and the relationship between normal and pathological circulations. In AVMs these features are considered as they relate to the clinical presen tation, progression, and natural history of the lesion. All these factors must then be combined with an understanding of technical capabilities to for mulate a pretherapeutic plan designed to favorably affect the long term out come in the individual patient. Endovascular surgery of spinal cord AVMs has become the treatment of choice, while microsurgery is reserved for those cases where embolization fails. Endovascular surgery may be the sole form of treatment, or may be combined with other therapeutic modalities including surgery, chemothera py, or radiation in cases of neoplasms, or may be palliative, to decrease pain or spinal cord compression. As in all other areas a multidisciplinary ap proach is essential for decision making to best accomplish the desired ob jectives.
Here, the number-one authority in the field, Professor Pierre Lasjaunias provides a comprehensive and consistently structured presentation of all vascular malformations, diseases and tumours of the head and neck, skull base, brain, spine and spinal cord in neonate infants and children. This is the only book on the market to discuss the topic in such detail and - with several algorithms to help readers better understand the natural history of the diseases - the focus is clearly on the interventional neuroradiological approach and management. Some of todays most advanced MRIs are included among the over 700 high-quality illustrations.
Embolization has been performed in many European countries and in North America for over 20 years and is now beginning to gain accep tance in other countries. At first, experience with these techniques was shared in the form of individual case reports; today some centers have treated enough patients to be able to transform this anecdotal material into more concrete data. For the last 10 of these 20 years, the two of us have been deeply involved, encouraged, and stimulated by the interest created by the few pioneers in endovascular techniques. In 1978, when we first met, our discussion on embolization could have been summarized as disagreement. It soon became obvious that these differences were primarily related to our different individual back grounds. One of us having a strong orientation toward anatomy, and the other toward technique. We realized that these apparently opposing approaches complement each other and decided to combine them to our mutual benefit. This collaboration has matured into the search for improvements in patient care and for the safest, most reliable, and most responsible manner of treatment.
Surgical Neuroangiography: Clinical and Interventional Aspects in Adults covers a variety of protocols and strategies combining functional vascular anatomy with a complete appreciation of the various disease processes, their pathophysiology, clinical presentation, and natural history, as well as recent technological advances. The newer endovascular techniques that apply to embolization of aneurysms, vascular malformations, and tumors of the spine, spinal cord, brain, and maxillofacial areas are reviewed. Novel techniques of revascularization for occlusive vascular diseases in the brachiocephalic and cerebral vasculature are expanding and revolutionizing the field. Implementing optimally efficient and safe strategies for occlusion or revascularization of arterial or venous structures requires the knowledge of collateral circulation covered in this volume. Alejandro Berenstein, Pierre Lasjaunias, and Karel ter Brugge, pioneers in the field with over 20 years of experience, present the second volume of the second edition of Surgical Neuroangiography, combining volumes 2, 4 and 5 of the previous edition and adding a new section, "Occlusive Vascular Diseases." Comprehensive, practice-oriented work on vascular intervention in adults and children Written by the leading experts with many years' experience in research and teaching Richly illustrated overview of all treatment modalities
Surgical Neuroangiography: Clinical and Interventional Aspects in Adults covers a variety of protocols and strategies combining functional vascular anatomy with a complete appreciation of the various disease processes, their pathophysiology, clinical presentation, and natural history, as well as recent technological advances. The newer endovascular techniques that apply to embolization of aneurysms, vascular malformations, and tumors of the spine, spinal cord, brain, and maxillofacial areas are reviewed. Novel techniques of revascularization for occlusive vascular diseases in the brachiocephalic and cerebral vasculature are expanding and revolutionizing the field. Implementing optimally efficient and safe strategies for occlusion or revascularization of arterial or venous structures requires the knowledge of collateral circulation covered in this volume. Alejandro Berenstein, Pierre Lasjaunias, and Karel ter Brugge, pioneers in the field with over 20 years of experience, present the second volume of the second edition of Surgical Neuroangiography, combining volumes 2, 4 and 5 of the previous edition and adding a new section, "Occlusive Vascular Diseases." Comprehensive, practice-oriented work on vascular intervention in adults and children Written by the leading experts with many years' experience in research and teaching Richly illustrated overview of all treatment modalities
This book will be helpful to professionals who use the vascular system of the spine, spinal cord, and brain in their practice and in their search for better understanding, reliability, and safety in their decisions and actions by providing a new conceptual approach to the vascular supply to the brain spine and spinal cord. Statements such as "the median cerebral artery is a branch of the anterior cerebral artery" or "the internal carotid and vertebral arteries are minor vessels, they can be absent. They represent the most common distribution pattern to the arterial circle at the base of the brain, but certainly not the only one" show that the authors are far from providing the traditional presentation of the arterial system in man.
The first volume of this second edition of Surgical Neuroangiography contains the previous volumes 1 and 3 in one book. The edited and updated text provides a practical understanding of the challenges that face the modern management of vascular diseases. Additional 3-D angiographic photographs as well as new illustrations complete this classic book of vascular disease management in adults and children. The authors, Pierre Lasjaunias, Alex Berenstein, and Karel ter Brugge are highly committed to both research and teaching . This second edition is a prerequisite for anybody wishing to fully understand clinical challenges and vascular intervention.
Here, the number-one authority in the field, Professor Pierre Lasjaunias provides a comprehensive and consistently structured presentation of all vascular malformations, diseases and tumours of the head and neck, skull base, brain, spine and spinal cord in neonate infants and children. This is the only book on the market to discuss the topic in such detail and - with several algorithms to help readers better understand the natural history of the diseases - the focus is clearly on the interventional neuroradiological approach and management. Some of todays most advanced MRIs are included among the over 700 high-quality illustrations.
Based on the principles of functional vascular anatomy and endovascular treatment described in the first three volumes of Surgical Neuroangiography, Volumes 4 and 5 complete the series that takes a revolutionary approach in endovascular neurosurgery. The authors are world leaders, recipients of numerous prizes in medicine, and can offer the unique fruit of their combined anatomical, clinical and therapeutic experience to investigate and understand the disease process, its anatomical features and its relationship to patients' symptoms and treatment planning. Volume 4 is geared to track the vascular abnormalities of the brain; Volume 5 the vascular abnormalities of the spine and spinal cord. Both volumes identify the specifics of vascular lesions and set the interventional neuroradiological techniques before a background of proper clinical analysis and expertise. Each volume emphasizes the strategy and management objectives from an endovascular perspective taking into consideration a multidisciplinary approach where neurologists, neurosurgeons and neuroradiologists examine the clinical presentation, the diagnostic study and the therapeutic options in a joint decision-making process.
In Volume 5 of Surgical Neuroangiography we will discuss indications and approaches for endovascular treatment of disorders affecting the spine and spinal cord circulations. Our approach is similar to those discussed in volume 2 and 4, it requires integration of knowledge concerning functional vascular anatomy, lesion angioarchitecture, and the relationship between normal and pathological circulations. In AVMs these features are considered as they relate to the clinical presen tation, progression, and natural history of the lesion. All these factors must then be combined with an understanding of technical capabilities to for mulate a pretherapeutic plan designed to favorably affect the long term out come in the individual patient. Endovascular surgery of spinal cord AVMs has become the treatment of choice, while microsurgery is reserved for those cases where embolization fails. Endovascular surgery may be the sole form of treatment, or may be combined with other therapeutic modalities including surgery, chemothera py, or radiation in cases of neoplasms, or may be palliative, to decrease pain or spinal cord compression. As in all other areas a multidisciplinary ap proach is essential for decision making to best accomplish the desired ob jectives.
In Volume 5 of Surgical Neuroangiography we will discuss indications and approaches for endovascular treatment of disorders affecting the spine and spinal cord circulations. Our approach is similar to those discussed in volume 2 and 4, it requires integration of knowledge concerning functional vascular anatomy, lesion angioarchitecture, and the relationship between normal and pathological circulations. In AVMs these features are considered as they relate to the clinical presen tation, progression, and natural history of the lesion. All these factors must then be combined with an understanding of technical capabilities to for mulate a pretherapeutic plan designed to favorably affect the long term out come in the individual patient. Endovascular surgery of spinal cord AVMs has become the treatment of choice, while microsurgery is reserved for those cases where embolization fails. Endovascular surgery may be the sole form of treatment, or may be combined with other therapeutic modalities including surgery, chemothera py, or radiation in cases of neoplasms, or may be palliative, to decrease pain or spinal cord compression. As in all other areas a multidisciplinary ap proach is essential for decision making to best accomplish the desired ob jectives.
Gives an account of clinical procedure. Based on the des- cription of the functional anatomy of the craniofacial arte- ries given in Volume 1. Treats technical aspects such as pa- tient preparation, technical equipment, embolic agent, and flow control as well as a description of the therapy for different kinds of tumors, fistulas, aneurysms, and vascular malformation.
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