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Neurological and Neurosurgical Emergencies addresses emergencies in all fields of neuroscience, including disciplines like Neurology, Neurosurgery, Neuroanaesthesia, and Neuroradiology. This volume covers neurosurgical emergencies, like hydrocephalus, brain edema, intracranial bleed, intracranial hematoma, infection, and trauma, alongside neurovascular emergencies like acute ischemic stroke, non-traumatic, aneurysmal subarachnoid hemorrhage, carotid cavernous fistula, and arteriovenous malformation. In addition, the book discusses common emergencies in neurology, including status epilepticus, refractory epilepsy, super-refractory epilepsy, and neuromuscular disorders. Beginning with neurological examination of patients through to anesthetic management of various emergencies, this book features clear images that accompany each emergency with learner-friendly features such as flow-charts, figures, text boxes, and algorithms. This book provides insights into all possible aspects of emergency management and the anesthetic management of such patients. - Covers all neurological and neurosurgical emergencies during the perioperative period - Offers practical approaches in the treatment and management of such patients in operation theatre, neuroradiological suites, and intensive care units - Discusses practical and evidence-based concepts of neuroanaesthesia - Details the latest guidelines in patient management

This is the definitive text for the intersection of neurosurgery and plastic surgery, a crucial and undertreated subject. It is a comprehensive, stand-alone and topically organized book that provides a synthesis of information, experience and wisdom for practitioners of adult and pediatric neurosurgery, including all subspecialties.The first of the three parts of the book includes foundational information on normal and abnormal anatomy, wound healing and surgical details for the management of skin, fascia, muscle, bone and dura, important subjects which receive little attention in neurosurgical literature. The second part of the book consists of descriptions of the plastic components – i.e., the opening and closing for neurosurgical approaches. Neurosurgical approaches are presented in three groups: intracranial, spinal and exposure of peripheral nerves. The plastic neurosurgical concerns for each approach are emphasized, and each chapter includes citations of relevant sources. The third part of the book presents the plastic neurosurgery of cranial and craniofacial disorders and the role of neurosurgeons in these surgeries, which are often performed with plastic surgeons. All neurosurgeons, particularly in the formative years of their residencies and fellowships, should learn and never forget not only the what and how but also the why of the plastic components of neurosurgery. This text fills this important gap in the literature.

The book provides an update of several pathological conditions of the CNS that require neurosurgical treatment.The different chapters, written by the most eminent international scientists and clinicians in the field of neuroscience, offer a critical assessment of the relevant nosographic entities that are the subject of current scientific debate.The first chapter critically analyses the new WHO classification of brain tumours, while the second chapter is specifically devoted to intracranial tumours in the first years of life. The technical aspects of neuro-oncological surgery are addressed by two chapters dealing with the suprasellar approach to infratentorial tumours and how to decrease the risk of a specific complication of the surgical management of these tumours in the paediatric population, namely post-operative speech impairment. Hypothalamic tumours with their associated epilepsy and intracranial schwannomas complete the technical surgical section on intracranial tumours. An interesting chapter presents the latest advances in clinical prediction in neurosurgery.Spinal problems are discussed in two chapters, the first considering evolving concepts on craniovertebral and spinal instability and the second Chiari malformations.The management of intracranial arachnoid cysts is still a matter of controversy, as demonstrated in a specific chapter of the book. Another chapter deals with subdural haematomas in both adults and children.Hydrocephalus is treated in two chapters devoted to two post-inflammatory or post-infectious complications leading to specific and difficult-to-treat abnormalities in the CSF circulation.The final chapter of the book illustrates the rationale behind midface advancement in craniosynostosis.As with the previous volume in the series, the present volume represents an important contribution to the advancement of neurosurgical specialties.

This new book from leading neurosurgeon and author Gary Kraus is an account of traumatic brain injury (TBI) from the time a brain-injured patient arrives in the emergency department through to the wide range of clinical outcomes of such an injury. Written with the voice of experience, the author examines causation of TBI, the patient's stay in the neuro-intensive care unit and the many neurological assessments and tests that inform the outcomes that the patient and their families will encounter. A wide range of medical professionals will benefit from Dr Kraus's acute insights into TBI including Neurosurgical residents, Neurosurgeons with a sub-specialist interest in Neuro-Trauma, Neurologists managing patients with post traumatic brain injury, Neuro-Intensivists, Neuro-Psychologists, Researchers/scientists involved in Clinical trial in traumatic brain injury, and those with a specialist interest in Neuro-rehabilitation.

During his training, neurosurgeon Robert J. Dempsey, M.D. was told that global health was something for infectious diseases and not possible in super-specialties. This is the story of questioning that belief, of addressing a massive need by working in the areas of need, going to numerous ministers of health worldwide and showing them that with the training of even a few neurosurgeons, we can complete a trauma system in their country. The result is now we can also provide care for cancer, stroke and congenital defects of newborn children where it was previously impossible. In 2015, the Lancet Commission's report predicted, over the next few years, 47 million unnecessary deaths worldwide due to the lack of essential surgeries. This book relates the importance of rectifying that ongoing tragedy and, more importantly, the humanizing influences that such a journey has had on a super-specialist working with the people of greatest need. It concludes that in spite of massive need,the present situation is actually very hopeful, as we have shifted the focus of global health from service alone to partnered teaching, leading us now to self-sustaining systems of care delivered for and by the people in the regions of need. Global Neurosurgery covers the thought-provoking and often frightening lessons learned over four decades of neurosurgical involvement in global health, working from a period when little or none existed to the present state of specialized healthcare in the area of need. This process starts in the U.S. and then addresses health disparity on four continents and now on U.S. tribal reservations. It emphasizes the importance of first listening, then partnering with government, medical societies, universities and private foundations, and most importantly, learning from mistakes. The programs developed allow the recipients of the care to take over the training so that it becomes about them and their patients in their home lands. It will appeal to a wide audience because its stories explain actual worldwide health conditions while giving an insight valuable to the professional or lay person into the experiences and operating rooms of a neurosurgeon working under very difficult conditions.

This book describes various microneurosurgical techniques from anatomy to clinical practice. In each 10 chapters, anatomy areas and their microsurgical comments are included. Totally 591 photographs, among which 190 are photographs of specimen and 195 are intraoperative photographs, 195 are clinical data and 11 hand-drawing pictures are presented in the book. It is a practical reference book highly recommended for neurosurgeon, neurologist and resident.

Modern adult brain surgery is a very new discipline. While many would consider the fathers of modern neurosurgery to be people like Victor Horsley, Harvey Cushing, and Walter Dandy, they all worked in the early 20th century, in an era before the creation of equipment now considered to be “game-changers” in the field of neurosurgery. Only towards the end of the 20th century did we see such critical advances as the operating microscope, the wide availability of CT and MRI imaging, neuro-endoscopy, stereotactic neuro-navigation, stereotactic radiosurgery, interventional neuro-endovascular techniques, and intra-operative neuromonitoring. It is not just that these advances occurred only recently, but it is even more recently that they have become accessible to many neurosurgeons. Furthermore, the scientific evidence for adult brain surgery in this new era is itself extremely new and a work in progress.There is certainly both an “art” and a “science” to the practice of medicine andalso to the practice of adult brain surgery. Furthermore, there is also a wide range of acceptable practices in regards to adult brain surgery, ranging from the most conservative/minimally invasive options to the most aggressive approaches. The author of Put Down the Knife, neurosurgeon Dr. Michael Brisman, is of the belief that the pendulum in medicine has swung way too far to the “art” side and away from the “science.” Furthermore, given the very high risks associated with adult brain surgery, the default choice of treatment should be the more conservative/minimally invasive options when possible. This book explores adult brain surgery from a more conservative vantage point, highlighting potential errors in thought related to decision-making and rationales for brain surgery as well as interpretation of the surgical literature. Focused chapters then dive into considerations of less invasive and even non-invasive approaches for various conditions of the brain, including tumors,cysts, hematomas, pain and movement disorders, skull base disorders, and much more.

This atlas illustrates the characteristics of imaging after surgical spine treatment. The previous edition has been thoroughly updated and new surgical treatment options are presented. Furthermore, all clinical cases feature new images with the new sequences available from the manufacturers of Magnetic Resonance scanners. The imaging methods presented in the book are MRI, involving the use of routine basic sequences and advanced study techniques, and CT with and without administration of contrast medium. The modifications of the spine, both healthy and pathological, that can occur immediately after surgical treatment and in the long term, are described in detail. Atlas contents are organized in a general part, with the classification of spine pathology and the surgical treatment options, and a part with clinical cases enriched by a wealth of images. This easy-to-consult publication addresses neuroradiologists who wish to gain an adequate expertise in post-treatment examinations reporting in order to be able to perform an effective differential diagnosis.

As a single-source volume on intraoperative neurophysiological monitoring (IOM), previous editions of this celebrated resource amounted to a mission statement from the pioneer generation in intraoperative neurophysiology, converting insights, techniques, and perspectives into tools providing clinical utility for the assessment of the nervous system in patients who could not be assessed by a standard neurological examination. Now directed by a new generation of experts, this thoroughly illustrated Third Edition is updated with new case material, images, videos, practice guidelines, references, and technologies, and is intended for those who encounter IOM in the operating room and intensive care unit, including anesthesiologists, technologists, neurophysiologists, surgeons, and nurses, as well as graduate students and trainees. Offering topical, applicable information, this accessible reference and teaching tool provides practical knowledge to help students, trainees, andteam members better understand one another's roles, thereby improving patient safety and care.

This strategic book joins the classical brain anatomy to the challenges of neurosurgery approaches. Its thirty illustrated chapters connect basic concepts to the specialists experience in the operating room. They also provide didactic tips and tricks for accessing the brain into to the surface, cisterns, central core, ventricles and skull base. The Brain Anatomy and Neurosurgical Approaches is focused on neurosurgeons in training and those who need updated information and technical tips on how to deal with neurosurgical patients, as well as with anatomical challenges in real surgeries. Neurosurgeons, residents and students will have a helpful source of study and research.

Neurosurgical emergencies, both traumatic and non-traumatic, may progress rapidly and if timely emergency management is not offered, these can lead to permanent neurological damage and disabilities. The spectrum of pediatric neurosurgical emergencies can range from traumatic brain injuries, infection, vascular lesions, acute hydrocephalus, and so on. Pediatric neurosurgical emergencies represent a challenging situation in the emergency room as in children it may be difficult to differentiate the etiology. This book provides an overview of pediatric neurosurgical emergencies, emergency room management and resuscitation, neurocritical care and fluid resuscitation in children. It covers the spectrum of common acute pediatric neurosurgical disorders that may be encountered in the emergency room and require urgent neurosurgical intervention.

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 surgical interventions in these pages are dizzying, but the fact that Jay Wellons can write as well as he can operate provides a whole other level of amazement.”—Ann Patchett, #1 New York Times bestselling author of Commonwealth“A powerful and moving account of the intense joys and sorrows of being a pediatric neurosurgeon.”—Henry Marsh, New York Times bestselling author of Do No Harm: Stories of Life, Death, and Brain SurgeryONE OF THE BEST BOOKS OF THE YEAR: The New Yorker, Publishers WeeklyTumors, injuries, ruptured vascular malformations—there is almost no such thing as a non-urgent brain surgery when it comes to kids. For a pediatric neurosurgeon working in the medical minefield of the brain—in which a single millimeter in every direction governs something that makes us essentially human—every day presents the challenge, and the opportunity, to give a new lease on life to a child for whom nothing is yet fully determined and all possibilities still exist. In All That Moves Us, Dr. Jay Wellons pulls back the curtain to reveal the profoundly moving triumphs, haunting complications, and harrowing close calls that characterize the life of a pediatric neurosurgeon, bringing the high-stakes drama of the operating room to life with astonishing candor and honest compassion. Reflecting on lessons learned over twenty-five years and thousands of operations completed on some of the most vulnerable and precious among us, Wellons recounts in gripping detail the moments that have shaped him as a doctor, as a parent, and as the only hope for countless patients whose young lives are in his hands.Wellons shares scenes of his early days as the son of a military pilot, the years of grueling surgical training, and true stories of what it's like to treat the brave children he meets on the threshold between life and death. From the little boy who arrived at the hospital near death from a gunshot wound to the head, to the eight-year-old whose shredded nerves were repaired using suture as fine as human hair, to the brave mother-to-be undergoing fetal spinal cord surgery, All That Moves Us is an unforgettable portrait of the countless human dramas that take place in a busy modern children's hospital—and a meditation on the marvel of life as seen from under the white-hot lights of the operating room.

This book aims to cover the majority of neurovascular diseases and management. The first section reviews neurovascular anatomy, the basics of angiography, and the basics of craniotomies for neurovascular diseases. Next, an entire section is devoted to intracranial aneurysms, covering the natural history, subarachnoid hemorrhage, endovascular management, microsurgical management, and vasospasm. Following this, a number of chapters are devoted to stroke including natural history, mechanical thrombectomy, intracranial stenosis, Moyamoya disease, bypass surgery, vertebrobasilar insufficiency, intracerebral hemorrhage, sinus thrombosis, and the surgical and endovascular management of extracranial carotid disease. Next, the text covers vascular malformations including arteriovenous malformation, arteriovenous fistulas, carotid cavernous fistulas, vein of Galen malformations, spinal malformations, and cavernous malformations. Finally, the book discusses a few miscellaneous topics including more recent advances in neurovascular care such as venous sinus stenting for idiopathic intracranial hypertension and middle meningeal artery embolization for subdural hematoma. Written by experts in the field, Introduction to Vascular Neurosurgery provides a comprehensive summary of neurovascular disease and management. The book can be used as a daily reference and serves as a trusted resource for medical students, residents, fellows, and young attendings.

This book presents a detailed overview of a spectrum of pediatric neurosurgical conditions. It features detailed insight into the techniques available for examining abnormalities, hemorrhages and a variety of tumors. Relevant surgical methodologies are described in relation to a clinical problem or disorder, ensuring that the reader can systematically develop their knowledge of how to perform both routine and more-obscure procedures presently utilized to treat these conditions. Pediatric Neurosurgery for Clinicians is a comprehensive guide detailing methodologies for applying a range of surgical techniques based upon a range of clinical questions. Therefore, it is a critical resource for all practicing and trainee physicians who encounter children with disorders affecting their neurological systems in disciplines within neurosurgery, neurology, radiology, oncology and pathology.

'Skull Base Surgery'represents genuinely multi-disciplinary collaborative approach to the standard procedures in skull base surgery. It emphasizes the basic operative steps of each approach and describes variations from the basic approach. Authors from the relevant specialties Neurosurgery, Otolaryngology, Maxillo-Facial Surgery and Plastic Surgery contribute to this new specialty of skull base surgery.

This book offers an update on several basic and clinical problems in neurosurgery compiled by internationally recognized experts. This multi-thematic volume will touch on a variety of topics: from the role of women neurosurgeons in the last hundred year of the specialty history, to the pathogenesis of spinal dysraphism, to the convection-enhanced delivery of intracerebral antineoplastic drugs in children, through a review of methods and applications. The intraoperative cerebral blood flow monitoring in neurosurgery will be also discussed, offering again a comprehensive review of contemporary technologies and emerging perspectives. As for the technical standards, the book will describe the multimodality approach to cerebral gliomas, the management of thalamic tumors, the intracavitary treatment of craniopharyngiomas, the long term results of spasticity treatments, the surgical treatment of spinal vascular malformations, the management of idiopathic and refractory syringomyelia, offering at the same time an update of peripheral nerve surgery. All the chapters have to be considered an advance in the relative fields, in cerebral pathophysiology and in clinical management. Approaching the issue of technical standards in the everyday clinical practice of neurosurgery, this book is of great interest for neurosurgeons, neurologists and orthopaedists.

This book reviews the common clinical scenarios that might trigger emergent consultation for neurosurgical intervention, with attention to key components of the clinical interview and exam, optimal diagnostic evaluation, indications for and the goals of operative intervention, perioperative considerations, and strategies for complication mitigation. This is not a surgical atlas, but rather, a road map for the journey to the operating room door. The intent is to establish a systematic, evidence-based action plan for the patient presenting in neurologic crisis. Each chapter opens with a relevant case vignette and then unfolds through uniform sections to tell the story of how one might approach the disease entity in question, from initial request for consultation to definitive management, highlighting steps of the decision-making process: • What are the highest yield questions to ask during a focused interview? • What are the most pertinent objective exam findings? • What is the proper differential diagnosis? • What is the most appropriate and efficient plan for diagnostic evaluation – with respect to laboratories and imaging? • Does this patient have an indication for emergent or urgent neurosurgical intervention? • If so, what is the goal of that intervention? • What are the most common potential complications of the proposed procedure, and what steps might be taken to mitigate those risks? Each chapter is punctuated by 3-5 teaching pearls, summarizing these key elements. The overall goal is to create a framework for assessment that might be applied in the emergency department, the trauma bay, or the ICU when a neurologic emergency arises. The scope of the text encompasses not only cranial and spinal trauma, but also entities such as shunt failure, stroke, aneurysmal subarachnoid hemorrhage, pituitary apoplexy, cauda equina syndrome, and central nervous system infection that might require time-sensitive intervention. An additional section addresses issues requiring emergent neurosurgical response in the ICU setting, including sudden neurologic worsening, status epilepticus, and abnormal clotting/ coagulopathy. The text will not only serve as a valuable resource for those preparing to take the oral board exam, but will also provide a targeted refresher for clinicians taking general neurosurgical call in the community as well as an educational reference for mid-level practitioners and those in training who are serving as first responders on behalf of a neurosurgical service.

A structured, evidence-based approach to neurosurgical decision-making for brain pathologiesEvidence-based neurosurgery is one of the most important pillars upon which to build decision management pathways. Effective delivery of care involves understanding the natural history of the disease and the evidence behind available treatment options. Neurosurgical Diseases: An Evidence-Based Approach to Guide Practice by esteemed neurosurgeons Leon T. Lai, Cristian Gragnaniello, and expert contributors covers cranial pathologies neurosurgeons commonly encounter in everyday practice.The book combines a structured approach to evidence-based neurosurgery with expert opinions, analysis of up-to-date clinical data, understanding of patient preferences and values, and firsthand experiences to facilitate translation of evidence into clinical practice. Twenty-seven consistently formatted chapters are each dedicated to a different disease state, including brain tumors, cerebrovascular disease, Cushing's disease, traumatic brain injury, trigeminal neuralgia, and normal pressure hydrocephalus. All chapters include an introduction, current statistics and data, natural history of the pathology, selected papers for further reading, procedural options and outcomes, and recommended treatment protocols from the authors.Key FeaturesKey content summarized in reader-friendly bullets, diagrams, tables, and illustrative figures enhances acquisition of knowledgeDiscussion of new developments including treatment recommendations for primary and metastatic brain tumorsStatistical data on cerebral aneurysm treatment outcomes and recommendations for treatmentNew protocols for treating head trauma, closed head injuries, and spontaneous intracranial hemorrhageThis essential resource will help neurosurgical residents and junior neurosurgeons make challenging surgical treatment decisions for complex conditions, clearly and concisely and based on the best evidence.

The current practice of medicine is largely moving toward applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using systematic reviews of the medical literature and then translating it into practice by selecting treatment options for specific cases based on the best research. Clinicians rely on the availability of evidence and accordingly take decisions to provide best treatment to their patients. Clinical management of neurologically compromised patients is challenging and varied; for this reason, treating physicians including neuroanesthesiologists are always in search of best available evidence for patient management and care. Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions. This comprehensive resource succinctly discusses evidence-based practice of neuroanesthesia based on systematic reviews in clinical neuroscience research. Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neuroscience, and this book will help residents and trainees gain knowledge to apply it to their practice. Endorsements/Reviews:'Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties.'-- Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC) - Highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions - Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring - Provides residents and trainees with the knowledge to apply evidence-based practice of neuroanesthesia to their practice

Neurosurgery has witnessed technological advances since its inception as a separate specialty. As with other medical specialties, it is constantly evolving and changing. This book is designed to help practitioners in the field of neurosurgery and allied neurosciences access the exciting and updated changes in neurosurgical topics in recent years. This book is not meant to be a standalone book for neurosurgery readers; rather, it provides recent complementary information to other texts. Topics discussed include general neurosurgery, neurosurgical oncology, functional neurosurgery, and CSF disorders. This book will be a helpful resource for trainees, researchers, and anyone practicing neurosurgery.

This book provides a modern and up to date overview of the evaluation and management of sports-related neuro trauma. The primary target audience is the “sports neurosurgeon,” who can be found on the sidelines of collision sports at all levels of play from high school to professional, or who may care for these athletes in the acute setting in hospital or the outpatient clinics. The reach of this book, however, will also extend to professionals in other fields of medicine due to some topics that extend outside the typical neurosurgical specialty, ranging from chiropractic care in the evaluation and treatment of elite athletes to alternative medical therapies for concussion. The importance of the emerging “sports neurosurgeon” subspecialty is exemplified by the adoption of a policy by the National Football League to require an Unaffiliated Neurotrauma Consultant on-field for player safety. This policy also speaks to the recent public awareness of the importance of recognizing and treating sports-related neuro trauma. This text aims to capitalize on this trend and become a multi-specialty reference to anyone interested in the field. Neurosurgical Care of Athletes serves as a comprehensive resource for physicians and researchers involved in sports-related neuro trauma. All chapters are prepared by experts in their fields and include the most up to date scientific and clinical information.

This book is a combination of ideas and experiences from over 100 dedicated and brilliant neurosurgeons around the world. Their common goal is to provide data for a deeper understanding of the multi-faceted aspects of neurosurgery and, by doing so, to better serve patients across the globe. Scientific curiosity, deep dedication, incredible work ethics, entrepreneurship, and creativity are the common traits among all neurosurgeons, and not the exception. By allowing readers to see the field of neurosurgery from the perspectives of surgeons spanning five continents, this book serves to provide multiple, diverse viewpoints and to build a foundation for future collaborations. The book's 24 chapters are organized into 3 parts.Part I provides the reader with an overview of the role of neurosurgery in worldwide health care, its evolution over the past decades, the current state and future directions of each neurosurgical subspecialty across the five continents. Over the years, the overarching goal for neurosurgeons has been to develop new, more effective and high-end solutions for complex diseases and to provide access to neurosurgical services for all patients.Part II discusses the differences and similarities of neurosurgery education and training across the globe, providing a snapshot of how new tools, technology, and paradigms reduce inequality and increase access to neurosurgical education. Educational accomplishments and challenges still present for the in different regions of the world are reviewed.Part III focuses on economic aspects influencing neurosurgery globally, including how to make efficient decisions in the face of scarcity, yet demand. The authors provide theories, models, and tools helpful to apply when planning to allocate resources, not just financial, but also human and intellectual. A deeper understanding of economics does not necessarily provide the answer to the problem; rather it provides the tools to find ananswer, or, ideally, multiple possible solutions.Neurosurgery and Global Health is the first comprehensive guide to the role of neurosurgery in the global health care sphere, providing an in-depth compendium about the understanding of the neurosurgical role within global health, its efforts in the education of tomorrow's workforce, and the economic aspects driving the field.

This book is written for clinicians and engineers looking to learn about the new and exciting uses of ultrasound. Because it focuses on applications of ultrasound specifically for neurosurgery, the book addresses some of the reasons the use of ultrasound in neurosurgery has been slow compared to other fields of medicine (for example, cardiology, orthopedics, etc.). While review papers and books on similar topics have been published, these are not fully comprehensive nor up to date on all of the potential applications of ultrasound in neurosurgery. Our hope is to provide researchers within the field a new title that will expand their understanding of the burgeoning field of ultrasound in neurosurgery.

This book presents a basic introduction of the role of robotics in neurological surgery in a systematic organized manner. The work provides thorough explanations of the history, types, uses, application, current practice, and future directions of robotics in each division of the field of neurosurgery. The book is written in clear understandable language, making it suitable for medical students, interns, residents, specialists, consultants, and professors.

Recent Advances and Controversies in Gamma Knife Neurosurgery, Volume 268, the latest release in the Progress in Brain Research series, highlights new advances in the field with this new volume presenting interesting chapters on the latest in Dosimetry, Radiobiology, Evolving Gamma Knife Technology, Imaging, Arteriovenous Malformations, Dural A-V Fistulae, Cavernous Malformations, Vestibular Schwannoma, Other Schwannoma, Meningiomas, Pituitary Adenomas, Craniopharyngiomas, Metastases, Glioma Low Grade, Glioma High Grade, Glomus Tumors, Less Common Tumors, Orbital Indications, Trigeminal Neuralgia, Epilepsy, Movement, Psychosurgery, and Future Trends. - Provides the authority and expertise of leading contributors from an international board of authors - Presents the latest release in Progress in Brain Research serials - Updated release includes the latest information on Recent Advances and Controversies in Gamma Knife Neurosurgery

Neurosurgical Management of Psychiatric Disorders, Part B, Volume 267 in the Progress in Brain Research serial highlights new advances in the field with this new volume presenting interesting chapters on topics such as the Neurosurgical Management of Tourette Syndrome, Stereotactic Surgeries for Opioid Addiction: Patient Selection and Results, Psychiatric Disorders as Indication for Surgical Management of Drug-Resistant Temporal Epilepsy, Surgery of Autism: Is it Possible?, Psychogenic Pain: Diagnosis and Management, Stereotactic Cingulotomy and Capsulotomy for Obsessive-Compulsive Disorders: Indications and Comparative Results, and much more. - Provides the authority and expertise of leading contributors from an international board of authors - Presents the latest release in the Progress in Brain Research serial - Updated release includes the latest information on the Neurosurgical Management of Psychiatric Disorders

This book provides a practically applicable guide to injuries, diseases, and disorders affecting the head, neck, and dental region seen within accident and emergency departments. These regions contain a number of specialized structures each with individual neural, muscular and vascular elements, meaning that the study of these anatomical areas is complicated and often quite daunting. Chapters in this work aim to break the treatment of such injuries and diseases into an easy-to-digest format via chapters featuring a symptom-based approach. Therefore, enabling the reader to quickly access the information they require when treating patients with a variety of disorders in the emergency room. Diseases and Injuries to the Head, Face and Neck: A Guide to Diagnosis and Management is a concise overview of how to deal with head, neck, and dental emergencies and is an important up-to-date resource for all medical professionals and trainees who encounter these patients.

Surviving Neurosurgery: Vignettes of Resilience is a practical guide to the inner workings of the lives of neurosurgeons, healthcare partners, and patients. To this end, this text serves as a first-hand documentary of the unique challenges faced as one progresses through their career. It is a snapshot in time capturing the experiences of both patients and providers. The text is divided into seven parts that run the gamut of a neurosurgeon's career symbolic of the seven years of neurosurgical training. These narratives include, but are not limited to, residency challenges, surgical nuances, research and funding, embracing humanity, patient experiences, and overcoming hurdles along the journey. Chapters share the wisdom and experiences of over 100 authors consisting of patients, trainees, advanced practice providers, and attending neurosurgeons.

This book aims to give the state-of-the-art of intraoperative brain function mapping for resection of brain tumors in awake conditions, and to become a reference for acquiring the fundamental expertise necessary to select the right intraoperative task at the right time of the surgery. The chapters, all focused on a specific brain function, are divided in 4 parts: sensori-motor and visuo-spatial functions, language functions, higher-order functions, and prospects. Each chapter follows the same outline, including a brief review of the current knowledge about the networks sustaining the function in healthy subjects, the description of the intraoperative tasks designed to monitor the function, a review of the literature describing the deficits in that function after surgery, and a critical appraisal of the benefit provided by intraoperative mapping of that function.

This book describes and illustrates a variety of minimally invasive approaches to the thoracic spine, covering procedures applicable in not only degenerative diseases but also deformities and trauma. Surgery to the thoracic spine is demanding because of the surrounding ribs, lungs, heart, and large blood vessels and the challenges posed by the vulnerable spinal cord within a relatively small spinal canal. Consequently, postsurgical morbidity is often high. In this context, minimally invasive surgery offers significant benefits, but to date, comprehensive coverage in textbooks is lacking owing to the limited experience in the use of minimally invasive surgical techniques. This book will be ideal for all who are searching for clear guidance that is faithful to the established principles of spine surgery and evidence-based medicine. In addition to the comprehensive coverage of procedures appropriate in different pathologies, including thoracic disc herniation, ossification of the posterior longitudinal ligament, ossification of the ligamentum flavum, and stenosis, individual chapters address the transforaminal endoscopic approach, interventional treatment, intraoperative neuromonitoring, and navigation for thoracic spine surgery.

This book describes and illustrates an approach to surgery for spinal cord tumors that is based on a refined concept of anatomic compartmentalization. The aim of this approach is to enable maximum preservation of spinal cord function through confinement of the surgical work to the involved compartment or compartments. Importantly, this involvement differs according to tumor type, and the classification favored by the author takes this fully into account. After introductory chapters on epidemiology and pathology, the anatomy of the spinal cord relevant to surgery for spinal cord tumors is discussed in detail and the proposed classification is clearly explained. The surgical approach to each of the identified anatomic compartments is then described, with attention to the roles of intraoperative mapping techniques, diffusion tensor imaging, and electrophysiologic studies in ensuring that spinal cord functions are spared. Examples of the author's experience when applying the proposed approach are presented. The book is meant for neurosurgeons at all levels of experience.

The third, revised edition of this successful book describes up-to-date preoperative fMRI and complementary advanced imaging methods (DTI, MEG, PET, etc.) to diagnose and treat patients with brain tumors and epilepsy. It presents the state of the art fMRI and complementary imaging procedures and discusses practical aspects, imaging and data processing steps, normal and pathological findings, and diagnostic possibilities and limitations. Experts in the field explain relevant information on brain physiology, functional neuroanatomy, and imaging techniques.All chapters of the second edition have been fully updated to reflect the latest developments. Multimodality functional neuroimaging was rewritten by new authors. Further chapters address brain plasticity, and pitfalls, tips, and tricks.

The book provides an excellent review of all the clinical aspects of neuroanesthesia in children, including neurosurgeries during fetal state to neonatal, infancy, toddler, and school-going age groups. To provide optimal anesthetic care in children undergoing neurosurgery, the care provider must have adequate knowledge on the developing brain and spinal cord, and the effect of anesthetics on the neuronal tissue, and the inherent issues pertaining to neurologic lesions. This book covers the diagnostic, imaging, surgical as well as anesthetic managements of all the neurosurgical problems in children.The chapters include a wide range of topics from basic neurophysiology to general concerns for pediatric neuroanesthesia, including fluid management, blood transfusion, temperature regulation, and surgical positioning, as well as specific issues such as anesthesia for brain tumor surgery, hydrocephalus, neural tube defects, cerebrovascular surgeries such as aneurysmal surgery, arteriovenous malformations (AVMs), Moyamoya disease, and vein of Galen malformation, functional neurosurgery, epilepsy surgery, neuroendoscopy, craniovertebral junction anomalies, spinal surgeries, neurotrauma, and brain abscess with congenital heart diseases. Interesting topics like neuroanesthesia in remote locations, regional anesthesia during neurosurgery, and anesthesia for children with neuromuscular disease are also discussed. Moreover, the book elaborates on advanced neuroanesthesia techniques during fetal neurosurgery and craniopagus separation surgery; and the postoperative intensive care management aspects in each chapter. It is supplemented with figures depicting surgical procedures and positioning, neuroimages, tables and illustrations for easy understanding.This book caters to neuroanesthesiologists, pediatric anesthesiologists, residents, and fellows of anesthesia or neuroanesthesia, practicing anesthesiologists, pediatric neurointensivists, nurse anesthetists, neurosurgeons, and pediatric neurosurgeons. It also serves as a reference book for the DM (neuroanesthesiology and neurocritical care), DNB-SS (neuroanesthesiology), and MD (anesthesiology) curriculums apart from anesthesia residency and pediatric anesthesia/ neurosurgery fellowship programs offered at various Institutions worldwide.

The Congress of Neurological Surgeons Essential Papers in Neurosurgery brings to the neurosurgical community a unique collection of critically appraised neurosurgical papers shedding light on some of the most impactful studies in the history of the field. Separating the signal from the noise, this text offers papers that have shaped the practice of neurosurgery, selected through a rigorous process, and commented on by editorialists to reconcile conflicting points and summarize the take-home message of each study. Each paper is reviewed by a panel of two experts who provide editorials evaluating the strengths and weaknesses of the paper as well as the impact it had on the editorialist's personal practice of neurosurgery. This book is equally suited for neurosurgery residents, practicing neurosurgeons, and anyone interested in evidence-based clinical neuroscience. The body of literature covered in this book has in many ways defined the gold standards of neurosurgical practice and is a must-know for every student of neurosurgery.

“An illuminating account of a brilliant neurosurgical career.” —Henry Marsh, MD, New York Times bestselling author of Do No Harm In this medical memoir, Dr. Friedman recounts the humorous, tragic, and always intense relationships of neurosurgeons to their colleagues and patients. He details what it takes to become a leading neurosurgeon and deal with deadly brain diseases and their devastating complications. He weighs in on universal health care in the United States. He also answers such questions as how does the mind work, why is trigeminal neuralgia called the “suicide disease,” and how will we ultimately cure cancer of the brain? Through his exhilarating and challenging experiences, Dr. Friedman shares his lifelong journey, one that has truly been'something awesome.'

The aim of this book is to educate and train practitioners in the safe and professional use of diagnostic ultrasound imaging in the visualization and interpretation of various cerebral conditions not only in neurointensive care, but also in the operating room and, in general, cardiothoracic and neurocritical care settings. It is chiefly intended for anaesthetists and intensivists with a basic knowledge of ultrasound physics, but also for neurosurgeons and neurologists.All chapters were coordinated by the Editors, with experiences in hands-on courses on Echography and Doppler of the Brain, and prepared by international experts. The book covers from basic principles to estimation of intracranial pressure and cerebral perfusion. The topics cover emergency department and prehospital brain US as part of POCUS and US multiorgan evaluation to general intensive care, neurointensive care and anesthesia, including special populations as pregnant and children and setting as LMIC. Clinical scenarios complete the book. An innovative and unique guide that equips readers to perform bedside and non-invasive assessments for a range of cerebrovascular diseases.

This Atlas summarizes current surgical strategy for cerebral revascularization in the treatment of complex neurovascular diseases. It focuses on complex intracranial aneurysms, which are mostly large/giant, irregular and short of enough collateral compensation. In the first part, it starts from the extracranial-intracranial (EC-IC) bypass strategy. For the complex middle cerebral artery aneurysms, the types of EC-IC bypass are determined based on the angioarchitecture. Furthermore, various intracranial-intracranial (IC-IC) bypasses are introduced, with the advantage of no need for graft vessel harvesting and preferable matching of donor and receipt arteries. This Atlas provides useful knowledge and cases about this basic and indispensable skill for neurosurgeons.

This book provides a comprehensive overview of the multidisciplinary management of meningiomas, followed by evaluation and management considerations along a spectrum of benign to more malignant behavior. It outlines the management of presumed Grade 1 tumors and how to identify features of tumors radiographically and clinically that may support a benign course rather than aggressive and vice versa. Following a stepwise progression from simple to complex, chapters introduce and tackle more aggressive meningiomas and tumor recurrence (of all Grades), with paradigms for evaluation and treatment. Tumor biology and genomics are fundamental and largely focused in the book. More recent findings which have directed personalized medicine and clinical trials are also addressed. Meningiomas: Comprehensive Strategies for Management addresses all aspects of the evaluation and care of patients with all WHO grades of meningiomas. It is highly informative and provides clarity for a wide audience of neurosurgeons, reconstructive surgeons, oncologists, neurologists, radiation oncologists, pathologists, radiologists, residents and students who treat these patients and those who are training for a career in managing patients with these potentially challenging tumors.

This multi-faceted book provides readers with comprehensive guidance to spine pain care. Unique in structure, the contents integrate various specialties involved in spine pain care, thereby bringing in new prospective and expanding readership. This six part reference begins with a review on the epidemiology and economic impacts that present clinical and financial challenges for spine pain care. Part two then brings the reader into a review of the anatomy, pathophysiology, and etiology of spine pain. Subsequent parts then dive into clinical evaluation tactics, unique disease conditions and treatment options. Finally, the book closes with two chapters discussing the challenges of spine pain medicine and the potential future directions of the field. Written by experts in their respective fields, Spine Pain Care - A Comprehensive Clinical Guide is a first-of-its-kind, barrier breaking work designed for allprofessionals involved in spine pain care, including physicians and nurses, as well as medical students, residents and fellows as a supplementary educational material.

This comprehensive, evidence-based book is intended to serve as a reference for medical practitioners involved in the perioperative care of neurosurgical patients. Fundamental aspects of neuroanesthesiology and neurocritical care are thoroughly examined across 101 chapters, outlining key elements that are crucial to a care provider's knowledge of the practice. These elements include specific diagnostic procedures and treatment options, concepts and applicable details of the available neurosurgical interventions and techniques, and mechanisms necessary to provide top of the line care for patients. Each chapter features definitive and distinct areas of this multi-specialty discipline, and is designed to guide the reader from problem to solution in situations that can arise in the clinical setting.Essentials of Neurosurgical Anesthesia & Critical Care, 2nd edition is a problem-oriented approach textbook that will aid a wide variety of readers in handling day-to-day issues and developments relevant to the perioperative care of neurosurgical patients.

Over the last 18 years, there have been many advances in the field of intraoperative monitoring. This new edition of Neurophysiology in Neurosurgery: A Modern Approach provides updates on the original techniques, as well as other more recent methodologies that may either prove beneficial or are commonly used in neuromonitoring. The purpose of this book is to describe the integration of neuromonitoring with surgical procedures. Each methodology is discussed in detail as well as chapters describing how those methodologies are applied to multiple surgical procedures and the evidence used to support those uses. The second edition features a surgical procedure section, which focuses on specific surgical procedures and the type of monitoring used during these procedures. The original chapters have been updated, expanded, and the structure modified to ensure the book is beneficial to both physiologists and surgeons. This book is written for neurosurgeons, neurophysiologists, neurologists, anesthesiologists, interventional neuroradiologists, orthopedic surgeons, and plastic surgeons. - Provides a valuable educational tool that describes the theoretical and practical aspects of intraoperative monitoring through example - Presents in-depth descriptions of the most advanced techniques in intraoperative neurophysiological monitoring and mapping - Features a surgical procedures section that focuses on specific surgical procedures and the type of monitoring used during these procedures

This book presents the essential steps involved in diagnosing and treating pain due to peripheral nerve injury and compression. In the first chapter, the relevant anatomy and diagnostic tools to identify peripheral-nerve-related issues are described. The main part of the book, however, deals with the surgical techniques to address specific types of peripheral nerve pain, e.g. neuroma, thoracic outlet or migraine. A step-by-step, practical approach is provided, including important aspects to consider both pre- and post-op. The procedures presented are minimally-invasive and maximally effective. Each chapter features detailed surgical illustrations and anatomical images.Chronic pain control is a growing need and minimally invasive yet effective surgical techniques, combining the competences of neurosurgery, plastic surgery, orthopedics, general surgery, pain management and neurology are in high demand. The increasing demand on the part of patients suffering from neuropathic pain is to date not matched by adequate practical training in peripheral nerve surgery to control pain. The authors are experts in this discipline “from head to toe” and present a valuable guide that provides medical students and experienced clinicians alike with useful information for their daily practice.

This text presents a comprehensive and state-of the-art approach to stereotactic and functional neurosurgery. Overarching sections include achieving stereotactic precision, defining trajectories and targets, the biophysics of stereotactic therapies, diseases and targets, and the future of functional neurosurgery. Each section is designed to be inclusive of all relevant topics, serving as an unbiased resource to new clinicians in this field or established clinicians that are aiming to better understand complementary methods. Importantly, each section and the associated chapters can be used by basic and translational scientists as well as engineers and industry to better understand and deliver innovation to the field. Chapters within each section methodically analyze traditional and recently emerging concepts and techniques; address underlying principles with examples drawn from specific diseases and applications; and cover patient selection, target selection, available stereotactic methods, nuanced surgical methods, and clinical evidence across treatment options.Written by experts in each area, Stereotactic and Functional Neurosurgery is a definitive guide to the latest developments in stereotactic targeting, electrode implantation, surgical treatment of neurological and psychiatric disorders, the renaissance of stereotactic lesions, and the frontier of restorative neurosurgery for a variety of disorders that have no other therapeutic options.

Wilder Penfield (1891–1976) is famous for his contributions to the understanding of epilepsy and for his discoveries of the relationship between the structure and function of the human brain. His operations, which involved stimulating the cerebral cortex of awake patients with a fine electrode, assured the complete removal of lesions that caused epilepsy. Less widely known is his use of the same technique to localize the interpretation of language, the recording of memories, and the ability to interpret the present in light of past experience. Radical Treatment follows the evolution of Penfield's thinking from his description of brain scars at the beginning of his career to his last thoughts on the human condition. Through a review of his clinical charts, intraoperative sketches, manuscript notes, and other archival material held at the Montreal Neurological Institute and Hospital, this book presents a fascinating narrative of the development of Penfield's career and the processes that led to each of his great discoveries. Richard Leblanc vividly conveys the collaborative nature of Penfield's work at the Royal Victoria Hospital and at the MNI, which led to his greatest discoveries. Revealing the duality of a life in science, Leblanc shows that while Penfield was instrumental in establishing the localization of specific functions to distinct regions of the brain, he concurrently stressed the integrative action of the nervous system. Written by the leading authority on the history of Penfield's Montreal Neurological Institute, Radical Treatment is an insightful account of the scientific accomplishments of one of the twentieth century's most influential neuroscientists.

This book aims to familiarize readers with the overall scope of endoscopic surgeries for the treatment of various types of spinal disease. State of the art techniques for minimally invasive endoscopic procedures to the cervical, thoracic, and lumbar spine are precisely described. The coverage includes cutting-edge endoscopic solutions for spinal canal stenosis or instability and low back pain. All technical aspects are explained in detail, and the text is complemented by many helpful illustrations. A further key feature is the provision of accompanying surgical videos, which will be of value to both novice and experienced surgeons. As a result of recent technological advances, minimally invasive endoscopic procedures are now being used for the treatment of patients with spinal problems in various institutes across the world. It can be anticipated that, in the near future, these procedures will be regarded as mainstream in spine surgery. The authors hope that this book will motivate the reader to participate in this trend, which promises important benefits for patients.

This book documents the state of the art in pediatric neurosurgery with the intention of providing a comprehensive guide to the management of the full range of pediatric neurosurgical disorders that will aid in the delivery of optimal care. Detailed practical instruction, taking into account recent advances, is provided on the neurosurgical treatment of congenital brain malformations, cerebrovascular diseases, head injuries and spinal trauma, infections, functional disorders, congenital and developmental spinal disorders, and brain and spinal tumors. Pearls and pitfalls are highlighted, and attention drawn to the most useful tips and tricks. Information is also included on relevant related topics, including the principles of neuroimaging, the physiological responses of newborns, infants, and children to neurosurgical trauma, preoperative evaluation, anesthesiology and intensive care, and other forms of therapy. The authors are renowned experts in the field, and the text is supportedby a wealth of high-quality images. Handbook of Pediatric Neurosurgery will be of value for neurosurgeons of all levels of experience, as well as for pediatricians, neuroradiologists, neuropathologists, and neuro-oncologists.