Neurokirurgi

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. 

Keeping abreast of the major strides made in the field of neuropathology, Essentials of Diagnostic Surgical Neuropathology brings out its second edition with the aim of keeping the neuroscience community updated with the new developments in neuropathology. This second edition comes close on the heels of the fifth edition of the WHO Classification of Central Nervous System Tumours (WHO CNS5) which was published in 2021. This new edition has retained the concise, point wise format of the earlier edition, making it a handy reference book. While the major changes in this edition are in neoplastic pathology, this book also provides updates in the pathology of non-neoplastic lesions that need surgical intervention. The highlights of the neoplastic section are: Description of new tumour types and subtypes included in the WHO CNS5 Grading of tumours as per WHO CNS5 Relevant immune profile and diagnostic molecular pathology for each tumour according to WHO CNS5. Essential and desirable diagnostic criteria, as defined by WHO CNS5, in a tabular form at the end   The salient features of the non-neoplastic section include: New section on Therapy-related Neuropathology Recent classifications of vascular malformations and epilepsy related lesions New section on Infectious and Inflammatory Lesions Mimicking Neoplasms New chapter on Surgical Pathology of Spinal Dysraphism and Other Neural Tube Defects Another important feature includes the addition of a new chapter on techniques viz. Smears in the Rapid Diagnosis of Central Nervous System Lesions Challenges in the Interpretation of Stereotactic Biopsies   Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

The brain, kidneys, intestines, arms, and legs receive oxygen-rich blood from the heart through arteries, and veins carry the blood back to the heart. Blood vessels that are damaged, injured, or deformed can cause bleeding or circulation difficulties, leading to strokes or headaches. Neurovascular or cerebrovascular diseases refer to all those diseases in which a part of the brain is temporarily or permanently impacted due to bleeding or limited blood flow. Blood vessel constriction, clot development, blockage, and blood vessel rupture may be caused due to restricted blood flow. Neurovascular conditions that affect the blood vessels of the brain, spine, and spinal cord can be treated using open surgical procedures or minimally invasive surgical procedures. Various surgical options for neurovascular conditions include microsurgery, endovascular surgery and radiosurgery. This book includes some of the most vital pieces of work being conducted across the world on topics related to neurovascular surgical techniques. It will provide comprehensive knowledge to students and experts alike.

A seizure is a sudden, uncontrolled electrical activity between the brain's nerve cells. It can lead to changes in behavior, feelings, and in levels of consciousness, muscle control, etc. Epilepsy surgery is a surgical method concerned with the treatment of the brain. It is used to remove the part of the brain where seizures take place. There are several types of epilepsy surgeries and factors such as the site of the neurons that start the seizure and the age of the patient determine the type of surgery that should be performed. Resective surgery is the most common type of epilepsy surgical method. It involves the removal of a small portion of the brain. It is often performed in an area that controls language comprehension, visual memory and emotions, known as temporal lobe. Corpus callosotomy is another type of epilepsy surgery that involves complete or partial removal of the corpus callosum. This book is compiled in such a manner, that it will provide in-depth knowledge about epilepsy surgery. It will serve as a valuable source of reference for neurosurgery students.

Neurosurgery refers to the surgical specialty that focuses on the surgical treatment of disorders affecting any part of the nervous system, which includes the spinal cord, brain and the peripheral nervous system. Neurosurgical care encompasses both pediatric and adult patients. There are several common neurosurgery procedures such as chiari decompression, lumbar puncture, anterior cervical discectomy, laminectomy, epilepsy neurosurgery and craniotomy. There is a higher risk of further infection and nerve damage in neurosurgery which can cause paralysis. Magnetic resonance imaging (MRI), magnetoencephalography (MEG), computer-assisted imaging computed tomography (CT), stereotactic radiosurgery, and positron emission tomography (PET) are neuroradiological methods used for diagnosing and treating neurological disorders. Functional MRI and intra-operative MRI are also used in some neurosurgery procedures. This book provides significant information to help develop a good understanding of neurosurgery. It presents researches and studies performed by experts across the globe. The book is appropriate for students seeking detailed information in this area as well as for experts.

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.

Written by Fedor Krause, a pioneer in the field of neurosurgery, this book provides a comprehensive overview of surgical techniques for treating disorders of the brain and spinal cord. With insights from one of the leading experts in the field, this book is an essential read for any neurosurgeon or medical professional working in this area.This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it.This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.

First edition received a prestigious 2010 IBPA Benjamin Franklin Silver Award for excellence in publishingAn anatomical, patient-oriented approach to neurologic diagnosis from renowned neurosurgeonsDespite strides in advanced neuroimaging techniques, what remains constant in the practice of neurology and neurosurgery is the enduring value of observing and interpreting patient signs and symptoms at bedside. Authored by renowned neurosurgeons Cary D. Alberstone, Edward C. Benzel, Michael P. Steinmetz and distinguished colleagues, Anatomic Basis of Neurologic Diagnosis, Second Edition details neuroanatomy in an organized, thorough manner, tipping its hat to the art and science of neurologic diagnosis. Like the widely acclaimed first edition, the updated volume emphasizes a logical, patient-oriented approach to neurologic diagnosis, conspicuously absent from most standard neuroanatomy texts.New to this second edition are a portfolio of carefully curated MRI images and sections on neuroplasticity, peripheral nerve architecture, peripheral nerve injury and recovery, electrodiagnostic diagnosis of radiculopathy, tremor, deep brain stimulation targets (and side effects), autonomic disorders, altered states of consciousness, and spontaneous intracerebral hemorrhage. Two sophisticated new chapters address our current understanding of Memory and Neural Networks.Key Features:Clinically pertinent anatomy is described succinctly and in plain languageThe cardinal manifestations of regional nervous system disorders facilitate localization of lesionsLogical approaches to system-based complaints aid in differential diagnosisLearning objectives begin each chapter, graced by a variety of easy-to-grasp conceptual drawingsMRI images, new to this edition, enrich and amplify the textThe authors present a practical, reader-friendly, and patient-centric approach to diagnosing neurological disorders. Residents, fellows, and practitioners in neurology, neurosurgery, and neuroradiology, and those studying for board examinations, will enjoy reading this indispensable resource.

This book describes intraoperative flow cytometry in solid tumours. Intraoperative flow cytometry is an innovative technique for assessing tumour margins and grade of malignancy intraoperatively. The authors have been working on this procedure for more than 14 years and have introduced it in the surgery of intracranial tumours, breast cancer, liver cancer and head and neck neoplasms, as described in the book. A detailed description of the main pathological findings will be followed by an explanation of the intraoperative flow cytometry¿s role. In each chapter, information will be provided to stimulate further research on this topic. The book will also include new topics that have not been published till now.The book is aimed at neurosurgeons, general surgeons, ENT specialists, breast surgeons, radiologists, pathologists, oncologists, biologists, biochemists and scientists working with on flow cytometry.

In recent decades, the advances in and consolidation of Intraoperative Neurophysiological Monitoring (IOM) in several highly complex surgical areas have been undeniable.Currently all modalities of neurophysiological tests (SSEP, MEP, EMG, PEATC, VEP, BRAIN MAPPING, ETC) are performed in the operating room, where they are used to provide trans operative information on the patient's neurological status in real time (monitoring), and to identify neural structures which are at immediate risk (mapping). With the inarguably positive impact of IOM on surgical outcomes, there is an increasing interest in reliable, technically focused literature. This volume provides cutting-edge information in the field of IOM, and highlights new neurophysiological tools being used in various surgeries.The book's initial sections cover a range of topics, including an anatomical overview, electrical safety, and detailed technical descriptions of the neurophysiological tests used in IOM. The subsequent sections address e.g. the brain, brainstem, spinal cord, vascular and peripheral nerves, epilepsy, head and neck, movement disorders and special topics.Some chapters are accompanied by videos of surgeries and IOM so that the reader will have the real sensation of having been in the operating room and will gain an overview of the key steps.Written by experts in the field of IOM, the book offers a valuable resource for both experienced and early-career neurophysiologists, neurosurgeons, vascular and orthopedic surgeons, and surgeons involved with pelvic procedures. Further, its goal is to provide a real rapport, never before attained, between neurophysiologists and surgeons with a sole focus: excellence in terms of the final outcome.

This text is designed to function as a comprehensive guide/companion that will not only facilitate the decision-making process for the surgeon, but also help young surgeons build a successful career in skull base surgery. It is divided into six main sections: The first section details the general principles that every skull base surgeon needs to be acquainted with - skull base anatomy, developing a multidisciplinary skull base team, operating room equipment, surgical instruments, and modern imaging technologies. These are the key elements that play a major role in optimizing functional outcomes and patients' quality of life. Following this, the compartmental anatomy chapters set the stage for understanding the technical and surgical nuances of each location.The subsequent five sections are organized as anatomical compartments or regions of the skull base. Every region is organized in the same format for uniformity and ease of use. Each section includes the available treatment choices to each compartment, and describes the relevant pathologies. The contribution of worldwide leaders including neurosurgeons and otolaryngologists provides top-level expertise in how to tackle each pathology. The surgical approaches chapters that lead each anatomical section describe operative techniques in a clear. stepwise fashion with accompanying intra-operative photos and surgical videos. In the individual pathology chapters, different pathological subtypes are described with representative radiographic images of clinical case examples.  Accompanying each pathology is a treatment algorithm based on tumor morphology, pre-operative clinical status, and the goal of maximum functional preservation with a brief description of surgical approaches. This will serve as a roadmap that will help the reader to easily reach a decision of how to treat each skull base pathology.  The general theme is functional and anatomical preservation of key neurovascular structures. Setting such structures as a target and planning an approach that minimizes iatrogenic damage to these structures will lead the surgeon down the road of either open, endoscopic, or a combination of both approaches. A comprehensive book that is versatile to serve as a handbook as well as a detailed reference for skull base surgery does not currently exist. In addition, combining the two main surgical schools represented by endoscopy and open surgery into one reference enhanced by treatment algorithms is another unique feature.

This beautiful story is of a remarkable & brave lady, the author, who lived quite a difficult life fighting a medical condition that changed the course of her life. Some may know her as the lady with Cotton in her ear, and while they might or might not have known her story, they certainly did not know about the intensity of her battle with Cholesteatoma from what seems to her like a lifetime ago. At age 19, as of writing her book, she recalls her medical and emotional experiences while having to live them one last time, for one reason and one reason alone: She wanted to help others who go through the same conditions and feel misunderstood. The ones who are diagnosed with something serious and think that somehow, it is all over. They feel alone. Makayla Barrios vows to be the voice that makes a difference for such people, to give them hope, and inspire them to look forward positively, as she is a living example of someone who spent a precious decade of her young life raging war against her medical condition, until eventually defeating it and becoming stronger than she could ever be. This book takes you on an emotional ride where the reader can learn a lot about life, its unpredictable nature, how to cope with the difficulties that it brings forth, and most importantly, how to keep going forward.

Now in a fully revised and expanded second edition, this comprehensive text remains the definitive source for information related to the care of adult and pediatric patients with spondylolisthesis. It presents a complete analysis of this common yet intricate spinal condition, including basic science, diagnosis, non-surgical management, surgical techniques (including minimally invasive options and biologics) and outcomes. The management of the various types of spondylolisthesis requires a thorough understanding of both fundamental principles and subtle nuances, which are highlighted here in three sections. Part I details the basic principles, diagnosis and non-surgical management of spondylolisthesis, including anatomy and biomechanics, clinical evaluation of both adult and pediatric patients, and imaging and classification. Part II covers surgical management with a step-by-step discussion of strategies, techniques and tips that are necessary to apply standard procedures to this specific disorder. Procedures that are covered here include decompression, spinal fusion from various approaches, and the latest minimally invasive and endoscopic techniques. Part III discusses the outcomes and complications of surgical treatment, as well as interoperative neuro-monitoring and value considerations. Written and edited by top clinicians in the field, Spondylolisthesis remains an invaluable resource for orthopedic and neurological spine surgeons, rehabilitation physicians, residents, fellows, and any caregiver who treats the spine.

Fluid management is the basis of all clinical management in neurosurgical patients. This is a  complete book on transfusion practice in clinical neurosciences. It covers in detail the fluids and blood transfusion practice, also discussing the role of total parenteral nutrition in relation to neurologic patients. The importance of fluid management clinically can be seen as on one hand it plays a significant role in maintaining the hydration of the patient and on the other provides sufficient relaxation to the brain to facilitate surgery. The use of hyperosmolar therapy is unique to the practice of clinical neurosciences. Certain fluid types such as those containing glucose are detrimental to the brain. Likewise, large fluid shifts and blood loss are often observed during neurosurgical procedures. It is relevant to understand the physiology of blood and blood transfusion. This book covers all of these topics in their true relevance. It also provides an evidence-based practice of fluid administration for all neurologic patients including, pediatric and geriatric. The proposed book will be useful for trainees and clinicians in any field of clinical neurosciences. It would be very useful for residents and fellows pursuing their courses in neuroanesthesia, neurocritical care, neurosurgery, emergency medicine, anesthesia, and critical care. Fellows, Resident doctors, postgraduates, and even undergraduates would be benefited from this book. The book would be a ready-reckoner and useful during the clinical practice of physicians from varied specialties. 

Das Buch vermittelt zunächst anatomische und biomechanische Grundlagen sowie die gängigen Klassifikationen von Verletzungen der Halswirbelsäule, letztere an konkreten klinischen Beispielen mit umfangreicher Bebilderung. Danach werden präklinische sowie frühe klinische Behandlung von Patienten mit einem Halswirbelsäulentrauma erörtert. Anhand der Ergebnisse der initialen Diagnostik erfolgt die Indikationsstellung zur Operation bei allen instabilen Verletzungen einschließlich der Wahl des operativen Verfahrens. Schwerpunkt des Buches ist die ausführliche Darstellung der einzelnen chirurgischen Techniken: ventrale Versorgung mit Diskus- und Wirbelkörperersatz plus ventraler Plattenosteosynthese sowie dorsale Versorgung mit Fixateur interne. Ein ausführliches Unterkapitel wird der spinalen Navigation als moderne Hilfstechnik bei Wirbelsäuleninstrumentierungen gewidmet. Neben der fotografischen Darstellung der einzelnen chirurgischen Teilschritte sind auch immer wieder klinische Beispiele eingefügt. Den Abschluss bilden Ausführungen zur Rehabilitation von wirbelsäulenverletzten Patienten.

Fundamental techniques and novel approaches for traumatic head injuriesSurgical Nuances of Head Injury is the first of its kind, entirely dedicated to the technical aspect of head injury–related surgeries. This book uniquely compiles all the basic neurosurgical steps for management of head injuries and includes exemplary case studies of both common as well as uncommon scenarios of a variety of head injuries.This book is an innovative concept between a text and an atlas, mentioning all necessary details through stunning surgical photos and detailing the surgeries with a step-by-step approach. With an equal emphasis on the basics and advancements, the authors have tried to correlate the clinical approach and technological help whenever required. All the chapters have clear surgical descriptions of conventional and situational case scenarios, to help neurosurgeons make decisions in complex trauma cases. Through these interwoven concepts, the neurosurgery leaders intend to offer an easy solution to the readers and help them avoid confusion in tricky situations in an era of high-speed trauma.Key Points- "The Principle of Management of the Layers" is the concept behind respecting each layer while approaching from skin to the brain and is the book's central theme, which may bring the complication rates to the lowest possible extent in trauma and conventional surgeries.- Many new surgical techniques have been described for the first time in this book, such as the four hand technique, sizeable temporalis–pericranium–loose areolar tissue graft harvesting, among others.- Cranial nerve and vascular injuries—the least discussed domains of neurotrauma—have been purposefully added in this book to increase an awareness among the neurosurgical fraternity. These sections have been authored by world-renowned experts in this field. This print book includes complimentary access to a digital copy on https://medone.thieme.com.Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

Neurosurgery Updates: Critical Care for Neurosurgeons, Volume 3 is a constellation of chapters which gives a basic workflow for neurosurgeons to manage neurosurgery patients in the perioperative period. The book is suitable for practicing neurosurgeons as well as residents who are the backbone of any neurosurgical teaching program. The chapters have been contributed by experienced neuroscientists and critical care experts. Each chapter is based on the critical care aspects of a particular domain like trauma, pediatric neurosurgery, vascular neurosurgery, and the like. The experts have painstakingly curated the chapters and given a working suggestion of dos and don'ts. Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.