Bøger af Josef Zentner

Intraoperative neurophysiological monitoring (IONM) has gained increasing interest during the past decades and is now an integral part of various surgical disciplines, especially in neurosurgery, but also in otolaryngology, orthopedics, vascular surgery and general surgery. With expanding applications and evolving techniques, the monitoring team is faced with increasingly complex tasks and responsibilities. Despite its importance and significance in modern surgical medicine and the expectations associated with it, IONM is still not a regular part of the training program of medical professionals. Although knowledge on monitoring is imparted in basic courses offered by a few professional societies, systematic training of medical and non-medical staff according to a standardized curriculum is still lacking.This book aims to contribute to closing this gap. It provides a practical guide to help medical, nursing, and technical personnel get familiar with intraoperative neuromonitoring. The basic tenor is to combine theoretical and practical knowledge and thus to systematically convey essential skills about fundamentals, possibilities, but also limitations of IONM to a broad circle of readers. In order to achieve this goal, the text has been reduced to the absolutely necessary length in favor of numerous illustrations and tables.After an introduction to the tasks, the significance, and the historical development of IONM, the anatomical, physiological and physical basics are presented. This is followed by a presentation of various modalities as well as stimulation and recording techniques. The intraoperative part begins with some information on the organizational processes in the operating room, the presentation of safety aspects, and a description of the influences of anesthesia on monitoring, including the special aspects of awake surgery. This is followed by some basic remarks on the interpretation of monitoring results and a rough overview of the application fields of IONM in various disciplines including representative case examples. The manual concludes with an evaluation of the efficiency of monitoring and practical recommendations for the detection and elimination of intraoperative sources of error. Self-tests in individual chapters are intended to give readers the opportunity to determine their level of knowledge.

Surgery offers a highly efficient treatment option for patients with pharmacoresistant epilepsies. While most surgical procedures aim at curative treatment, others have been designed for palliative purposes. Although standardized procedures are available, surgical techniques actually applied vary greatly. However, to date no comprehensive overview on different methods is available. The book by Zentner and Seeger compensates for these shortcomings. It comprises the wide spectrum of current procedures and provides a thorough description of surgical steps. Moreover, detailed information as to results and complications of different procedures is given. Thus, this book not only contains practical instructions for neurosurgeons, but also enables neurologists and epileptologists to understand possibilities and limitations of epilepsy surgery and facilitates adequate consultation of patients and relatives.

An atlas that shows drawings of anatomical landmarks for neuronavigation for preoperative planning. It also shows the relationships between bony landmarks and landmarks which are no longer available after opening of the skull but still recognizable during the operation.