Surgery of the Brainstem

This remarkable book will provide neurosurgeons with additional insights on performing resections and achieving the best possible outcomes for patients with pathologic conditions in this delicate region.

Surgery of the Brainstem

Author: Robert F. Spetzler

Publisher: Thieme

ISBN: 162623292X

Page: 492

View: 176

The ultimate guide to navigating and treating brainstem pathologies from master neurosurgeon Robert Spetzler The brainstem is one of the last bastions of surgical prohibition because of its densely packed ascending and descending tracts and nuclei carrying information to and from the brain. Although 10% of all pediatric tumors and 5% of all vascular anomalies occur in the brainstem, neurosurgeons have traditionally resisted dissecting lesions in this area. Recent advances in imaging, microscopy, anesthesia, and operative techniques have expanded the treatment paradigm for this most eloquent region of the brain. Surgery of the Brainstem, by internationally renowned neurosurgeons Robert F. Spetzler, M. Yashar S. Kalani, and Michael T. Lawton, along with an impressive cadre of global experts, is a comprehensive guide to managing disorders of the brainstem, thalamic region, and basal ganglia. Organized in seven sections with 33 chapters, the text opens with four sections covering a variety of topics. Section I presents the history of brainstem surgery; Section II examines anatomy, development, and pathology; Section III reviews patient examination, imaging, and monitoring; and Section IV provides a succinct overview of surgical approaches. Sections V-VII cover a wide range of adult and pediatric tumors, ischemia, stroke, aneurysms, arteriovenous malformations, and cerebral cavernous malformations. More than 300 high-quality clinical images and medical illustrations enhance the text. Key Highlights A full spectrum of treatment modalities and outcomes, including open surgery, endoscopic approaches, stereotactic radiosurgery, radiotherapy, endovascular techniques, and revascularization An anatomy chapter featuring stunning Rhoton-style anatomical dissections delineates critical landmarks in the brainstem, thalamus, pineal region, and cranial nerves Detailed discussion of patient positioning and exposure of various brainstem domains Pearls on overcoming psychological, pathological, and anatomical barriers and managing complications Understanding the basic anatomy, pathology, and clinical complexities of the brainstem and thalamic regions is essential for safe navigation and treatment. This remarkable book will provide neurosurgeons with additional insights on performing resections and achieving the best possible outcomes for patients with pathologic conditions in this delicate region.

Color Atlas of Brainstem Surgery

First Prize Winner at the 2018 BMA Medical Book Awards!

Color Atlas of Brainstem Surgery

Author: Robert F. Spetzler

Publisher: Thieme

ISBN: 1626230285

Page: 416

View: 941

The highly complex specialty of brainstem surgery requires many years of study, a focus on precision, and a passionate dedication to excellence to prepare the neurosurgeon for navigating significant anatomic challenges. Although the brainstem is technically surgically accessible, its highly eloquent structure demands rigorous surgical decision-making. An in-depth understanding of brainstem and thalamic anatomy and the safe entry zones used to access critical areas of the brainstem is essential to traversing the brainstem safely and successfully. This remarkable, one-of-a-kind atlas draws on the senior author's decades of experience performing more than 1,000 surgeries on the brainstem, thalamus, basal ganglia, and surrounding areas. Its content is organized by anatomic region, enabling readers to study separate subdivisions of the brainstem, each of which has its own unique anatomic and surgical considerations. From cover to cover, the atlas provides readers with technical guidance on approach selection, the timing of surgery, and optimization of outcomes-elucidated by more than 1700 remarkable color illustrations, dissections, clinical images, and line drawings. Key Highlights Beautifully detailed, highly sophisticated brain slices and dissections by Kaan Yagmurlu, who trained under the internationally renowned neuroanatomist and neurosurgeon Albert Rhoton Jr. Color illustrations clearly labeled with callouts and other indicators of foci of interest delineate multiple safe entry zones to the brainstem More than 50 detailed patient cases highlight each patient's history of previous neurological disorders, presenting symptoms, preoperative imaging, diagnosis, the planned surgical approach, patient positioning, intraoperative and postoperative imaging, and outcome Seven animations and more than 50 surgical videos elucidate approach selection, anatomy, and surgical outcomes of thalamic region and brainstem lesions This illuminating atlas provides insights into the complexities of the hallowed halls of the brainstem. Neurosurgeons and neurosurgical residents alike who glean knowledge from the clinical pearls throughout each section will no doubt become more adept surgeons, to the ultimate benefit of their patients.

Surgery in and around the Brain Stem and the Third Ventricle

Operative evacuation by a cerebellopontine angle approach led to slow
improvement of symptoms and signs over a followup period of 11⁄2 years. The
presentation of brain stem hematomas, their cause and their treatment are

Surgery in and around the Brain Stem and the Third Ventricle

Author: M. Samii

Publisher: Springer Science & Business Media

ISBN: 3642712401

Page: 600

View: 129

It is, of course, a real challenge to summon together an International Sym posium in and around the Brain Stem and Third Ventricle. Up to this mo ment the various experiences and papers on this subject were distributed throughout the world literature, making it very difficult for someone in terested in the matter to have access to the actual state of knowledge. Therefore I believe such a meeting was long overdue and is a considerable attempt to open closed doors for present and future ambitious neurosurgi cal activities. After succeeding in previous symposiums of similar interest in Hanno ver, it was obvious that Prof. Madjid Samii and his coworkers took the in itiative of organizing such a meeting, bringing together - in the pure sense of the word - Neurosurgeons with Anatomists, Neurologists, Neuro physiologists, Neuroradiologists, ENT-, Maxillofacial-, Stereotactic-, and Radiosurgeons as well as other colleagues. One contribution after the other followed, from the basic sciences up to the operative management con sidering very new and actual concepts. Through the application of new microsurgical techniques and the incorporation of new understanding for the many problems afflicting the midline of the eNS, and based on a growing closer cooperation between the various disciplines, a wide field has opened up which concerns us all.

Acta Neurochirurgica

Washington D. C. , and at the Columbia University New York. In 1967 and 1968 he worked as a gen eral surgeon at the 1st Surgical Department of the Vienna Medical School with Professor Fuchsig.

Acta Neurochirurgica


Publisher: Springer Science & Business



View: 989

Clinical Surgery E Book

BRAINSTEM. DEATH. A patient is dead when declared to be so (using accepted
criteria) by a doctor. Legally this is deemed to be the time of death. Classical
criteria for the diagnosis of death have been: permanent cessation of breathing
and ...

Clinical Surgery E Book

Author: Michael M. Henry

Publisher: Elsevier Health Sciences

ISBN: 0702051217

Page: 768

View: 691

The previous edition won first Prize (Surgery category) at the BMA Awards 2005. The judges' comment: 'A comprehensive and attractively presented 4-colour textbook of surgery aimed primarily at medical students but also of use to junior doctors and surgical technicians. The book has two key features: firstly, it provides students with coverage of every aspect of surgery; secondly, it has been designed and written to be the 'surgical companion' to Kumar & Clark's Clinical Medicine. This new edition will also offer an online version to all purchasers of the book - the first surgical textbook in the UK to make an electronic version available.' A comprehensive account of surgery - students only need to buy one text Covers general issues such as wound healing and pain control in the first section. By grouping these issues into one section at the beginning, students are immediately given an overview of what makes surgery different A regional approach is adopted for the largest section - section 2 - this reflects the way in which surgeons talk about surgery to each other The third section covers surgical specialities - paediatrics, endocrinology, urology - and also includes specialities such as ophthalmology, ENT and orthopaedics. These are often omitted from competing books to save space The logical arrangement of the three sections makes the book easy to use and refer to in clinical practice The arrangement of contents is straightforward and easily understood Text boxes are used throughout to highlight and isolate important information Includes over 350 four-colour images and line drawings original to this book and greatly praised by students Also includes over 100 black and white and approximately 50 full-colour clinical photographs, X-rays and scans Designed to complement Kumar and Clark's highly successful Clinical Medicine textbook so that students can have 'matching' texts in these complementary areas Written by an expert team of contributors Your purchase of this book entitles you to online access to the text at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other Elsevier online titles. Content clipping for your handheld. An interactive community center with a wealth of additional resources. The more Elsevier titles you buy, the more resources you can access online! New edition of a prize-winning textbook. Completely revised throughout to reflect recent changes in surgical practice. New chapter on bariatric surgery for the treatment of morbidly obese patients. Covers the increasing use of minimally invasive surgical techniques, including robotic surgery. Emphasises the increasing impact of multimodality therapy, in particular for the treatment of cancer. Covers improvements in imaging technology and impact on surgical decision making.

Otologic Surgery E Book

Brackmann DE, Hitselberger WE, Nelson RA, et al: Auditory brainstem implant: I.
Issues in surgical implantation. Otolaryngol Head Neck Surg 108:624-633, 1993.
2. Shannon RV, Fayad J, Moore JK, et al: Auditory brainstem implant: II.

Otologic Surgery E Book

Author: Derald Brackmann

Publisher: Elsevier Health Sciences

ISBN: 143771966X

Page: 864

View: 113

Otologic Surgery—the third edition of this invaluable surgical reference—has been thoroughly updated to reflect the latest advances in the field and covers all aspects of surgery of the ear and skull base. Derald E. Brackmann, MD, Clough Shelton, MD, and Moises A. Arriaga, MD bring you seven new chapters on the hot topics of Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology. These extensive updates, along with the inclusion of new contributors and the elimination of redundant chapters, ensure that this book provides you with the essential information you need to choose and perform state-of-the-art surgical techniques. The companion web site at features the fully searchable text, as well as a video library and question and answer section. Discusses controversies and alternate approaches so you can make a well-informed decision from the full range of choices. Presents the expertise and insights from more than 50 leading specialists to provide you with authoritative advice on surgical problems. Provides detailed visual guidance on how to perform procedures through step-by-step illustrations. Features the fully searchable text online at, with references linked to Medline, a question and answer section ideal for board review, and a video library of procedures for convenient access and reference. Includes seven new chapters—Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology—for coverage of hot topics and the latest advances in technique. Presents new contributors for 14 chapters to provide you with authoritative coverage and the dynamic perspectives of leaders in the field. Streamlines the content by eliminating four redundant chapters of dated techniques so you only have the information you need.

Motor Speech Disorders E Book

Trauma Surgery in the brainstem or head, neck, or upper chest can temporarily
injure or permanently damage speech cranial nerves and is perhaps the most
common cause of vocal fold paralysis. Nerve damage during surgery can result
from ...

Motor Speech Disorders   E Book

Author: Joseph R. Duffy

Publisher: Elsevier Health Sciences

ISBN: 0323242642

Page: 512

View: 906

With expanded and updated information including current techniques, approaches, and case studies, the 3rd edition of this bestselling book continues its reputation as a dependable and outstanding evidence-based source on acquired motor speech disorders in adults. It covers the substrates of motor speech and its disorders, the disorders and their diagnoses, and management -- focusing on integrating what is known about the bases of motor speech disorders with the realities of clinical practice to ensure readers have the key content they need to be effective practitioners. Three-part organization first covers the neurologic underpinnings of speech, then the various disorders resulting from problems in the nervous system, and then the basic principles and disorder-specific management strategies. Emphasis on evidence-based practice helps distill disparate information and stresses the best practices within motor speech disorders. Cutting-edge research ensures this book contains the most comprehensive and up-to-date look at the state of motor speech disorders. Case studies help clarify dense and difficult content and help hone your critical thinking skills. Summary tables and boxes offer easy access to important information such as causes and characteristics to aid in differential diagnosis. Chapter outline and summary sections keep you focused on the most significant information. NEW! Accompanying Evolve site features an interactive PowerPoint presentation with more than 60 audio and video clips demonstrating various disorders. NEW! Updated content incorporates Dr. Duffy’s findings from nearly 1,000 new articles on motor speech disorders. UNIQUE! Two-color design and larger trim size help highlight key information and allow for easier lay-flat reading.

Pediatric Surgery E Book

Treatment for ependymomas primarily consists of surgery and radiation. ...
BRAINSTEM GLIOMAS It is now recognized that there are several types of
brainstem gliomas, each associated with very different outcomes.56 The most
common ...

Pediatric Surgery E Book

Author: Arnold G. Coran

Publisher: Elsevier Health Sciences

ISBN: 032309161X

Page: 848

View: 462

Pediatric Surgery, 7th Edition - edited by Arnold G. Coran, Anthony Caldamone, N. Scott Adzick, Thomas M. Krummel, Jean-Martin Laberge, and Robert Shamberger - features comprehensive, up-to-date guidance on all aspects of childhood surgery, including congenital malformations, tumors, trauma, and urologic problems. Apply the latest developments in fetal surgery, adolescent bariatric surgery, minimally invasive surgery in children, and tissue engineering for the repair of congenital anomalies, such as the separation of conjoined twins. Get comprehensive coverage of cutting-edge technology in pediatric surgical diseases, including imaging concepts, minimally invasive techniques, robotics, diagnostic and therapeutic advances, and molecular biology and genetics. Find information quickly and easily with an intuitive organization by body region and organs. Apply the guidance of world-renowned experts in pediatric surgery. Stay current on recent developments in fetal surgery, adolescent bariatric surgery, minimally invasive surgery in children, and tissue engineering for the repair of congenital anomalies, such as the separation of conjoined twins. Master the latest surgeries available for fetal and neonatal patients and provide life-saving options at birth. Tap into the expertise of new editors who bring fresh perspectives to cutting-edge techniques.

Microsurgical Anatomy and Surgery of the Posterior Cranial Fossa

This book describes the anatomy of the posterior fossa, together with the main associated surgical techniques, which are detailed in numerous photographs and step-by-step color illustrations.

Microsurgical Anatomy and Surgery of the Posterior Cranial Fossa

Author: Toshio Matsushima

Publisher: Springer

ISBN: 4431541837

Page: 314

View: 482

This book describes the anatomy of the posterior fossa, together with the main associated surgical techniques, which are detailed in numerous photographs and step-by-step color illustrations. The book presents approaches and surgical techniques such as the trans-cerebellomedullary fissure approach and its variation to the fourth ventricle, as well as the cerebellomedullary cistern, infratentorial lateral supracerebellar approach to the fifth cranial nerve in the upper cerebellopontine angle, infrafloccular approach to the root exit zone of the seventh cranial nerve, transcondylar fossa approach through the lateral part of the foramen magnum, and the stitched sling retraction technique utilized during microvascular decompression procedures for trigeminal neuralgia and hemifacial spasm. It also describes in detail the bridging veins of the posterior fossa, especially the petrosal vein, and bridging veins to the tentorial sinuses, which can block approaches to the affected area. Each chapter begins with an anatomical description of the posterior fossa, after which the respective surgical approaches are explained in an easy-to-follow manner. The original Japanese version of this work was published 8 years ago, and has established itself as a trusted guide, especially among young neurosurgeons who need to study various surgical approaches and techniques. In the course of being translated into English, some sections have been revised and new information has been added. The author hopes that the book will help neurosurgeons around the world perform safer operations with confidence.

Surgery of the Cranial Nerves of the Posterior Fossa

CHAPTER 1 Albert L. Rhoton, Jr., MD Optimizing the operative approaches to the
cranial nerves in the posterior cranial fossa requires an understanding of the
relationship of these nerves to the cerebellar arteries, brain stem, cerebellar ...

Surgery of the Cranial Nerves of the Posterior Fossa

Author: Daniel L. Barrow

Publisher: Thieme

ISBN: 9781588901347

Page: 322

View: 548

Surgery of the Cranial Nerves of the Posterior Fossa is a comprehensive book which covers the anatomy, diagnosis, clinical and laboratory research, surgical management and theories of disorders of the cranial nerves of the posterior fossa. It focuses on refining surgical problem-solving skills and discusses the technical challenges encountered when treating this dense anatomic arena. The author also presents opposing views in an effort to offer a full range of theory and approach. Surgery of the Cranial Nerves of the Posterior Fossa does not endorse one technique over another, but rather educates physicians as to the realistic and, ultimately, best options they can offer their patients. (Distributed by Thieme for the American Association of Neurological Surgeons)

Crash Course Quick Reference Guide to Medicine and Surgery E Book

Brainstem reflexes: • The brainstem connects the brain to the spinal cord •
Brainstem death occurs ... Certification needs to be made by two senior doctors
independently • The function of the brainstem is assessed by the brainstem
reflexes, ...

Crash Course  Quick Reference Guide to Medicine and Surgery   E Book

Author: Leonora Weil

Publisher: Elsevier Health Sciences

ISBN: 0723437955

Page: 344

View: 422

Crash Course – your effective everyday study companion PLUS the perfect antidote for exam stress! Save time and be assured you have all the information you need in one place to excel on your course and achieve exam success. Crash Course Quick Reference Guide to Medicine and Surgery is a unique new volume in the series, spanning the core clinical topics across the medical curriculum. It is as useful for your first day as a clinical medical student as it is for preparing for your medical finals and beyond. Presented in a consistent format that is clear, concise and easy to assimilate, it is an essential text for any medical student or junior doctor. Includes the core medicine and surgery that you need for examinations Clear explanations for every common medical condition with an emphasis on the key points A consistent format to allow quick reference for each disease Maintains a focus throughout on questions that commonly appear in the final MBBS examinations Mnemonics, memory aids and figures are included to aid with revision Written by recent graduates together with consultants and experts for each specialty– those closest to what is essential for exam success Quality assured by leading Faculty Advisors – to ensure complete accuracy of information Co-written by specialty experts Comes with access to the complete electronic version for enhanced anytime, anywhere access, with seamless real-time integration between devices Written by senior medical students or junior doctors – authors WHO REALLY UNDERSTAND today’s exam situation! Senior Faculty Advisors ensure complete accuracy of the text! Rich artwork programme and other useful aide-mémoires help you remember the key points! Self-Assessment section – fully updated to reflect new curriculum requirements – helps you maximise your grade!

Living Scared

Among the neurosurgical studies published between 1984 and 1990, again and
again I came across doctors who questioned the wisdom of surgery for brainstem
gliomas, often quoting Matson (27), who wrote in 1969, “To our knowledge ...

Living Scared

Author: Linda Allone

Publisher: Xlibris Corporation

ISBN: 1465334114

Page: 421

View: 743

This is the first thing weve done right with this kid, argued Dr. Epstein, after I challenged his decision to alter my sons course of treatment. Just listening to this world-renowned pediatric neurosurgeon admit to all the negligent care that hurt James and trapped us in the hospital for months terrified me. As Dr. Epstein rambled on about finally being on the right track with Jamess care, I wondered if Id ever get my son out of this hospital alive. This unimaginable nightmare all began in August 1982 when my youngest son, James, was admitted to New York Cornell Hospital in Manhattan, New York. He was diagnosed and treated with radiation for a brainstem glioma (tumor). The doctors told us that James would probably die in less than a year. In 1985 James was admitted to NYU Medical Center in Manhattan, New York, for what the doctors said was a recurrence of his brain disease. James was expected to undergo one surgery to remove the tumor and return home in seven to ten days. As a result of repeated mistakes by doctors, nurses, and physical therapists, James was forced to undergo eight surgeries, including one surgery that was performed without our knowledge or consent. Nine months later, my son was discharged from NYU Medical Center, permanently injured and totally disabled. Sixteen years later we discovered that James never had a brainstem tumor. Living Scared begins as a heart-wrenching memoir but quickly develops into a hard-hitting expos that probes indifference, complacent attitudes, reckless behavior, incompetence, eroding ethics, descending standards of practice, and widespread corruption in medicine. Medical Negligence Is A National Crisis Screaming newspaper headlinesdoctor operates on the wrong leg! or surgical instrument left inside patient!have become a commonplace occurrence as medical negligence spreads pervasively throughout our nation. What once was so shocking to people now hardly raises an eyebrow because allowed behavior has become accepted behavior. Sadly, we have no one to blame for this atrocity but ourselves because our society has come to accept the avoidable mistakes that occur in all hospitals as human error, and thats wrong. An estimated 100,000 people die from hospital infections every year. Another 100,000 people die from medical negligence. Some 1.5 million people a year are injured as a result of medication mistakes. Hospitals rarely blame doctors or nurses for the medical mistakes that occur in hospitals. More often than not, hospital administrators invariably blame the system each time a patient is injured or killed as a result of a medical mistake. Disciplinary action against the doctor or nurse involved is rarely executed. An example of this: Chief Executive Sam Odle of Methodist Hospital in Indianapolis said, Whenever something like this happens [regarding a medication mix-up that killed three infants on September 23, 2006], it is not an individual responsibility; its an institutional responsibility. The truth is, human negligence is often responsible for a majority of the mistakes that occur in hospitals; but hospital administrators will never admit to this fact. Instead, they shrewdly manipulate the public and minimize public outrage by blaming the system each time a patient dies as a result of medical negligence. This strategy works very well because the system is intangible, and people dont seem to get as fired up when the system fails, as opposed to a living, breathing human who failed to do their job and was responsible for the death of a patient. This nationwide crisis, approaching epidemic proportions, has prompted the U.S. government to issue a warning to all hospitals to clean up their act after a national survey showed that 47 percent of Americans were directly affected, or knew of someone af

Neurosurgical Anesthesia An Issue of Anesthesiology Clinics E Book

Fischer C, Fischer G. Intraoperative brainstem auditory evoked potential (BAEP)
monitoring in acoustic neuroma surgery. In: Schramm J, Moller A, editors.
Intraoperative neurophysiologic monitoring in neurosurgery. New York: Springer-
Verlag ...

Neurosurgical Anesthesia  An Issue of Anesthesiology Clinics  E Book

Author: Jeffrey R. Kirsch

Publisher: Elsevier Health Sciences

ISBN: 1455748382

Page: 240

View: 680

This issue of Anesthesiology Clinics provides essential updates in neurosurgical anesthesia. Topics include anesthesia for endovascular neurosurgery; interventional neuroradiology; neuroimaging; anesthetic management of patients with acute stroke; perioperative management of pediatric patients; anesthetic neurotoxicity; airway management in neuroanesthesiology; anesthetic considerations for awake craniotomy for epilepsy; perioperative uses of trans cranial perfusion monitoring; monitoring and introaoperative management of elevated ICP and decompressive craniectomy; electrophysiologic monitoring in neurosurgery; traumatic brain injury; perioperative pain management in the neurosurgical patient; controversies in neurosciences critical care; sleep and mechanisms of anesthesia; and impacts on outcome after neuroanesthesia.

Cochlear and Brainstem Implants

Cochlear Implants Møller AR (ed): Cochlear and Brainstem Implants. Adv
Otorhinolaryngol. Basel, Karger, 2006, vol 64, pp 11–30 Surgical Aspects of
Cochlear Implantation:Mechanisms of Insertional Trauma Peter S. Rolanda,
Charles G.

Cochlear and Brainstem Implants

Author: Aage R. Møller

Publisher: Karger Medical and Scientific Publishers

ISBN: 3805581572

Page: 228

View: 455

Today cochlear implants are the most successful of all prostheses of the nervous system. They are used in individuals who are deaf or suffer from a severe hearing deficiency caused by loss of cochlear hair cells. Auditory brainstem implants provide stimulation of the cochlear nucleus and are used in patients with an auditory nerve dysfunction, a deformed cochlea which does not allow cochlear implantation, or traumatic auditory nerve injury. In this volume different aspects of cochlear implantation such as the role of neural plasticity, the interaction with the development of the auditory system, and the optimal time of implantation in children (sensitive periods) are discussed in detail. Further, the processors and the algorithms used in modern cochlear implants are described The second part is devoted to auditory brainstem implants. It describes surgical techniques, methods for intraoperative testing as well as speech processing. It also deals with electrical stimulation of neural tissue and the neurophysiologic basis for cochlear and brainstem implants. The publication provides the latest scientific and clinical knowledge on cochlear and brainstem implants and is highly recommended to audiologists, otolaryngologists and also neurosurgeons.

A Practical Approach to Neurophysiologic Intraoperative Monitoring

is placed between the brainstem and the offending vessel, with care not to
compress the facial or vestibulocochlear nerve more than necessary to achieve a
durable result. Surgery for Glossopharyngeal Neuralgia MVD surgery of the ...

A Practical Approach to Neurophysiologic Intraoperative Monitoring

Author: Aatif M. Husain, MD

Publisher: Demos Medical Publishing

ISBN: 9781934559970

Page: 250

View: 517

A Practical Approach to Neurophysiologic Intraoperative Monitoring covers all aspects of neurophysiologic intraoperative monitoring (NIOM), which is increasingly being used to continuously assess the functional integrity of a patients nervous system during surgery. With training in NIOM seldom available in traditional programs, this book is the only practical source for essential information on the clinical practice of NIOM. The book is divided into two convenient sections: Section One, Basic Principles, covers the modalities used in monitoring as well as the rarely discussed topics of remote monitoring, billing, ethical issues, and a buyer's guide for setting up a laboratory. Section Two reviews anatomy, physiology, and surgery of the various procedures, followed by details of the monitoring modalities and their interpretive criteria. Special features include: Portability, easy to carry and use Includes all major types of surgeries for which NIOM is requested Information on buying, training, set-up, and billing that is not available anywhere else A unique technical section at the end of each chapter that reviews the logistics of monitoring a particular type of surgery Useful for trainees and experienced clinicians With wide use of bullet points, tables, and illustrations, this pocket-sized manual is essential reading for neurologists, neuroanesthesiologists, neurosurgeons, and OR techs.

Complications in Head and Neck Surgery E Book

... Vertebral artery Hypoglossal branch of the neuromeningeal trunk Adapted from
Lasjaunias P, Berenstein A: Surgical ... TABLE 11-2 Blood Supply of Cranial
Nerves Cranial Nerve III, IV, VI, V (I) Location Exiting the brainstem Roof of the ...

Complications in Head and Neck Surgery E Book

Author: David Eisele

Publisher: Elsevier Health Sciences

ISBN: 1437719635

Page: 848

View: 143

Effectively avoiding, recognizing, and managing complications is integral to your operative success. Let a multidisciplinary team of experts in otolaryngology, plastic surgery, oral and maxillofacial surgery, and general surgery guide you through the full range of complications associated with every type of head and neck procedure . . . so you will be equipped to produce the most favorable outcomes for even the most challenging cases! Expert, comprehensive, multidisciplinary coverage of head and neck complications helps you to safely incorporate new surgical techniques into your practice. An emphasis on complication prevention and recognition assists you in avoiding the "complication cascade." Coverage of both acute and long-term care of patients with head and neck complications prepares you to make effective choices in both instances. A new "Quality of Life" section examines the controversies that often surround selecting one procedure over another, illuminating why certain procedures aren't always best for some patients. A new section on complications of facial plastic and reconstructive surgery equips you to perform these techniques with greater confidence. A consistent, practical chapter format helps you focus on key clinical and surgical considerations. A new, more cohesive full-color illustration program richly captures visual nuances of clinical presentation and operative technique. A bonus CD-ROM allows you to use all of the images from the book in electronic presentations.

Advances and Technical Standards in Neurosurgery

This series, sponsored by the European Association of Neurosurgical Societies, has already become a classic.

Advances and Technical Standards in Neurosurgery

Author: J. D. Pickard

Publisher: Springer Science & Business Media

ISBN: 3709105587

Page: 310

View: 905

This series, sponsored by the European Association of Neurosurgical Societies, has already become a classic. In general, one volume is published per year. The Advances section presents fields of neurosurgery and related areas in which important recent progress has been made. The Technical Standards section features detailed descriptions of standard procedures to assist young neurosurgeons in their post-graduate training. The contributions are written by experienced clinicians and are reviewed by all members of the Editorial Board.

Urogynecology and Reconstructive Pelvic Surgery E Book

The effects of such regulation are chiefly on the brainstem for the detrusor and on
the sacral cord for the periurethral mechanisms. The brain pathways known to be
associated with bladder and pelvic floor activity include cortical pathways ...

Urogynecology and Reconstructive Pelvic Surgery E Book

Author: Mark D. Walters

Publisher: Elsevier Health Sciences

ISBN: 0323081916

Page: 616

View: 451

Edited and authored by some of the most respected figures in the field, this newly revised book is your comprehensive guide to all areas of urogynecology, including urinary and fecal incontinence, urodynamic testing, management of genuine stress incontinence, pelvic organ prolapse, overactive bladder, and much more. Uniquely organized to reflect a physician's decision-making process, this practical, clinically oriented text moves from basic concepts through to clinical and urodynamic evaluation, management, and treatment. Inside, you'll find evidence-based assessments of appropriate therapies, along with algorithmic approaches to common complaints, and clear surgical illustrations. Exclusive to the third edition is a section addressing painful and irritative voiding disorders, including overactive bladder, as well as 20 new case presentations that offer opinions from the leading experts in urogynecology and urology. Features step-by-step instructions for urodynamic testing. Addresses all urogynecologic disorders, including genuine stress incontinence · pelvic organ prolapse · defecation disorders · painful and irritative voiding disorders · and specific conditions such as urinary tract infection. Presents vital information on urethral injections, covering the newest treatment options available. Examines the use of autologous materials and mesh in reconstructive pelvic surgery. Uses over 300 crisp illustrations to illuminate every detail. Contains a new section on painful and irritative voiding disorders, including a discussion of overactive bladder and the latest treatment options available. Discusses urodynamics and the most up-to-date testing available for urethral sphincteric function. Features 20 all new case presentations with expert commentary.

Sabiston Textbook of Surgery E Book

Surgical excision is practical in most locations because of the distinct margins
and minor bleeding encountered at operation. Lesions in the brainstem can pose
major challenges but, even there, surgical resection is not ruled out as long as ...

Sabiston Textbook of Surgery E Book

Author: Courtney M. Townsend

Publisher: Elsevier Health Sciences

ISBN: 1455738085

Page: 2152

View: 694

Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient. Consult it on the go with online access at, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.

Advances in Neurologic Therapy An Issue of Neurologic Clinics E Book

Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of
surgical and endovascular treatment. Lancet 2003 ... Surgery of angiomas in the
brainstem with a stress on the presence of telangiectasia. Neurol Med Chir ...

Advances in Neurologic Therapy  An Issue of Neurologic Clinics   E Book

Author: José Biller

Publisher: Elsevier Health Sciences

ISBN: 1455700444

Page: 297

View: 760

This issue of Neurologic Clinics offers a rounded view of the latest therapeutic advances for the most common neurologic disorders and contains the following articles: Management Controversy in Chronic Daily Headaches (Rahmadan); Neurostimulation in Headache Patients (Dafer); The Selection of Anti-epileptic Drugs for the Treatment of Epilepsy in Children and Adults (Asconape); Management of Status Epilepticus in Adults (Rabinstein); Management of Blood Pressure in Acute and Hemorrhagic Stroke (Schneck); Modern Management of Brainstem Cavernous Malformations (Duckworth); Endovascular Treatment of Intracranial Dural Arteriovenous Fistulas (Narayanan); Management of Motor Complications of Parkinson’s Disease (Espay); Therapeutic Challenges in Dystonias (Kartha); Management of Voltage Gated Potassium Channel Antibody Disorders (Merchut); Management of Critical Care Neuromyopathies (Chawla, Gruener); Approaches to Peripheral Nerve Disorders (Toussaint, Anderson); Management of Idiopathic Intracranial Hypertension (Digre, Spencer); Management of Low Grade Gliomas (Prabhu); Management of Acute, Recurrent, and Chronic Meningitdes in Adults (Venna); and Treatment Options for Adult Parasomnias (Attarian).