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: 211

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: 900

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.

U S Navy Medicine

Surgery was complicated by haemorrhage into an unsuspected metastatic
tumour in the frontal lobe . ... Most postoperative patients with secondary
brainstem haemorrhages who died within a week of surgery either underwent
surgery for an ...

U S  Navy Medicine

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Brainstem Tumors

Hailing from around the globe and currently practicing in various countries in Asia, Europe, and North America, the expert authors of this work represent a wide range of disciplines and experiences, providing a comprehensive, ...

Brainstem Tumors

Author: George I. Jallo

Publisher: Springer Nature

ISBN: 3030387747

Page: 400

View: 382

This illuminating and comprehensive work offers readers a thorough and detailed perspective of brainstem surgery as well as state-of-the-art discussion on the diagnosis and management of related pathologies. Hailing from around the globe and currently practicing in various countries in Asia, Europe, and North America, the expert authors of this work represent a wide range of disciplines and experiences, providing a comprehensive, interdisciplinary overview of brainstem surgery. Indeed, brainstem pathologies remain the most challenging to manage surgically due to the high eloquence and the deep and hidden location of the brainstem, turning surgical treatment of brainstem pathologies into one of the most complex and demanding fields in neurosurgery. This vital book guides readers through this very complex anatomical territory in which any pathology leads to grave consequences. Taking readers through the depth of the complex architecture of the brainstem in the clinical context, and emphasizing the evidence-based treatment of different brainstem pathologies while also reviewing what the future holds for the management of these pathologies, the book presents a review of state-of-the-art preoperative assessment modalities and surgical. The book covers brainstem-related pathologies from infancy to adulthood, and the text is enriched with diagnostic and surgical images that cover almost all types of brainstem lesions. The book is written in a way that neurosurgery specialists and fellows will feel comfortable navigating throughout its contents, and the enthusiastic neurosurgery resident will find this book to be a valuable guide. A major contribution to the clinical literature, Brainstem Tumors: Diagnosis and Management will also serve as a reference for anyone involved in the treatment of patients suffering from brainstem pathologies, including medical team members such as adult and pediatric neurosurgeons, neurologists, neurooncologists, residents and fellows, clinical neuropsychologists, electrophysiologists, neuroradiologists, and medical students who have a passion to learn about the assessment and surgical management of patients with brainstem diseases.

Principles and Practice of Surgery

In the cadaveric donor the procedure is as follows . Once brainstem death has
been confirmed and permission for organ donation obtained from the family ,
cadaveric donor nephrectomy can commence . The donor is transferred to an ...

Principles and Practice of Surgery

Author: A. P. M. Forrest

Publisher: W.B. Saunders Company

ISBN:

Page: 642

View: 897

This aims to provide a complete text to enable the student to appreciate both the medical and surgical implications of diseases encountered on surgical wards. 49 chapters have been revised into 15 sections to group subjects in a more structured way to aid reference and learning. The text is ordered by body systems and includes chapters on practical procedures and medico-legal problems. It steers students from academic study towards the practical aspects of surgery. This aspect also makes the book applicable as background reading for primary FRCS candidates.

Index Medicus

BRAIN STEM INFARCTIONS Intraoperative ultrasound imaging practical
applicability as a real- Experimental treatment of Epstein - Barr virus - associated
... METABOLISM Cranial surgery and navigation with a compact intraoperative
MRI .

Index Medicus

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Cranial Base Surgery

Neural generators of brainstem evoked potentials . Results from human
intracranial recordings . Ann Otol Rhinol Laryngol 1981 ; 90 : 591-596 55. Moller
AR , Jannetta PJ , Sekhar LN . Contributions from the auditory nerve to the
brainstem ...

Cranial Base Surgery

Author: James T. Robertson

Publisher: Elsevier Science Health Science Division

ISBN:

Page: 688

View: 365

This comprehensive new reference addresses the entire spectrum of cranial base surgery today. The clinically oriented text is enhanced by numerous illustrations and is highly practical in its orientation. Each chapter has been written by a carefully chosen expert from within the field. Covers all aspects of clinical management of skull base lesions Includes radiological diagnosis and neurointerventional therapy Comprehensive coverage of anaesthesia and monitoring Major section on surgical techniques by international experts Outcomes and management algorithms included Adjuvant therapy, including oncological and radiation treatments included

Principles of Surgery

Isolation of the brainstem reticular formation from descending hemispheric
impulses by a section at the upper midbrain produces facilitation of antigravity
musculature, or the state known as decerebrate rigidity. Removal of the
cerebellum in the ...

Principles of Surgery

Author: Seymour I. Schwartz

Publisher:

ISBN:

Page: 2214

View: 135

Minimally Invasive Surgery of the Head Neck and Cranial Base

Evaluation of surgical approaches to endoscopic auditory brainstem implantation
. Laryngoscope 1999 ; 109 : 175 - 180 . 12 . Tatagiba M , Matthies C , Samii M .
Microendoscopy of the internal auditory canal in vestibular schwannoma surgery
 ...

Minimally Invasive Surgery of the Head  Neck  and Cranial Base

Author: Phillip A. Wackym

Publisher: Lippincott Raven

ISBN:

Page: 559

View: 337

Written by the foremost experts in their subspecialties, this comprehensive text/atlas describes current endoscopic techniques in all areas of otolaryngology-head and neck surgery. Coverage includes otology, neuro-otology, cranial base surgery, paranasal sinus surgery, head and neck/plastic and reconstructive surgery, laryngology, and broncho-esophagology. The book focuses on detailed methods that will help general otolaryngologists and subspecialists adopt the techniques into practice. The authors discuss the treatment advantages and limitations of each technique. Complementing the text are more than 500 full-color intraoperative endoscopic photographs, as well as grayscale endoscopic photographs, patient positioning photographs, equipment photographs, and drawings.

Manual of Neuro surgery

If , after turning and douching , there appears a normal past - pointing of both
extremities in both directions , it may safely be assumed that the cerebellum itself
is intact . This can not be regarded as absolutely final , but is much more definite
 ...

Manual of Neuro surgery

Author: United States. Surgeon-General's Office

Publisher:

ISBN:

Page: 492

View: 355

Neuromonitoring in Otology and Head and Neck Surgery

Brain stem auditory evoked potentials in posterior circulation surgery .
Neurosurgery 1983 ; 12 : 496 - 502 . 16 . Silverstein H , McDaniel A , Wazen J et
al . Retrolabyrinthine vestibular neurectomy with simultaneous monitoring of
eighth nerve ...

Neuromonitoring in Otology and Head and Neck Surgery

Author: Jack M. Kartush

Publisher: Lippincott Williams & Wilkins

ISBN:

Page: 252

View: 107

This clinical reference on neurophysiologic monitoring during otologic, skull base, and head and neck surgery, is aimed at guiding surgeons in the use of intraoperative monitoring to reduce the risk of neural injury and should enable neurophysiologists, EEG technicians, audiologists, and neurologists to utilize their diagnostic testing skills in the operating room. A group of leading experts details the principles of intraoperative neurophysiologic monitoring, the capabilities and limitations of current monitoring modalities, the technical and interpretive problems that arise in the operating room, the electrophysiology of cranial nerves that are at risk during surgery, and the applications of neurophysiologic monitoring during specific surgical procedures. To enable all specialists to quickly access the information they need, the book covers basic electrophysiology and clinical applications separately. A helpful chapter on working in the operating room is also included.

BNI Quarterly

If , however , the patient does not improve within four hours or deteriorates at all
after the placement of the external ventricular drainage system , emergency
surgery is necessary to prevent the continued compression of the brainstem by
the ...

BNI Quarterly

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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: 678

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.

Fundamentals of Surgery

The brain is divided into cortex , brainstem , and cerebellum . SCALP Cortex The
cortex is subdivided into dominant and non - dominant hemispheres by a leaf of
dura known as the falx cerebrum . Each hemisphere is further subdivided into ...

Fundamentals of Surgery

Author: Shireen L. Dunwoody

Publisher: McGraw-Hill/Appleton & Lange

ISBN:

Page: 836

View: 254

Covering both general surgery and surgical subspecialities, this work places emphasis on information that students can use in clinical situations and covers OP set-up, techniques and caring for patients as part of the surgical team. Features include key facts which summarize useful information.

Cerebrovascular Surgery

35 If these signs of brainstem The clinical diagnosis of massive cerebellar in -
compression are critical and the diagnosis of a farction can be made if the
clinician has a high posterior fossa mass lesion is suspected , the cliindex of
suspicion ...

Cerebrovascular Surgery

Author: Jack M. Fein

Publisher: Springer

ISBN: 9780387960265

Page: 279

View: 127

Patient Care in Neurology

Computerized tomography - guided stereotactic surgery for brainstem masses : a
risk benefit analysis in 71 patients . 7 Neurosurg 82 : 976 - 81 , 1995 . Robertson
PL , Allen JC , Abbott IR , Miller DC , Fidel J , Epstein FJ . Cervicomedullary ...

Patient Care in Neurology

Author: Adrian C. Williams

Publisher: Oxford University Press, USA

ISBN:

Page: 487

View: 993

This book addresses modern attitudes to, and management of, the common neurological conditions, reflecting the shift in clinical neurology from being a largely diagnostic service to becoming a specialty based on treatment, longterm education and support of patients. Throughout, the emphasisis on developing a close working relationship between neurologists, psychiatrists, rehabilitation staff and specialist nurses, and the importance of the team approach to patient care, including consideration of the patient's own experience of their situation and the role of community services suchas lay societies and charities. This is the only text presenting this holistic approach to neurological care. The aim of this book is to stimulate debate about the best service provision for neurology, covering considerations relevant to the commissioning of services, running outpatient clinics,transcultural issues and the role of the nurse specialist. The book assesses the role of neurogenetics in preventive neurology and opportunities for the continued application of gene therapy techniques. Also covered are the psychosomatic conditions often faced by a neurologist and the managementof the secondary psychological results of organic neurological disease.