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The one-stop guide to microsurgical and endoscopic treatment of skull base lesions from global experts A deep knowledge of regional anatomy, improved understanding of pathologies and their behaviors, technological advances, and multidisciplinary collaboration have led to more effective treatments for once inoperable skull base lesions. Microsurgical and Endoscopic Approaches to the Skull Base: Anatomy, Tactics, and Techniques by renowned skull base neurosurgeons Luis A. B. Borba and Jean G. de Oliveira presents a balanced, anatomy-based perspective on microsurgical and endoscopic approaches to manage these highly challenging lesions. The text leverages the best current scientific literature on this topic and insights from global skull base surgery experts. Organized into 9 sections and 52 chapters, the book starts with discussion of microsurgical and endoscopic instrumentation and neurophysiological monitoring. The subsequent sections cover diverse approaches for skull base lesions involving the sphenoid and parasellar, orbit, anterior fossa, cavernous sinus, temporal bone and jugular foramen, and foramen magnum regions. Each of these sections starts with an introduction, followed by a microsurgical description of the anatomy of the impacted region. Key Highlights Contributions from an impressive group of internationally renowned neurosurgeons and otolaryngologists specializing in skull base pathologies Indications, preoperative and postoperative concerns, nuances, pitfalls, tactics, techniques, and references for further reading provide a comprehensive guide to treatment A stepwise description of the approach, high-quality four-color drawings, and illustrative cases facilitate acquisition and retention of knowledge High-quality figures provide greater visual insights and step-by-step guidance on how to perform specific procedures This unique textbook will help residents, fellows, and practitioners in neurosurgery and otolaryngology make an evidenced-based decision on using the most effective microsurgical and/or endoscopic approach to achieve the best outcomes in patients with skull base lesions.
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Unique neurointerventional surgery resource analyzes landmark literature to inform optimal patient management The field of neurointerventional surgery is rapidly expanding with an ever-accelerating pace of technological innovations. While industry plays a significant role in designing new technology and defining indications for its use, practitioners need to evaluate and determine the most efficacious treatments for their patients. Neurointerventional Surgery: An Evidence-Based Approach by renowned endovascular neurosurgeons Min Park, M. Yashar S. Kalani, and Michael F. Stiefel examines the most common disease states in neurointerventional surgery through a critical lens. The unique text leverages evidenced-based data to inform treatment decisions and improve patient outcomes. The text is organized by 5 sections and 32 chapters, including the latest state-of-the-art interventions. Each of the chapters provides critical analysis of the "landmark papers" that established the foundation and standards for modern neurointerventional practice. An example is the rapidly changing understanding of large vessel occlusions in ischemic stroke that now strongly supports mechanical thrombectomy as a viable and important part of the treatment armamentarium. Key Highlights Contributions from internationally recognized leaders in academic neurointerventional surgery provide insightful and analytic perspectives Encompasses the full continuum of neurointerventional procedures in one resource, from hemorrhagic and ischemic stroke to neoplasms and spine conditions The reader-friendly structure and chapter formatting facilitates understanding of often complicated decision-making The evidenced-based, multifaceted approach to neurointerventional surgery presented in this textbook makes it vital reading for residents, fellows, and practitioners in neurosurgery, as well as fellows in interventional neuroradiology and interventional neurology.
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This book presents a focused, case-oriented approach to a specific disease entity: tumors located within the spinal canal. Each tumor type constitutes its own chapter and additional chapters focus on more novel trends in the field, such as radiosurgery and minimally invasive surgical techniques. In each chapter, the authors provide expert opinions on preoperative goals, intraoperative techniques and decision-making, and postoperative paradigms, including surveillance guidelines and thresholds for initiating adjuvant therapy. The management of intradural tumors has become increasingly interdisciplinary, and one of the major goals of this text is to familiarize the treating neurosurgeon with the latest advances in both operative and non-operative strategies. The text seeks to answer two questions: 1) what are the detailed surgical steps taken by these neurosurgeons to ensure safe maximal resection of these tumors? and 2) in cases of residual and recurrent disease, what are the most effective management options? Consensus regarding definitive management remains difficult to reach given the overall rarity of these tumors. Tumors of the Spinal Canal is ultimately a practical reference drawn from the experiences of its individual authors, a compendium of surgical pearls, pitfalls, and preferences, all steeped in the most recent and relevant literature on the subject. .
Neurosurgery. --- Oncology . --- Oncology. --- Tumors --- Nerves --- Neurosurgery --- Surgery --- Nervous system --- Surgery.
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Nervous system --- Surgery. --- Nerves --- Neurosurgery --- Surgery
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A case-based guide to the interventional management of stroke from leading international experts! Stroke is the most prevalent cerebrovascular emergency, impacting an estimated 15 million people worldwide every year. Endovascular treatment (EVT) of ischemic stroke has expanded at an unforeseen pace, with EVT the most common neurointerventional procedure performed at most large centers. Endovascular Management of Ischemic Stroke: A Case-Based Approach by renowned stroke pioneer Vitor Mendes Pereira and distinguished co-editors features contributions from a "who's who" of global experts. This practical resource provides straightforward guidance for clinicians who need to learn and master state-of-the-art endovascular interventions reflecting the new, evidenced-based treatment paradigm for acute stroke. This carefully crafted reference takes readers on a journey from the early building blocks that led to modern stroke interventions to meticulous step-by-step descriptions of the latest approaches. Fifty high-yield cases mirror real-life scenarios trainees and professionals are likely to encounter in clinical practice. Seven sections encompass a full spectrum of diverse patient presentations, anatomical variations, advanced techniques, complex pathologies, complications, and stroke mimics. Key Highlights Discussion of emerging techniques likely to stand the test of time such as SAVE, ARTS, transradial access, and transcarotid access Stroke mimics important for differential diagnoses, including hemiplegic migraine, MELAS, RCVS, seizure, and more An appendix that covers fundamental terms, trials, and tools This cutting-edge resource is essential reading for trainee and early-career interventionalists, as well as seasoned practitioners in interventional radiology, neuroradiology, endovascular neurosurgery, and interventional neurology.
Radiology (incl. Interventional Radiology). --- Neurosurgery. --- Vascular Surgery.
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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.
Neurosurgery. --- Orthopedics. --- Surgical Orthopedics. --- Orthopaedics --- Orthopedia --- Surgery --- Nerves --- Neurosurgery --- Nervous system --- Surgery.
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This book provides an overview of the history, anatomy, epidemiology, diagnosis (HPI, PE, Imaging), non-pharmacological management and medication management of trigeminal nerve pain. Nerve blocks for the trigeminal nerve and branches, Radiofrequency ablation, chemodenervation, cryotherapy, botox injections, neuromodulation infusion therapy, balloon compression gamma knife therapy, decompression surgery, peripheral neurectomy and the psychological impact are also examined with an algorithm for management recommendations included in the final chapter. Trigeminal Nerve Pain - A Guide to Clinical Management comprehensively covers how to manage patients with this often debilitating pain and is of use to trainees and practising internists, hospitalists, surgeons and anaesthesiologists seeking to increase their understanding of this complex condition. .
Neurology . --- Neurosurgery. --- Anesthesiology. --- Neurology. --- Anaesthesiology --- Surgery --- Nerves --- Neurosurgery --- Medicine --- Nervous system --- Neuropsychiatry --- Diseases --- Pain. --- Surgery.
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This book introduces a new medical device, the ZiNeu catheter, and explains its use for the non-surgical interventional treatment of degenerative spinal disease, including spinal stenosis. In particular, the device can directly alleviate stenosis of the intervertebral foramen or central canal and perineural adhesions, resulting in reductions in back pain, leg pain, and neurogenic claudication. The ZiNeu device was invented by the author and the JUVENUI company.. It now has CE certification and is exportable to Europe. The book opens by explaining the concepts of epidural balloon decompression and adhesiolysis and outlining the types and features of the ZiNeu catheter. The full range of procedures using the ZiNeu series, ZiNeuF series, and the ZiNeuF03 catheter is then described and illustrated, and guidance provided on key aspects of decision making and post-procedure management. The book will be of interest to all specialists in pain management.
Orthopedics. --- Neurosurgery. --- Anesthesiology. --- Anaesthesiology --- Surgery --- Nerves --- Neurosurgery --- Orthopaedics --- Orthopedia --- Spine --- Surgery.
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This book, written by renowned experts from across the world, provides readers with a detailed and up-to-date understanding of posterior circulation stroke and its management. Anatomy, pathophysiology, clinical syndromes, and imaging findings are clearly and thoroughly described with the aid of illustrative cases and schematic drawings. The management-oriented chapters explain all forms of treatment, including the use of antiplatelet agents and anticoagulants, thrombolysis, mechanical thrombectomy, stenting, and surgical therapy, i.e., bypass and decompression. Throughout, full account is taken of recent significant advances in knowledge and clinical practice. Stroke affecting the posterior circulation continues to pose particular challenges for clinicians. This book will help readers to avoid misdiagnosis, which still occurs far too frequently, and to manage individual patients optimally. It will be an excellent learning resource for residents in neurology, neurosurgery, radiology, interventional radiology, and vascular surgery, as well as an ideal reference for more experienced practitioners in these specialties.
Neurology . --- Neurosurgery. --- Interventional radiology . --- Neurology. --- Interventional Radiology. --- Radiology, Interventional --- Medical radiology --- Therapeutics --- Nerves --- Neurosurgery --- Medicine --- Nervous system --- Neuropsychiatry --- Surgery --- Diseases --- Cerebrovascular disease --- Diagnosis. --- Treatment. --- Interventional radiology. --- Surgery.
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This comprehensive, case-based resource provides the state-of-the-art knowledge that can help readers improve access and optimize delivery of stroke thrombectomy. Improving access to stroke is of particular importance because patients often misinterpret their symptoms or cannot speak for themselves if they have aphasia. More importantly, access needs to be organized because stroke therapies are all extremely time-sensitive. Scalable, choreographed protocols are necessary for emergency medical systems to ‘capture’ stroke patients and automatically transport and triage to time-sensitive treatments. Many of the chapters in the first section on Fundamentals and Systems provide valuable insight in improving access to stroke care. Replete with illustrative case studies and emphasizing that treatment approaches to stroke should not be comprised of a one-size-fits-all approach, this illuminating title provides the complete thought, detail, insight and organization that will help readers meet the needs of stroke patients with large vessel occlusions. 12 Strokes: A Case-based Guide to Acute Ischemic Stroke Management examines the primary technical principles that underlie the current thrombectomy approaches. Instead of continuing the conceptual dichotomy of stent vs. aspiration, many of the chapters look at underlying principles and then discuss ways in which the currently available devices and approaches can best exploit them. The variety, creativity and detail in many of these chapters will help the reader develop a deeper understanding that might assist their ability to successfully take care of their next patient that ‘doesn’t follow the textbook.’ In addition, the anatomic and pathophysiologic classification of the core Twelve Chapters will help readers organize their thinking and approach. This knowledge, particularly because it is organized based on common, challenging syndromes, will arm the reader to quickly recognize patterns and deftly adapt their management approaches to the needs of the patient. An invaluable contribution to the clinical literature, 12 Strokes: A Case-based Guide to Acute Ischemic Stroke Management will be of great interest to not only neurosurgeons and neurologists but other specialists, primary care providers, and trainees as well. .
Neurosurgery. --- Neurology . --- Radiology. --- Neurology. --- Imaging / Radiology. --- Radiological physics --- Physics --- Radiation --- Medicine --- Nervous system --- Neuropsychiatry --- Nerves --- Neurosurgery --- Diseases --- Surgery --- Cerebrovascular disease --- Treatment.
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