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Provides guidelines for managing this grossly underdiagnosed and undertreated condition, focusing on early detection and timely, effective interventions.
In the last ten years the pediatric neurosurgeon has witnessed a real revolution in the diagnosis and treatment of pediatric hydrocephalus, the most frequently encountered condition in everyday clinical practice. The evolution of MRI and the advent of neuroendoscopic surgery have resuscitated the interest in the classification, etiology and pathophysiology of hydrocephalus. The book offers an updated overview on the recent progress in this field, and a new approach to hydrocephalus: the reader will find in it a modern and new presentation of an old disease, where genetics, endoscopy, cost-effectiveness analyses and many other aspects of the various therapies are extensively discussed. The volume will be useful not only for neurosurgeons, but for all specialists interested in the various aspects of hydrocephalus: pediatricians, radiologists, endocrinologists, pathologists and geneticists.
Adult hydrocephalus is an insidious yet treatable condition that develops slowly, with usual onset around 60 years of age. It is poorly recognized and many cases are not diagnosed until late in the course of disease, leading to poorer patient outcomes and a high financial cost to healthcare providers. The resulting neurological symptoms include gait/balance problems, loss of bladder control, and a cognitive decline leading to dementia, which is often mistaken for Alzheimer's disease. This book - the first published on this topic since 1993 - provides comprehensive guidelines to improve the speed and accuracy of diagnosis, and covers various neurosurgical techniques used to treat the disease, including the insertion of different types of shunts and endoscopic third ventriculostomy. This is essential reading for neurologists, neurosurgeons, family physicians, and radiologists who may well encounter adult patients with hydrocephalus more often than they realize.
This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.
Often misunderstood and misdiagnosed, normal pressure hydrocephalus (NPH) is a disease of the elderly that is on the rise as the population ages. Its similarities to Parkinson's disease, dementia and other chronic neurodegenerative conditions make diagnosis challenging, requiring clinicians to be alert to the signs and symptoms that differentiate it. Here is the first comprehensive book on the topic, written by experts who have researched and taught courses on NPH for years. From clinical characteristics and pathophysiology to signs and symptoms, radiographic findings, diagnostic tests and state-of-the-art treatment techniques, it covers everything practitioners need to know about this multi-faceted condition. Special Features: Describes the classic symptom triad of gait disturbance, urinary incontinence and dementia Covers the full sequence of the diagnostic work-up, including imaging studies, non-invasive tests, and invasive procedures such as lumbar infusion and cerebrospinal tap tests Explains the risks and benefits of surgical implantation of a ventricular-peritoneal (VP) shunt to relieve symptoms and restore function, including key criteria for evaluating "shunt responsiveness" Provides the first step-by-step account of operative shunt placement by Dr. Michael Fritsch, who has performed the procedure extensively at leading neurosurgical centers throughout the world Including troubleshooting techniques following shunt surgery, long-term management of patients, prognosis for the condition and future initiatives, this all-inclusive reference makes a major contribution to the field. It is essential for neurosurgeons, neurologists, internists, residents, and other physicians who treat diseases of the elderly in everyday practice.
Normal pressure hydrocephalus (NPH) is a damaging and often misdiagnosed neurological disease, and this reference provides concise information to help understand the disease and how it's treated. The book explains the symptoms of NPH, how NPH develops, medical tests performed to diagnose the condition, treatment options, and care after surgery. It's estimated that nearly 400,000 Americans have NPH, but only about 11,000 have been properly diagnosed and treated: this guide for sufferers and their families will help return patients to their normal lives.
New edition, completely rewritten, with new chapters on endovascular surgery and mitochrondrial and ion channel disorders.
Hydrocephalus is one of the most common diseases of pediatric and adult neurosurgery. With the introduction of modern neurosurgical procedures, this disease has become a life-long problem. Even with optimal treatment, there is still significant morbidity and mortality along with a significant cost to the medical system. This has caused patients and their families to demand improvements in treatments and forced clinicians to evaluate their treatments in large consortiums while utilizing both genetics and technology to improve outcomes or avoid placement of shunt all together. This text is designed to present the current treatments for hydrocephalus across the lifespan. The foundation for understanding cerebral spinal fluid (CSF) abnormalities begins with the understanding of physiology and pathogenesis of disease. These chapters are written by published experts in the field and detail the significant advances in the detection of CSF abnormalities. This section will discuss the current advances in imaging and current research in biomarkers for both pediatric and adult patients. We will then systematically discuss the treatment of both pediatric and adult CSF disorders. These will be broken down by cause, since the physiology of each can be different. We will end the book with a discussion both of the technological advances and a discussion of consortiums and how they have advanced treatment of this chronic disease.
Complications in Neuroanesthesia focuses on complications that may arise related to neuroanesthesia practice and discusses its various causes. Each complication is written as a separate chapter, and the pathophysiology and mechanisms of each complication, as well as measures for diagnosis, treatment and prevention are discussed. Towards the end of the book, several case scenarios are provided to the readers that challenge readers to diagnose the possible complication for each case. Chapters include brain and spinal cord problems, cardiovascular and hematological problems, and nerve and muscle problems. Written in a standard format, Complications in Neuroanesthesia provides quick and easy access to understanding problems in neuroanesthesia. It provides insight into all possible complications occurring during perioperative management of neurosurgical and neurologic patients. It is useful for trainees, clinicians, and researchers in the fields of neurosurgery, neurocritical care, and neurology by providing an understanding of preventable mishaps that may occur in neurosurgical or neurologic patients. Quick and easy reference for understanding problems in neuroanesthesia Provides comprehensive insights into all possible complications occurring during perioperative management of neurosurgical and neurologic patients Includes useful section with clinical case studies of complications in neuroanesthesia
This book provides the reader with a well-structured, comprehensive approach to hydrocephalus and related syndromes. It also addresses the ethical dilemmas of managing hydrocephalus, of which many neurosurgeons are unaware, and presents cutting-edge research genetic and pathophysiology research on hydrocephalus. The book presents a new classification for the Dandy Walker syndrome, based on a new understanding of different hydrocephalic problems. Further, it puts forward a wholly new theory on the pathophysiology and development of multiloculated hydrocephalus. This book helps the reader to devise a long-term strategic plan to treat patients, based on research of favorable long-term outcomes of hydrocephalus. It uniquely provides evidence-based approaches to managing hydrocephalus, presenting the experience and thoughts of renowned and highly experienced neurosurgeons from the USA, Canada, Japan, Europe and the Middle East.