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Part of the Challenging Concepts in series, this book is a case-based guide to challenging clinical scenarios in neurosurgery covering the major sub-speciality areas of oncology, vascular neurosurgery, brain and spine trauma, paediatrics, spinal degenerative disease, peripheral and cranial nerves, functional neurosurgery and infection. Specific cases are examined with consideration of clinical presentation, diagnostics, and surgical principles, with a summary of evidence from the neurosurgical literature highlighting areas of interest and controversy. This book serves as a useful and engaging resource for consultants and trainees in neurosurgery as well as in the disciplines of neurology, maxillofacial surgery, spinal surgery and neuro-oncology.
A case-based guide with expert commentary, Challenging Concepts in Critical Care shows how the experts approach and deal with real-life clinical scenarios. Each chapter presents a clinically challenging case complete with a case history, evidence based tips, and up-to-date learning points. To give further insight into the field, each chapter has commentary from an expert who identifies and explains the key points and controversies of the case. Practical yet rich in detail, Challenging Concepts in Critical Care is a key title for anyone preparing for intensive care exams. For each case, key information is highlighted through the use of boxes to stimulate interest and facilitate learning: 'Learning points', 'Clinical tips', 'Evidence base', and 'Expert commentary'. With new information on key trials, clinical practise, and evidence based research, this book is also an invaluable resource for experienced critical care clinicians looking for a concise update on a wide range of challenging topics in the field. In addition, it is of high value to senior ICU nurses, allied health professionals, and anyone with an interest in intensive care medicine.
Neurosurgical interventions have the potential to change a person's concept of self, as well as affect their neurological and cognitive function to an unacceptable level for both patient and family. In an increasingly complex and evolving field, the ethical implications of treatments and their eventual outcomes must be carefully balanced. Ethics in Neurosurgical Practice is a comprehensive and practical guide for managing the treatment of patients with debilitating neurosurgical conditions. Chapters address specific conditions, such as traumatic brain injuries, ischemic stroke and spinal surgery, and the ethical challenges that each of these pose. Detailed case studies present potential scenarios that readers might encounter, and their outcomes. Future developments of this fast-paced field are expanded upon, including televised live surgery and the ethical aspects of innovation in neurosurgery. A broad variety of contributors in different fields, including neurosurgeons, intensivists and bioethicists, ensures comprehensive coverage from a range of views and experiences.
This book is a combination of ideas and experiences from over 100 dedicated and brilliant neurosurgeons around the world. Their common goal is to provide data for a deeper understanding of the multi-faceted aspects of neurosurgery and, by doing so, to better serve patients across the globe. Scientific curiosity, deep dedication, incredible work ethics, entrepreneurship, and creativity are the common traits among all neurosurgeons, and not the exception. By allowing readers to see the field of neurosurgery from the perspectives of surgeons spanning five continents, this book serves to provide multiple, diverse viewpoints and to build a foundation for future collaborations. The book’s 24 chapters are organized into 3 parts. Part I provides the reader with an overview of the role of neurosurgery in worldwide health care, its evolution over the past decades, the current state and future directions of each neurosurgical subspecialty across the five continents. Over the years, the overarching goal for neurosurgeons has been to develop new, more effective and high-end solutions for complex diseases and to provide access to neurosurgical services for all patients. Part II discusses the differences and similarities of neurosurgery education and training across the globe, providing a snapshot of how new tools, technology, and paradigms reduce inequality and increase access to neurosurgical education. Educational accomplishments and challenges still present for the in different regions of the world are reviewed. Part III focuses on economic aspects influencing neurosurgery globally, including how to make efficient decisions in the face of scarcity, yet demand. The authors provide theories, models, and tools helpful to apply when planning to allocate resources, not just financial, but also human and intellectual. A deeper understanding of economics does not necessarily provide the answer to the problem; rather it provides the tools to find an answer, or, ideally, multiple possible solutions. Neurosurgery and Global Health is the first comprehensive guide to the role of neurosurgery in the global health care sphere, providing an in-depth compendium about the understanding of the neurosurgical role within global health, its efforts in the education of tomorrow’s workforce, and the economic aspects driving the field.
Details 26 complex scenarios relevant to trainees in oral and maxillofacial surgery and related specialties, presenting case histories, alongside learning points and clinical tips for the reader. Each case is accompanied by an overall synopsis and commentary by an expert in the field.
Comprehensive resource features state-of-the-art brain mapping techniques and pearls from international recognized neurosurgeons Alfredo Quinones-Hinojosa and Kaisorn Chaichana and coeditor Deependra Mahato Despite advances in imaging techniques to identify eloquent cortical brain regions and subcortical white matter, brain mapping is the only method for obtaining real-time information with high sensitivity and specificity. This groundbreaking technology greatly enhances the neurosurgeon's ability to safely resect challenging lesions located in eloquent areas of the brain. Brain Mapping: Indications and Techniques by esteemed neurosurgeons Alfredo Quinones-Hinojosa, Kaisorn Chaichana, and Deependra Mahato, is a comprehensive overview of the most critical aspects of brain mapping from leaders in the field. The book starts with discussion of preoperative aspects, including the history of brain mapping and anatomy of eloquent cortical and eloquent white matter tracts. Subsequent chapters cover perioperative aspects of brain mapping including indirect and direct functional mapping, the role of neurophysiology, awake craniotomy operating room set-up and surgical instruments, and anesthetic considerations. Diverse awake and asleep brain mapping techniques are described for various intracranial pathologies, as well as advances in postoperative recovery of neurological function including physical and speech therapy. Key Features Dedicated chapters focused on essential sensory functions cover speech mapping, asleep motor mapping, awake subcortical language mapping, and visual cortex and visual tract mapping Disease- and region-specific techniques that encompass extra-operative brain mapping for epilepsy, surgery mapping for insular tumors, seizure mapping, and brainstem and spinal cord mapping Clinical pearls on postoperative issues such as rehabilitation, emergence of DBS-evoked functional connectomics, brain neuroplasticity, and radiating eloquent areas High-quality illustrations and videos enhance understanding of brain regions targeted in different mapping techniques This is the most comprehensive resource available to date on brain mapping and surgery in eloquent regions. As such, it is a must-have for neurosurgical residents, fellows, practicing neurosurgeons, and allied healthcare practitioners who treat patients with brain conditions.
Part of the Challenging Concepts in series, this book is a case-based guide to challenging clinical scenarios in neurosurgery covering the major sub-speciality areas of oncology, vascular neurosurgery, brain and spine trauma, paediatrics, spinal degenerative disease, peripheral and cranial nerves, functional neurosurgery and infection. Specific cases are examined with consideration of clinical presentation, diagnostics, and surgical principles, with a summary of evidence from the neurosurgical literature highlighting areas of interest and controversy. This book serves as a useful and engaging resource for consultants and trainees in neurosurgery as well as in the disciplines of neurology, maxillofacial surgery, spinal surgery and neuro-oncology.
Evidence-Based Neurosurgery: An Introduction will teach the practitioner to employ evidence-based approaches to common problems in neurosurgery. The book begins with a review of the concepts and techniques involved in the practice of evidence-based medicine, including the basics of critical analysis using methodologically rigorous evidence-synthesis techniques. The second part of the text provides useful examples of the use of this critical analysis for common clinical situations, such as stent placement, managing infection, metastases, craniocerebral trauma, cervical spine trauma, and more. This book covers all phases of clinical practice, from patient assessment, to diagnosis, to prognosis, and treatment, helping you address such questions as: How do you reliably determine the characteristics of the individual patient's condition? What is the likely course of the disease? How do you determine what interventions are likely to have a positive impact? Does the intervention work under certain specified circumstances? Evidence-Based Neurosurgery is an invitation to apply the rigorous methods of evidence-based medicine to improve your practice of neurosurgery.
These proceeding cover new trends presented at the IV Congress of the International Society of Reconstructive Neurosurgery (ISRN), 2015. ISRN is an “open” multidisciplinary society that deals with advances in spine and peripheral-nerve reconstructive surgery, central nervous system revascularization (surgical, radio interventional), neuromodulation, bioengineering and transplantation, which are the latest tools used to promote reconstruction, restoration and rehabilitation.
Ideal for both neurosurgical residents and recertifying neurosurgeons, Neurosurgery Self-Assessment: Questions and Answers offers the most comprehensive, up to date coverage available. Over 1,000 clinically relevant multiple-choice questions across 46 topic areas test the candidate’s knowledge of basic neuroscience and neurosurgical subspecialties to an unparalleled degree and provide detailed answer explanations to facilitate learning and assessment. Over 700 histology, pathology, radiology, clinical and anatomical images serve as an index of routinely tested-on images in neurosurgical examinations with high-yield summaries of each pathology to reinforce and simplify key concepts. Includes only multiple choice questions in both single-best-answer and extended matching item (10-20 options) format increasingly adopted by neurosurgery certification boards worldwide. Questions are organized by topic and classified by degree of difficulty through a highly visual "traffic light system" which codes each question in green, amber, or red. Includes coverage of the landmark studies in areas such as vascular, stroke, spine and neurooncology. Practical tips facilitate study with test-taking strategies and things to consider before sitting for an exam. Utilizes Imperial and SI units throughout.