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This volume is the second in a new series of pro The task carried out through the collaboration of ceedings covering the official scientific meetings of the neurosurgeons and specialists in neurorehabilitation Neurorehabilitation Committee of the World Federa cannot be viewed simply as a restoration of function or tion of Neurosurgical Societies (WFNS). The first reconstruction of structure. Recent advances in neu scientific meeting of the WFNS Neurorehabilitation roimaging techniques have begun to demonstrate that Committee was held successfully in Munster, Ger it involves extensive functional and structural reorga many, in 2000 under the auspices of Professor Klaus nization of neural networks within the brain and R. H. von Wild. The proceedings of that meeting probably the spinal cord. On this basis, we felt that it (Functional Rehabilitation in Neurosurgery and Neu might be more appropriate to refer to such activities as rotraumatology) were published as a supplement to re-engineering of the damaged brain and spinal cord. Acta Neurochirurgica (volume 79, 2001). This first In order to encapsulate such a concept, the second scientific meeting highlighted the important role scientific meeting was entitled the Second Interna played by neurosurgeons in neurorehabilitation be tional Symposium on Neurosurgical Re-engineering of at an early period after brain or spinal cord the Damaged Brain and Spinal Cord (NRDBS'02). ginning damage.
Traumatic Brain Injury (TBI) can lead to loss of skills and to mental cognitive behavioural deficits. Paraplegia after Spinal Cord Injury (SCI) means a life-long sentence of paralysis, sensory loss, dependence and in both, TBI and SCI, waiting for a miracle therapy. Recent advances in functional neurosurgery, neuroprosthesis, robotic devices and cell transplantation have opened up a new era. New drugs and reconstructive surgical concepts are on the horizon. Social reintegration is based on holistic rehabilitation. Psychological treatment can alleviate and strengthen affected life. This book reflects important aspects of physiology and new trans-disciplinary approaches for acute treatment and rehabilitation in neurotraumatology by reviewing evidence based concepts as they were discussed among bio and gene-technologists, physicians, neuropsychologists and other therapists at the joint international congress in Brescia 2004.
Traumatic Brain Injury (TBI) can lead to loss of skills and to mental cognitive behavioural deficits. Paraplegia after Spinal Cord Injury (SCI) means a life-long sentence of paralysis, sensory loss, dependence and in both, TBI and SCI, waiting for a miracle therapy. Recent advances in functional neurosurgery, neuroprosthesis, robotic devices and cell transplantation have opened up a new era. New drugs and reconstructive surgical concepts are on the horizon. Social reintegration is based on holistic rehabilitation. Psychological treatment can alleviate and strengthen affected life. This book reflects important aspects of physiology and new trans-disciplinary approaches for acute treatment and rehabilitation in neurotraumatology by reviewing evidence based concepts as they were discussed among bio and gene-technologists, physicians, neuropsychologists and other therapists at the joint international congress in Brescia 2004.
This volume is the second in a new series of pro The task carried out through the collaboration of ceedings covering the official scientific meetings of the neurosurgeons and specialists in neurorehabilitation Neurorehabilitation Committee of the World Federa cannot be viewed simply as a restoration of function or tion of Neurosurgical Societies (WFNS). The first reconstruction of structure. Recent advances in neu scientific meeting of the WFNS Neurorehabilitation roimaging techniques have begun to demonstrate that Committee was held successfully in Munster, Ger it involves extensive functional and structural reorga many, in 2000 under the auspices of Professor Klaus nization of neural networks within the brain and R. H. von Wild. The proceedings of that meeting probably the spinal cord. On this basis, we felt that it (Functional Rehabilitation in Neurosurgery and Neu might be more appropriate to refer to such activities as rotraumatology) were published as a supplement to re-engineering of the damaged brain and spinal cord. Acta Neurochirurgica (volume 79, 2001). This first In order to encapsulate such a concept, the second scientific meeting highlighted the important role scientific meeting was entitled the Second Interna played by neurosurgeons in neurorehabilitation be tional Symposium on Neurosurgical Re-engineering of at an early period after brain or spinal cord the Damaged Brain and Spinal Cord (NRDBS'02). ginning damage.
Although there are over 400,000 people each year in the United States alone who suffer from traumatic injury to the central nervous system (CNS), no phar macological treatment is currently available. Considering the enormity of the problem in terms of human tragedy as well as the economic burden to families and societies alike, it is surprising that so little effort is being made to develop treatments for these disorders. Although no one can become inured to the victims of brain or spinal cord injuries, one reason that insufficient time and effort have been devoted to research on recovery is that it is a generally held medical belief that nervous system injuries are simply not amenable to treatment. At best, current therapies are aimed at providing symptomatic relief or focus on re habilitative measures and the teaching of alternative behavioral strategies to help patients cope with their impairments, with only marginal results in many cases. Only within the last decade have neuroscientists begun to make serious inroads into understanding and examining the inherent "plasticity" found in the adult CNS. Ten years or so ago, very few researchers or clinicians would have thought that damaged central neurons could sprout new terminals or that intact nerve fibers in a damaged pathway could proliferate to replace inputs from neurons that died as a result of injury.
Despite enormous advances made in the development of external effector prosthetics over the last quarter century, significant questions remain, especially those concerning signal degradation that occurs with chronically implanted neuroelectrodes. Offering contributions from pioneering researchers in neuroprosthetics and tissue repair, Indwel
Top level clinical and laboratory scientists present their most recent clinical and experimental findings and concepts. The well balanced contributions illustrate the enormous significance of the dialogue between both laboratory and clinic, ultimately for the benefit of the patients, and contribute to a better understanding of secondary brain damage from trauma and ischemia as basis to develop more effective treatment including drugs.
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.