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A practical and succinct guide to neurophysiological monitoring for safer brain tumor surgery The surgical treatment of infiltrating brain tumors is an extremely challenging and often highly rewarding facet of neurosurgery. The decision-making process involves deeply human interconnections with patients and relatives, cutting-edge neuroscience, and fascinating technology. Video Atlas of Neurophysiological Monitoring in Surgery of Infiltrating Brain Tumors by renowned oncological neurosurgeon Michael Sabel and esteemed contributors demonstrates the practical applications of neurophysiological monitoring to achieve safe removal of infiltrating brain tumors in asleep and awake settings. Organized in three primary parts, the book starts with an introduction including a discussion of the impact and challenges posed by infiltrating gliomas and cerebral metastases and the philosophy behind supramarginal resection. The second part covers critical theoretical components including relevant anatomy, nervous system electricity and fields, transcranial monitoring methods and principles, and direct cortical and subcortical mapping including awake brain surgery. The final part provides insightful, practical guidance on decision making, monitoring set-up, planning of surgical cases, and a summary of accompanying videos. Key Highlights Discussion of impacted anatomy, physiology of the neural pathways monitored in brain tumor surgery, and key neurophysiological techniques for monitoring and testing during resection Instructive illustrations coupled with concise explanations enhance knowledge and facilitate understanding of techniques Fifteen videos covering real-life intraoperative cases provide in-depth insights on applying IONM principles to infiltrating brain tumors This is an essential resource for any neurosurgeon involved or interested in brain tumor surgery, from residents and fellows to board-certified neurosurgeons not yet trained in this field.
Video Atlas of Neurosurgery: Contemporary Tumor and Skull Base Surgery is a unique resource that consists of 40 procedural videos and a concise companion book to reinforce your understanding of the material. Dr. Alfredo Quiñones-Hinojosa brings together a group of outstanding faculty, residents, and fellows lead by Dr. Jordina Rincon-Torroella, who carefully designed, assembled, and edited each chapter. The videos are enhanced through the inclusion of intraoperative photos, anatomical dissections, outstanding anatomical drawings, and animations that detail key steps and provide the experience of viewing a real-time surgery. Whether consulted together or independently of each other, the video and print content deliver all of the expert knowledge you need for effectively planning and understanding tumor and skull base surgeries. Step-by-step, state-of-the-art videos – 40 in total – are accessible through Expert Consult and narrated by Dr. Quiñones-Hinojosa. Each video is around 10 minutes with a total running time of over 6 hours Videos highlight key surgical anatomy, focusing special attention on the relationship between lesions and important landmarks. Procedures are broken down step-by-step for easy overview and comprehension. Covers advanced techniques such as: intraoperative brain mapping; intraoperative assessment of resection through iMRI; fluorescence imaging; brain stem mapping techniques; combined open-and-endoscopic approaches, cortical-subcortical stimulation in awake surgery; and more. Dedicated neurosurgical artwork by Devon Stuart includes superb figures that depict the surgical neuroanatomy and approaches in a step-wise fashion. Chapters are presented from the less complex, more common surgeries to the most complex and cutting-edge procedures that may require multidisciplinary approaches.
Here is the first book in 30 years to cover all diagnostic and therapeutic aspects of intramedullary spinal cord tumors (IMTs), a relatively rare but often misdiagnosed type of tumor. You will benefit from the largest personal collection of operated cases (171) ever assembled, as well as a review of 1,100 additional cases, making this the single most comprehensive book on IMTs available today. You will also appreciate the vital role of MRI in accurately diagnosing these tumors and review the latest technical refinements in surgical methods. Divided into three parts, the book begins with the diagnostic and therapeutic problems common to all intramedullary spinal cord tumors, then covers the histology of individual tumors, and finally examines the controversial value of radiotherapy in the treatment of both benign and malignant tumors in children and adults. Throughout, full-color illustrations depict anatomy from a surgical point of view.
The second, revised edition of this successful textbook provides an up-to-date description of the use of preoperative fMRI in patients with brain tumors and epilepsies. State of the art fMRI procedures are presented, with detailed consideration of practical aspects, imaging and data processing, normal and pathological findings, and diagnostic possibilities and limitations. Relevant information on brain physiology, functional neuroanatomy, imaging technique, and methodology is provided by recognized experts in these fields. Compared with the first edition, chapters have been updated to reflect the latest developments and in particular the current use of diffusion tensor imaging (DTI) and resting-state fMRI. Entirely new chapters are included on resting-state presurgical fMRI and the role of DTI and tractography in brain tumor surgery. Further chapters address multimodality functional neuroimaging, brain plasticity, and pitfalls, tips, and tricks.
This second edition presents core clinical neuroanesthesia and neurointensive care knowledge in a practical, user-friendly format.
The second edition of Neuro-Oncology: The Essentials presents a comprehensive, highly readable introduction to the fundamental science and core clinical concepts for successfully managing common problems in neuro-oncology. Tightly focused chapters provide up-to-date systematic coverage of biology, imaging, surgery, radiation, chemotherapy, and biological concepts. The book addresses specific tumor types in separate chapters, providing detailed discussion of background, incidence, clinical features, management, surgical approaches, recurrence, and outcomes.Highlights: Pearls, pitfalls, controversies, and special considerations in textboxes -- ideal for rapidly reviewing key points More than 250 photographs and illustrations demonstrate important concepts This book is an invaluable reference for neurosurgeons, neurologists, oncologists, residents and fellows in these specialties, as well as for students.