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This concise, easy-to-use book offers expert insights into current controversies in vascular neurosurgery with a view to providing the practitioner with authoritative practical guidance that will assist in the management of difficult disease entities. While vascular neurosurgery has undergone unprecedented advances during the past decade, enabling safer and easier access to previously untreatable pathology, this progress has been accompanied by confusion as to what constitutes best, or even acceptable, practice. Here, experts in the field discuss the various tools available and explain how best to use them when confronted by different pathologies, drawing upon their personal experience. Each chapter focuses on a specific case that is discussed by two experienced surgeons; a third author then evaluates the case, highlighting the available evidence and pearls in the treatment of that particular disease. The authors have been carefully chosen to provide a truly balanced viewpoint on paradigms that they themselves use. They therefore have a sound understanding of the thought processes of surgeons when dealing with challenging diseases for which there may be no single correct path. Furthermore, they are well placed to identify not only appropriate uses of new treatment options and technologies but also circumstances in which their use is best avoided. The ultimate benefactor of this book will be the patient: our biases as physicians should never become a patient’s morbidity.
Expand your knowledge of state-of-the-art neurological surgery techniques! This text provides insights into current trends and controversial issues regarding state-of-the-art techniques in neurosurgery, interventional neuroradiology, and endovascular surgery. The authors confront such questions as: Are unruptured aneurysms managed most effectively by neurosurgical clipping or endovascular coiling? Is surgery or endovascular coiling the best treatment for ruptured cerebral aneurysms of the anterior or posterior cerebral circulation? In managing arteriovenous malformations and fistulas, should clinicians use neurointerventional techniques or surgery, or a combination of both? Highlights: More than 240 excellent illustrations, figures, and radiological images reviewing key concepts Detailed coverage of treatments for ischemic diseases, including extracranial and intracranial atherosclerosis Discussion of the organizational issues of integrating subspecialties and training subspecialists This text also offers you the opportunity to earn valuable CME credits online. Neurosurgeons, neuroradiologists, neurologists, vascular surgeons, and specialists will find the book's balanced coverage of critical current issues in neurosurgery an indispensable aid in making informed decisions. (A co-publication of Thieme and the American Association of Neurological Surgeons)
Controversies in Neurosurgery II reflects real-world situations where multiple treatment options are often considered for difficult neurosurgical cases. Each chapter begins with an opening case in which experts describe the pros and cons of different treatment methodologies and operative techniques, helping neurosurgeons select the best treatment plan for individual patients in their practice. It is informed with the expertise of more than 100 of the world's preeminent neurosurgeons. Key features: Experts from all over the world offer their opinions on more than 20 controversial "hot" topics in neurosurgery, including a discussion about whether transcranial or endoscopic approaches are the better option for resecting colloid cysts and a lively debate about the optimal treatment of giant ophthalmic artery aneurysms All treatment options are presented concisely in one volume, so that neurosurgeons don't have to spend time consulting other sources The moderators' conclusion at the end of each chapter explains the scientific evidence about the case and synthesizes the views presented Controversies in Neurosurgery II will be treasured by neurosurgeons and neurosurgery residents as well as by neurologists and neuroradiologists and will be a key volume in their medical libraries for years to come.
- Lessons Learned at the end of each chapter, in which the authors summarize the debate with multiple viewpoints and carefully considered recommendations based on published evidence and their own clinical experience- Incisive dialogue on twenty hot topics in the field, including how to manage arachnoid cysts, craniosynostosis, tethered cord, hydrocephalus, chiari malformations, epilepsy, aneurysms, and more- Clinical and personal insights from international contributors on the variability of surgical training, experience, and available resources in different parts of the world- Guidance on how to discuss treatment options and strategies to patients and their families
This volume brings together an interdisciplinary group of specialists to present and discuss the latest diagnostic and therapeutic concepts and current controversial issues in the management of primary and secondary brain tumors. In the first part, the latest technical developments in neuro-oncology are presented. These include the evaluation of positron-emission tomography for diagnosis, and neuronavigation and operative mapping for operation planning. Innovations in computer-assisted 3-D radiotherapy planning and in image fusioning of CT, MRT, SPECT and PET are also described. A large section of the book is devoted to the diagnosis and interdisciplinary treatment of glioblastoma, one of the most frequently occurring brain tumors. In-depth coverage is given to pathological differential diagnosis, operative standards and the results of radiotherapy. A detailed presentation of the current chemotherapeutic strategies as well as their evaluation within an interdisciplinary therapy concept is also provided. A special chapter focuses on the role of radiotherapy and neurosurgery in the treatment of craniopharyngioma. The final section features discussions on the therapeutic options for brain metastases. Individual indications for both whole-brain irradiation and radiosurgery are given and compared with neurosurgical intervention. New experimental chemotherapies are considered, and finally, the palliative use of chemotherapy is examined. In summary, this book provides an excellent survey of the state of the art in neuro-oncology. It is therefore recommended reading for all clinical neuropathologists, neurologists, neurosurgeons and radiation oncologists.
This issue of Neurosurgery Clinics focuses on Controversies in Spinal and Cranial Surgery. Article topics will include:Sacro-illiac Fusion; Interspinous Spacers;Bone Morphogenetic Protein, Platelet Concentrates and Other Biologics; MIS decompression; Pipeline flow diversion in subarachnoid hemorrhage; Direct versus indirect bypass for moyamoya disease; Management of prenatally diagnosed myelomeningocele; Management of incidental aneurysm; Surgical management of incidental low-grade glioma; and more!
Experts present opinions on the most pertinent clinical concerns for practicing neurosurgeons.
World-renowned experts debate key topics in pediatric neurosurgery In Controversies in Pediatric Neurosurgery, leading clinicians from around the globe present concrete advice and frank commentary on alternative options for the treatment and management of specific cranial and spinal disorders. Each succinct, easily accessible chapter addresses a different condition in a point/counterpoint format that discusses the pros and cons of the various treatment options, including surgical approaches and techniques. This highly practical, balanced coverage equips readers to make well-informed choices when selecting the most appropriate treatment modality for a particular diagnosis. Features: Lessons Learned at the end of each chapter, in which the authors summarize the debate with multiple viewpoints and carefully considered recommendations based on published evidence and their own clinical experience Incisive dialogue on twenty hot topics in the field, including how to manage arachnoid cysts, craniosynostosis, tethered cord, hydrocephalus, chiari malformations, epilepsy, aneurysms, and more Clinical and personal insights from international contributors on the variability of surgical training, experience, and available resources in different parts of the world Guidance on how to discuss treatment options and strategies to patients and their families This book is essential reading for every clinician, resident, or fellow who needs a firm understanding of the most controversial issues in pediatric neurosurgery to be able to make the best decision for the appropriate treatment option for patients in their care.
Recent Advances and Controversies in Gamma Knife Neurosurgery, Volume 268, the latest release in the Progress in Brain Research series, highlights new advances in the field with this new volume presenting interesting chapters on the latest in Dosimetry, Radiobiology, Evolving Gamma Knife Technology, Imaging, Arteriovenous Malformations, Dural A-V Fistulae, Cavernous Malformations, Vestibular Schwannoma, Other Schwannoma, Meningiomas, Pituitary Adenomas, Craniopharyngiomas, Metastases, Glioma Low Grade, Glioma High Grade, Glomus Tumors, Less Common Tumors, Orbital Indications, Trigeminal Neuralgia, Epilepsy, Movement, Psychosurgery, and Future Trends. Provides the authority and expertise of leading contributors from an international board of authors Presents the latest release in Progress in Brain Research serials Updated release includes the latest information on Recent Advances and Controversies in Gamma Knife Neurosurgery