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The goal of this book is to make a link between fundamental research in the field of cognitive neurosciences, which now benefits from a better knowledge of the neural foundations of cerebral processing, and its clinical application, especially in neurosurgery – itself able to provide new insights into brain organization. The anatomical bases are presented, advances and limitations of the different methods of functional cerebral mapping are discussed, updated models of sensorimotor, visuospatial, language, memory, emotional, and executive functions are explained in detail. In the light of these data, new strategies of surgical management of cerebral lesions are proposed, with an optimization of the benefit–risk ratio of surgery. Finally, perspectives about brain connectivity and plasticity are discussed on the basis of translational studies involving serial functional neuroimaging, intraoperative cortico-subcortical electrical mapping, and biomathematical modeling of interactions between parallel distributed neural networks.
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.
This book is the first comprehensive work summarizing the advances that have been made in the neurosurgical use of navigated transcranial magnetic stimulation (nTMS) over the past ten years. Having increasingly gained acceptance as a presurgical mapping modality in neurosurgery, today it is widely used for preoperative mapping of cortical motor and language function, risk stratification and improving the accuracy of subcortical fiber bundle visualization. This unique work will provide neurosurgeons and neuroscientists who are starting their nTMS program essential and detailed information on the technique and protocols, as well as the current clinical evidence on and limitations of the various applications of nTMS. At the same time, more experienced nTMS users looking for deeper insights into nTMS mapping and treatment in neurosurgery will find clearly structured, accessible information. The book was prepared by an international mix of authors, each of which was chosen for their status as a respected expert on the respective subtopic, as evinced by their landmark publications on nTMS.
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.
The intracarotid amobarbital (or Amytal) procedure is commonly referred to as the Wada test in tribute to Juhn Wada, the physician who devised the technique and performed the fIrst basic animal research and clinical studies with this method. Wada testing has become an integral part of the pre operative evaluation for epilepsy surgery. Interestingly, however, Wada initially developed this method as a technique to assess language dominance in psychiatric patients in order that electroconvulsant therapy could be applied unilaterally to the non-dominant hemisphere. Epilepsy surgery has matured as a viable treatment for intractable seizures and is no longer confmed to a few major universities and medical institutes. Yet, as is increasingly clear by examining the surveys of approaches used by epilepsy surgery centers (e.g., Rausch, 1987; Snyder, Novelly, & Harris, 1990), there is not only great heterogeneity in the methods used during Wada testing to assess language and memory functions, but there also seems to be a lack of consensus regarding the theoretical assumptions, and perhaps, even the goals of this procedure.
These are exciting times for the field of optical imaging of brain function. Rapid developments in theory and technology continue to considerably advance understanding of brain function. Reflecting changes in the field during the past five years, the second edition of In Vivo Optical Imaging of Brain Function describes state-of-the-art techniques and their applications for the growing field of functional imaging in the live brain using optical imaging techniques. New in the Second Edition: Voltage-sensitive dyes imaging in awake behaving animals Imaging based on genetically encoded probes Imaging of mitochondrial auto-fluorescence as a tool for cortical mapping Using pH-sensitive dyes for functional mapping Modulated imaging Calcium imaging of neuronal activity using 2-photon microscopy Fourier approach to optical imaging Fully updated chapters from the first edition Leading Authorities Explore the Latest Techniques Updated to reflect continuous development in this emerging research area, this new edition, as with the original, reaches across disciplines to review a variety of non-invasive optical techniques used to study activity in the living brain. Leading authorities from such diverse areas as biophysics, neuroscience, and cognitive science present a host of perspectives that range from a single neuron to large assemblies of millions of neurons, captured at various temporal and spatial resolutions. Introducing techniques that were not available just a few years ago, the authors describe the theory, setup, analytical methods, and examples that highlight the advantages of each particular method.
Perfect for anyone considering or training in this challenging specialty, Principles of Neurological Surgery, 4th Edition, by Drs. Richard G. Ellenbogen, Laligam N. Sekhar, and Neil Kitchen, provides a clear, superbly illustrated introduction to all aspects of neurosurgery–from general principles to specific techniques. Thorough updates from leading authors ensure that you'll stay abreast of the latest advances in every area of neurosurgery, including pre- and post-operative patient care, neuroradiology, pediatric neurosurgery, neurovascular surgery, trauma surgery, spine surgery, oncology, pituitary adenomas, cranial base neurosurgery, image-guided neurosurgery, treatment of pain, epilepsy surgery, and much more. - Offers comprehensive coverage without being encyclopedic – just the right amount of information for those in training or who need an introduction to the field. - Provides a strong visual understanding of the essentials of neurosurgery with abundant high-quality illustrations, including imaging, pathology, clinical and operative photographs, surgical line drawings, diagrams, tables, and figures. - Presents information in an easy-to-understand, well-written manner, helping you quickly grasp the principles and problems of today's neurosurgery. - Features new and improved videos, more emphasis on anatomy and radiology, and new evidence and techniques, keeping you up to date with the latest advances in the field. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
The "sequel" to "Brain Mapping: The Methods", covers the utlization of methods for the study of brain structure and function. Organized by systems, it presents information on the normal as well as the diseased brain. It integrates the various methodologies with appropriate usage.
Serial sections - 2 mm thick - of the cerebral hemispheres and diencephalon in the coronal, sagittal, and horizontal planes. So as to point out the level of the sections more accurately, each is shown from different angles -- emphasising the surrounding hemisphere surfaces. This 3D approach has proven to be extremely useful when apprehending the difficult anatomy of the gyri and sulci of the brain. Certain complex cerebral structures such as the occipital lobe, the deep grey matter and the vascularization are studied here in greater detail. This second edition has been completely revised and updated, 44 serial sections have been added, while old MRI figures have been replaced by newer ones.
Functional magnetic resonance imaging (fMRI) measures quick, tiny metabolic changes that take place in the brain, providing the most sensitive method currently available for identifying, investigating, and monitoring brain tumors, stroke, and chronic disorders of the nervous system like multiple sclerosis, and brain abnormalities related to dementia or seizures. This overview explains the principles of fMRI, scanning methodlogies, experimental design and data analysis, and outlines challenges and limitations of fMRI. It also provides a detailed neuroanatomic atlas, and describes clinical applications of fMRI in cognitive, sensory, and motor cases, translating research into clinical application.