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An indispensable, single-volume resource on state-of-the-art epilepsy procedures from renowned international experts! Epilepsy is a common neurological disorder affecting an estimated 1% of the population, about 20 to 30% of which experience seizures inadequately controlled by medical therapy alone. Advances in anatomic and functional imaging modalities, stereotaxy, and the integration of neuronavigation during surgery have led to cutting-edge treatment options for patients with medically refractory epilepsy. Operative Techniques in Epilepsy Surgery, Second Edition by Gordon Baltuch, Arthur Cukiert, and an impressive international group of contributors has been updated and expanded, reflecting the newest treatments for pediatric and adult epilepsy. Seven sections with 30 chapters encompass surgical planning, invasive EEG studies, cortical resection, intraoperative mapping, disconnection, neuromodulation, and further topics. Twelve cortical resection chapters cover surgical approaches such as amygdalohippocampectomy; hippocampal transection; frontal lobe, central region, and posterior quadrant resections; and microsurgery versus endoscopy for hypothalamic hamartomas. Disconnection procedures discussed in section five include corpus callosotomy, hemispherectomy, and endoscopic-assisted approaches. Well-established procedures such as vagus nerve and deep brain stimulation are covered in the neuromodulation section, while the last section discusses radiosurgery for medically intractable cases. Key Highlights Chapters new to this edition include endoscopic callosotomy, laser-induced thermal therapy (LITT), and focused ultrasound High-quality illustrations, superb operative and cadaver photographs, radiologic images, and tables enhance understanding of impacted anatomy and specific techniques The addition of videos provides insightful step-by-step procedural guidance This is an essential reference for fellows and residents interested in epilepsy and functional neurosurgery, and an ideal overview for neurosurgeons, neurologists, and neuroradiologists in early career stages who wish to pursue this subspecialty.
Practical coverage of the innovative surgical techniques for epilepsy Operative Techniques in Epilepsy Surgery is an essential guide to the latest techniques and therapeutic strategies for the surgical management of patients with epilepsy. Distinguished pioneers in the field provide comprehensive coverage of the range of operative approaches, helping clinicians to thoroughly prepare for surgery. The book first discusses surgical planning and then presents techniques for cortical resection and various types of intraoperative mapping. The final sections of the book describe innovative approaches, such as neuromodulation and radiosurgery. Features: Guidelines from leading experts in the field of epilepsy surgery Detailed step-by-step descriptions of procedures, including practical information on image guidance and invasive monitoring Discussion of innovative techniques including deep brain stimulation, responsive stimulation, and radiosurgery High-quality illustrations that facilitate comprehension of surgical steps Ideal for neurosurgeons and trainees, this book is an indispensable, single-volume source of information on all technical aspects of epilepsy surgery. It also serves as a valuable reference for clinicians and residents in neurology and neuroradiology.
Techniques in Epilepsy Surgery presents the operative procedures used in the treatment of intractable epilepsy in a practical, clinically relevant manner. Founded by pioneering neurosurgeon Wilder Penfield, the Montreal Neurological Institute (MNI) is a leading global centre of epilepsy surgery and this volume reflects the Institute's approach, combining traditional techniques with modern neuronavigation-based approaches. There is an emphasis on mastering the important trilogy of topographic, vascular and functional anatomy of the brain. The basic anatomical and physiological mechanisms underlying epilepsy are presented in a practical manner, along with the clinical seizure evaluation that leads to a surgical hypothesis. The consultation skills and investigations necessary for appropriate patient selection are discussed, as well as pitfalls and the avoidance of complications. This is an invaluable resource not only for neurosurgeons, neurosurgical residents and fellows in epilepsy surgery, but also for neurologists, and others who provide medical care for patients with intractable epilepsy.
The thoroughly revised and updated Second Edition of this landmark work is the most comprehensive and current reference on the surgical treatment of the epilepsies. More than 100 invited experts from around the world present a global view of contemporary approaches to presurgical evaluation, surgical treatment, and postsurgical assessment. This edition provides detailed information on the vital role of structural and functional neuroimaging in presurgical evaluation and surgical planning. Noted experts offer up-to-date patient selection guidelines and explain current concepts of intractability. The book details the most effective surgical techniques, presents extensive data on surgical outcome, and discusses strategies for preventing and managing complications. More than 500 illustrations complement the text. An appendix section includes protocols and outcome statistics from over 50 leading epilepsy surgery centers.
Textbook of Epilepsy Surgery covers all of the latest advances in the surgical management of epilepsy. The book provides a better understanding of epileptogenic mechanisms in etiologically different types of epilepsy and explains neuronavigation systems. It discusses new neuroimaging techniques, new surgical strategies, and more aggressive surgical approaches in cases with catastrophic epilepsies. The contributors also analyze the improved statistics of surgical outcome in different epilepsy types. This definitive textbook is an invaluable reference for neurologists, neurosurgeons, epilepsy specialists, and those interested in epilepsy and its surgical treatment.
This book describes the specific surgical techniques currently employed in patients with intractable epilepsy; it also covers the relevant technical aspects of general neurosurgery. All of the approaches associated with the various foci of epilepsy within the cerebral hemispheres are considered, including temporal and frontal lobectomies and corticectomies, parietal and occipital lobe resections, corpus callosotomy, hemispherectomy, and multiple subpial incisions. In addition, an individual chapter is devoted to electrocortical stimulation and functional localization of the so-called eloquent cortex. The more general topics on which guidance is provided include bipolar coagulation (with coverage of the physical principles, strength of the coagulating current, use of coagulation forceps, the advantages of correct irrigation, and use of cottonoid patties) and all of the measures required during the performance of operations under local anesthesia. The book is designed to meet the need for a practically oriented source of precise information on the operative procedures employed in epilepsy patients and will be of special value for neurosurgical residents and fellows.
Designed to provide a comprehensive but accessible introduction to epilepsy and seizure disorders, Epilepsy, 2nd edition provides state-of-the-art information in a concise format useful to a wide audience, from neurology residents to epilepsy fellows and practitioners. This illustrated guide to the assessment, diagnosis, and treatment of epilepsy is a valuable resource enabling clinicians to stay on top of the latest recommendations for best practice.
Written by internationally recognized authorities in pediatric epilepsy surgery, this cutting-edge book provides essential information about the preoperative assessment of and surgical approaches to the treatment of epilepsy in children. The book opens with an overview of pediatric epilepsy followed by four main sections detailing preoperative assessment, surgical approaches and techniques, outcomes, and recent promising advances. The authors present numerous approaches for managing temporal lobe epilepsy and extratemporal lobe epilepsy and guide clinicians through various surgical techniques for hemispherectomy, disconnection procedures, neuromodulation, and more.Highlights: Complete coverage of the selection of surgical candidates, including young patients with congenital or early lesions Detailed discussion of the latest surgical techniques such as hippocampal transection, cortical and deep brain stimulation and radiosurgery Comprehensive presentation of all major hemispherectomy and hemispherotomy techniques More than 100 illustrations, including 85 in full-color, to elucidate key concepts Ideal for pediatric neurosurgeons, epilepsy surgeons and pediatric epileptologists, this authoritative text is also a valuable reference for clinicians, residents, and fellows in neurology, neuroradiology, neuropsychology, and neurophysiology with an interest in pediatric epilepsy surgery.
Intractable Focal Epilepsyis a definitive multi author reference work covering the most difficult to treat epilepsies. The natural history, pathology and treatment, both medical and surgical, of the conditions underlying intractable seizures are fully described and illustrated. Including contributions from North America, Europe and the Pacific Rim, the emphasis throughout is on clinical diagnosis and treatment both medical and surgical, and their respective outcomes. The text is enhanced by over 250 illustrations, and the clear modern design enables the reader to assimilate information quickly. In addition to clinical treatment, there is a section on the costs of persistent intractable focal epilepsy and the costs of surgical treatment. Drs Oxbury, Polkey and Duchowny have produced a book that will appeal to epileptologists, paediatric neurologists, and neurosurgeons. The books clinical strengths will make it an invaluable working tool. Definitive resource on difficult to treat epilepsies Covers manifestation, consequences and treatment Major section on surgical treatment of focal epilepsy Complete coverage of paediatric diagnosis and treatment Special "Case Reports" give practical case histories to illustrate clinical points International line up of contributors
In one convenient source, this book provides a broad, detailed, and cohesive overview of seizure disorders and contemporary treatment options. For this Fifth Edition, the editors have replaced or significantly revised approximately 30 to 50 percent of the chapters, and have updated all of them. Dr. Wyllie has invited three new editors: Gregory Cascino, MD, FAAN, at Mayo Clinic, adult epileptologist with special expertise in neuroimaging; Barry Gidal, PharmD, at University of Wisconsin, a pharmacologist with phenomenal expertise in antiepileptic medications; and Howard Goodkin, MD, PhD, a pediatric neurologist at the University of Virginia. A fully searchable companion website will include the full text online and supplementary material such as seizure videos, additional EEG tracings, and more color illustrations.