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.

Neurosurgery is a rapidly developing field of medicine. Therefore, staying keeping track of the advancements in the field is paramount for trainees as well as fully trained neurosurgeons. This book, fully available online, is a part of our effort of improving availability of medical information for anyone who needs to keep up-to-date.

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)

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!

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.

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.

An overview of practice and theory in both neural specialties, encouraging a broader therapeutic approach to problems such as movement disorders and intractable pain. The concept of this book is to merge neurological and neurosurgical principles and practice, for improved patient care. This includes a review of the basic neurosciences, especially neurogenetics. Details of the neurological examination and neurodiagnostic studies are oriented to specific clinical factors. Attention is directed to advances in molecular biology in the current research in metabolic disorders affecting the neurological system. There is a comprehensive approach to demyelinating diseases and dementia, as well as practical aspects in the diagnosis and management of neurological disorders caused by trauma, vascular lesions, neoplasms and infection. The goal is to share the expertise of both neural specialties in therapy of problems such as movement disorders and intractable pain. A general need for the above has become apparent, in an era of an aging population and increased incidence of neurological disorders. Frank P. Smith, MD, is Professor of Neurosurgery Emeritus, University of Rochester Medical Center

Widely regarded as the definitive reference in the field, Youmans and Winn Neurological Surgery offers unparalleled, multimedia coverage of the entirety of this complex specialty. Fully updated to reflect recent advances in the basic and clinical neurosciences, the 8th Edition covers everything you need to know about functional and restorative neurosurgery, deep brain stimulation, stem cell biology, radiological and nuclear imaging, and neuro-oncology, as well as minimally invasive surgeries in spine and peripheral nerve surgery, and endoscopic and other approaches for cranial procedures and cerebrovascular diseases. In four comprehensive volumes, Dr. H. Richard Winn and his expert team of editors and authors provide updated content, a significantly expanded video library, and hundreds of new video lectures that help you master new procedures, new technologies, and essential anatomic knowledge in neurosurgery. - Discusses current topics such as diffusion tensor imaging, brain and spine robotic surgery, augmented reality as an aid in neurosurgery, AI and big data in neurosurgery, and neuroimaging in stereotactic functional neurosurgery. - 55 new chapters provide cutting-edge information on Surgical Anatomy of the Spine, Precision Medicine in Neurosurgery, The Geriatric Patient, Neuroanesthesia During Pregnancy, Laser Interstitial Thermal Therapy for Epilepsy, Fetal Surgery for Myelomeningocele, Rehabilitation of Acute Spinal Cord Injury, Surgical Considerations for Patients with Polytrauma, Endovascular Approaches to Intracranial Aneurysms, and much more. - Hundreds of all-new video lectures clarify key concepts in techniques, cases, and surgical management and evaluation. Notable lecture videos include multiple videos on Thalamotomy for Focal Hand Dystonia and a video to accompany a new chapter on the Basic Science of Brain Metastases. - An extensive video library contains stunning anatomy videos and videos demonstrating intraoperative procedures with more than 800 videos in all. - Each clinical section contains chapters on technology specific to a clinical area. - Each section contains a chapter providing an overview from experienced Section Editors, including a report on ongoing controversies within that subspecialty. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.