This book is a guide dedicated to vascular pathologies affecting the central nervous system. It uses a multiple-choice format with more than 340 genuine MCQs in a convenient format that is ideal for self-study. Seven chapters provide comprehensive coverage of core concepts in vascular neurosurgery. The questions are structured and organized so as to offer a step-by-step description of each disease, from the definition, related anatomy, pathology, clinical features, radiology to surgical decisions and operative tricks. Answers and explanations appear directly below the questions to make reading easy. This book is essential for residents across neurosurgical disciplines as it includes most of the neurovascular information neurosurgical residents need to prepare for their certification exam. It is also beneficial for those seeking a refresher or for those preparing for certification maintenance.
This book is a detailed resource on the technical aspects of pediatric neurosurgery that relate to vascular malformations of the brain and spinal cord. It introduces concepts relevant to cerebrovascular system development and the classification of vascular malformations. Information on a range of disorders is then provided with an emphasis placed on answering frequently asked questions in relation to a particular condition. Therefore, enabling the reader to systematically improve their understanding of how approach treating patients utilizing techniques such as ultrasound and spinal angiography. The chapters, authored by experts in their respective field, provide a standard of care based on current diagnostic and management guidelines for pediatric neurosurgical diseases. Pediatric Vascular Neurosurgery: Technical Nuances in Contemporary Pediatric Neurosurgery (Part 2) is a comprehensive overview of how to approach diagnosing and treating a range of vascular malformations encountered in pediatric patients. The problem-solving approach of this work makes it a valuable addition to the literature and suitable for use by residents, fellows and consultants within pediatrics and allied specialities, including Neurosurgery, Neurology, Neuro-anesthesia, Neuro-critical care and advanced health care providers amongst others.
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.
This book aims to cover the majority of neurovascular diseases and management. The first section reviews neurovascular anatomy, the basics of angiography, and the basics of craniotomies for neurovascular diseases. Next, an entire section is devoted to intracranial aneurysms, covering the natural history, subarachnoid hemorrhage, endovascular management, microsurgical management, and vasospasm. Following this, a number of chapters are devoted to stroke including natural history, mechanical thrombectomy, intracranial stenosis, Moyamoya disease, bypass surgery, vertebrobasilar insufficiency, intracerebral hemorrhage, sinus thrombosis, and the surgical and endovascular management of extracranial carotid disease. Next, the text covers vascular malformations including arteriovenous malformation, arteriovenous fistulas, carotid cavernous fistulas, vein of Galen malformations, spinal malformations, and cavernous malformations. Finally, the book discusses a few miscellaneous topics including more recent advances in neurovascular care such as venous sinus stenting for idiopathic intracranial hypertension and middle meningeal artery embolization for subdural hematoma. Written by experts in the field, Introduction to Vascular Neurosurgery provides a comprehensive summary of neurovascular disease and management. The book can be used as a daily reference and serves as a trusted resource for medical students, residents, fellows, and young attendings.
In this issue of Neurosurgery Clinics, guest editor Dr. Michael T. Lawton brings his considerable expertise to the topic of Update on Open Vascular Surgery. The field of open vascular neurosurgery has undergone significant change as endovascular technologies have advanced and endovascular market share has grown. In this issue, top experts in the field explore various responses to these trends, providing valuable information to neurosurgeons aspiring to stay current with contemporary management of aneurysms, brain arteriovenous malformations, cavernous malformations, and bypass techniques. Contains 15 practice-oriented topics including wide neck and bifurcation aneurysms: balancing open and endovascular therapies; application of big data in vascular neurosurgery; rethinking cerebral bypass surgery; AI, machine learning and cavernous malformations; the transcavernous approach in vascular neurosurgery; and more. Provides in-depth clinical reviews on open vascular surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
A state-of-the-art neurovascular surgery atlas from internationally renowned neurosurgeon R. Loch Macdonald Neurosurgical Operative Atlas: Vascular Neurosurgery, Third Edition, by R. Loch Macdonald and expert contributors, reflects the latest advances in endoscopic, endovascular, microsurgical, and bypass techniques used in the treatment of cerebrovascular disease. The entire atlas has been streamlined and updated with new content, including 38 videos that complement the concise step-by-step guidance in the text. The book begins with five chapters on vascular and microsurgical instrumentation and equipment, clipping versus coiling, aneurysm surgery techniques, the pterional approach, and minimally invasive approaches. Disease and procedure-specific chapters are organized by three sections: aneurysms and subarachnoid hemorrhage, vascular malformations, and ischemic and other cerebrovascular disease. Every chapter includes salient tips on patient selection and procedural indications, preoperative information and tests, patient positioning, operative nuances, and postoperative complications. Key Highlights Nearly 300 high-quality color illustrations detail impacted anatomy and procedures The latest techniques for treating a full spectrum of aneurysms, such as ophthalmic segment, supraclinoid internal carotid artery, middle and anterior cerebral artery, basilar and posterior cerebral artery, and others Treatment of vascular abnormalities including arteriovenous malformations, superficial and brainstem cavernous malformations, arteriovenous fistulae, Moyamoya disease, and more Neurosurgical residents will benefit from the firsthand knowledge shared by international masters, while veteran neurosurgeons will glean invaluable insights on cutting-edge endovascular techniques to enhance clinical practice.
Part of the Neurosurgery by Example series, this volume on cerebrovascular neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within cerebrovascular neurosurgery, including aneurysms, ischemic/occlusive disease, arteriovenous malformation, dural arteriovenous fistula, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Cerebrovascular Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.
This book is an up-to-date, well-referenced practical resource that offers detailed guidance on the avoidance and management of complications in patients treated for cerebrovascular and spinal vascular disease. All complication avoidance and management techniques currently available to the endovascular/cerebrovascular surgeon are reviewed by pioneers and leaders in the field to provide the clinician with an advanced single point of reference on the subject. The book is divided into four sections. It opens by discussing general issues, such as definition of complications, medicolegal aspects, the role of resident training, and checklists. The subsequent three sections address the avoidance and management of complications when performing surgical, endovascular, and radiosurgical procedures, covering the full ran ge of indications and potential adverse events. All chapters have a standardized format, simplifying the search for information on a specific disease process. Numerous intraoperative images are included, and, when appropriate, algorithms for the avoidance, early recognition, and management of complications are presented. Each chapter concludes with a checklist of preparatory steps and “emergency procedures” that each member of the team must perform in order to ensure the best possible outcomes.
Endovascular neurosurgery is a recently introduced but rapidly evolving medical field, which uses minimally invasive interventions to treat major life-threatening vascular lesions of the Central Nervous System. Although its history counts less than 15 years of worldwide acceptance, it has rapidly displaced the traditional open neurosurgical techniques, being nowadays the first treatment choice for brain aneurysms and vascular malformations. Thus, the experience of each neuroendovascular center and performer is invaluable, offering the base for learning and teaching the new generation of interventionalists as well as for the evolvement of the method itself. This book presents the basic principles of endovascular neurosurgery starting from clinical cases. Through this close-to-clinical-reality-process, the reader will be able to more thoroughly understand the pathophysiology of the brain and spine vascular lesions as well as the decision-making strategy, related to the indications, endovascular methods and results, finding suggestions and solutions to his/her clinical questions and problems. Besides chapters devoted to CNS vascular embryology and anatomy, clinical cases organized in groups based on the treated lesions are introduced: ruptured and unruptured cerebral aneurysms of the anterior and posterior circulation, side-wall and bifurcation aneurysms, arteriovenous malformations (AVM), dural arteriovenous fistulae (dAVF), arterial stenosis and angioplasty as well as spinal vascular lesions. A separate chapter is devoted to the organization and necessary equipment of the angio room and the department offering neuroendovascular service. This volume will be of interest to neurosurgeons, interventional neuroradiologists, vascular surgeons, neurologists and ICU physicians as well as health care providers who are involved in the diagnosis and management of the vascular lesions of the brain and spine.
A practical case-based review for neurosurgical oral board preparation An ideal resource for board exam preparation, this review distills the essentials of neurosurgery in a user-friendly question and answer format. Divided into three main sections, this text presents a comprehensive collection of cases covering intracranial pathology, spinal and peripheral nerve pathology, and neurology. Each chapter opens by detailing the clinical presentation of a problem frequently encountered in everyday practice followed by a list of questions and answers designed to test the reader's knowledge of diagnostic techniques, imaging, surgical indications, treatment options, potential complications, and outcomes. Highlights: Contributions from internationally recognized authorities in the main subspecialties of neurosurgery, including neurosurgical oncology, skull base surgery, vascular neurosurgery, spine surgery, pediatric neurosurgery, peripheral nerve surgery, and epilepsy surgery Succinct bullet-point format and consistent presentation in each chapter for rapid review of essential concepts Detailed coverage of common and rare neurologic pathologies More than 380 high-quality images, including 76 full-color illustrations that demonstrate important concepts Valuable references to current evidence-based scientific data This book is an indispensable tool for neurosurgeons, residents, and fellows preparing for their oral board or recertification examinations. With its highly accessible presentation, this book will also be a valuable refresher for clinicians and a useful reference for students preparing for rounds.
This is the first organized book on complex, difficult and informative surgical cases submitted by specialists in neurosurgery from around the world. It will be a collection of difficult and complicated cases that were operated by eminent neurosurgeons.
Every so often a gathering of minds and experience occurs that results in an all encompassing overview in depth of such a vast subject as Cerebro-Vascular Malformations, as occurred in Verona in June 1992 and which warrants publication. Professors Da Pian and Pasqualin deserve high compliment and it is a measure of the respect in which they are held that virtually all those most knowledgeable around the world attended, presented their work and thoughts and contributed to intense discussion. Ljunggren's opening historical survey set the stage and must be the most comprehensive yet published. Subarachnoid hemorrhage from aneurysm rupture still constitutes, I dare say, the most difficult problem for neurosurgeons, in relief of the brain injury and arterial reaction and the technical perfection of aneurysm obliteration, even for small, as well as large and giant sacs. Very large high flow A VMs can be as demanding too. The bulk of the conference was devoted to subarachnoid hemorrhage, aneurysms and A VMs which were discussed under about 14 headings each. But vein of Galen malformations, dural A VMs, cavernous angiomas and venous angiomas (renamed developmental venous anomalies) came under scrutiny, not always with consensus. Trends are perceptible such as fibrinolysis of subarachnoid clot, non surgery for Galenic and dural malforma tions, the benignity of venous angioma, but there is still much variation in approach, pharmacologically, technically and with such as the evolving endovascular and radiosurgical stories, used alone or in conjunction.