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Advances and Technical Standards in Neurosurgery, Vol. 33 : Advances and Technical Standards in Neurosurgery - John D. Pickard

Advances and Technical Standards in Neurosurgery, Vol. 33

Advances and Technical Standards in Neurosurgery

By: John D. Pickard (Editor), Nejat Akalan (Editor), C. Di Rocco (Editor), Vinko V. Dolenc (Editor), J. Lobo Antunes (Editor)

Hardcover Published: 19th December 2007
ISBN: 9783211722824
Number Of Pages: 282

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This series has already become a classic. In general, one volume is published per year. The advances section presents fields of neurosurgery and related areas in which important recent progress has been made. The technical standards section features detailed descriptions of standard procedures to assist young neurosurgeons in their post-graduate training. The contributions are written by experienced clinicians and are reviewed by all members of the editorial board.

List of contributorsp. XIII
Brain plasticity and tumors
Abstractp. 4
Introductionp. 4
Cerebral plasticity: fundamental considerationsp. 5
Definitionsp. 5
Pathophysiological mechanisms subserving cerebral plasticityp. 5
Natural plasticity in humansp. 7
Plasticity in acute brain lesionsp. 8
Post-lesional sensorimotor plasticityp. 8
Post-lesional language plasticityp. 8
Plasticity in slow-growing brain tumors: the example of low-grade gliomap. 9
Functional reorganization induced by LGGp. 10
Functional reorganization induced by LGG resectionp. 13
Methodological considerationsp. 14
Intra-operative plasticityp. 15
Post-operative plasticityp. 18
Therapeutical implications in LGGp. 19
Improvement of the functional and oncological results of LGG surgeryp. 21
Conclusionsp. 22
Perspectivesp. 23
Referencesp. 25
Tumor-biology and current treatment of skull-base chordomas
Abstractp. 36
Definitionp. 37
Historyp. 38
Pathogenesisp. 39
Genetics and molecular biologyp. 41
Familial chordomasp. 41
Telomere maintenancep. 41
Genome wide studies and genomic integrityp. 41
Cell cycle controlp. 55
Tumor suppressor genesp. 55
Oncogene activationp. 56
Experimental models of chordomap. 56
Pathologyp. 56
Local invasionp. 63
Metastasisp. 63
Intraoperatative diagnosis and cytologyp. 64
Incidencep. 64
Clinical manifestations and natural course of diseasep. 67
Diagnosisp. 68
Neuroradiology of chordomasp. 68
MRI and CT correlates of pathological findingsp. 68
Osseous invasionp. 70
There are no characteristic radiological findings of chordoma subtypesp. 70
Tumor size and extentp. 71
Differential diagnosisp. 73
Classification schemesp. 74
Early and late postoperative imagingp. 76
Intraoperative imagingp. 76
Other diagnostic testsp. 78
Treatment of chordomasp. 78
Surgical treatmentp. 80
Patients benefit from aggressive but safe surgeryp. 80
Evolution of the surgical techniquep. 81
Principles of tumor resectionp. 82
Choice of the surgical approachp. 82
Anterior approachesp. 84
Midline Subfrontal approachesp. 84
Transsphenoidal approachesp. 86
Anterior midface approachesp. 88
Transoral approachesp. 90
Anterolateral approachesp. 91
Lateral approachesp. 91
Posterolateral and inferolateral approachesp. 93
Presigmoid approachesp. 93
Extreme lateral approachp. 93
Radiotherapyp. 99
Conventional radiotherapyp. 102
LINAC based stereotactic radiotherapiesp. 102
Gamma-Knife radiosurgeryp. 103
Brachytherapyp. 104
Charged particle radiation therapiesp. 104
Predictive factors on outcome after radiation treatmentp. 105
Complications of radiation therapyp. 106
Chemotherapyp. 107
Chordomas in the pediatric age groupp. 108
Conclusionsp. 109
Referencesp. 109
The influence of genetics on intracranial aneurysm formation and rupture: current knowledge and its possible impact on future treatment
Abstractp. 131
Introductionp. 132
Different epidemiology in different countriesp. 133
Etiology of intracranial aneurysm formation and rupturep. 133
Vascular and cerebrovascular diseases associated with a genetic componentp. 135
Approaches to genetic research of intracranial aneurysmsp. 135
Linkage analyses reveal chromosomal locip. 136
Candidate gene association analyses: positional and functionalp. 137
Gene expression microarray analysesp. 138
Application of genetic findings to novel diagnostic tests and future therapiesp. 138
Conclusion and proposals for the futurep. 140
Referencesp. 141
Technical standards
Extended endoscopic endonasal approach to the midline skull base: the evolving role of transsphenoidal surgery
Abstractp. 152
Introductionp. 153
Endoscopic anatomy of the midline skull base: the endonasal perspectivep. 154
Anterior skull basep. 154
Middle skull basep. 156
Posterior skull basep. 161
Instruments and tools for extended approachesp. 164
Endoscopic endonasal techniquesp. 166
Basic steps for extended endonasal transsphenoidal approachesp. 166
The transtuberculum-transplanum approach to the suprasellar areap. 169
Surgical procedurep. 169
Approach to the ethmoid planump. 177
Approaches to the cavernous sinus and lateral recess of the sphenoid sinus (LRSS)p. 178
Approach to the clivus, cranio-vertebral junction and anterior portion of the foramen magnump. 182
Reconstruction techniquesp. 184
Results and complicationsp. 187
Conclusionsp. 190
Acknowledgementsp. 190
Referencesp. 190
Management of brachial plexus injuries
Abstractp. 202
Introductionp. 202
Epidemiologyp. 202
Anatomical featuresp. 203
Clinical featuresp. 205
Obstetric palsyp. 205
Non-obstetric, traumatic palsyp. 209
Special investigationsp. 210
Neurophysiologyp. 210
Myelography, CT-myelography, MRI and ultrasonographyp. 214
Indication and surgical approachp. 215
Obstetric palsyp. 215
Non-obstetric, traumatic brachial palsyp. 218
Secondary surgical techniquesp. 220
Obstetric lesionsp. 221
Non-obstetric lesionsp. 222
Results of both primary and secondary surgeryp. 223
Obstetric lesionsp. 223
Non-obstetric lesionsp. 224
Summary of management of patients with brachial plexus lesionsp. 225
Pain following traumatic brachial plexus injuryp. 225
Acknowledgementsp. 228
Referencesp. 228
Surgical anatomy of the jugular foramen
Abstractp. 234
Introductionp. 234
Microanatomy of the jugular foramen regionp. 235
General considerationp. 235
Bony limits of the JF and dura architecturep. 236
Neural contain of the jugular foramenp. 239
Intracisternal coursep. 239
Intraforaminal coursep. 240
Extraforaminal coursep. 242
Hypoglossal canal and nervep. 242
Venous relationshipsp. 243
Arteriesp. 245
Muscular environmentp. 246
The approaches to the region of the jugular foramenp. 248
Classification and selection of the approachp. 248
The infralabyrinthine transsigmoid transjugular-high cervical approachp. 250
Dissection of the superficial layersp. 250
Exposure of the upper pole of the JFp. 251
Exposure the lateral circumference of the jugular bulbp. 251
Exposure of the LCNs inside the jugular foramenp. 252
Tumor resection and closure stepsp. 253
Commentariesp. 254
The Fisch infratemporal fossa approach Type Ap. 255
Commentariesp. 255
The widened transcochlear approachp. 255
Commentariesp. 257
Cases illustrationp. 258
Case illustration 1p. 258
Case illustration 2p. 259
Case illustration 3p. 260
Conclusionsp. 261
Referencesp. 262
Author indexp. 265
Subject indexp. 277
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9783211722824
ISBN-10: 3211722823
Series: Advances and Technical Standards in Neurosurgery : Book 33
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 282
Published: 19th December 2007
Country of Publication: AT
Dimensions (cm): 24.51 x 17.27  x 1.58
Weight (kg): 0.68