This dedicated volume in the series Advances and Technical Standards in Neurosurgery (ATSN) provides a comprehensive approach to diseases of the craniovertebral junction (CVJ) and their management based on the multidisciplinary cooperation of neurosurgeons, anatomists, neuroradiologists, and neuroanesthesiologists. The contributing authors represent the most renowned clinical and surgical experts from Europe and beyond. The main topics highlighted are embryology, normal and abnormal development of the CVJ, including the related vessels, modern radiological contributions to diagnosis, genetic and metabolic factors which may impact on the surgical strategies, the opportunities offered by traditional operative techniques, and the recently introduced minimally invasive and endoscopic surgical modalities. Special emphasis is also placed on the evolution of the principles of surgical treatment as matured during the past decade by experiences in the still open field of pediatric neurosurgery.
It is estimated that the functionally significant body of knowledge for a given medical specialty changes radically every 8 years. New specialties and "sub specialization" are occurring at approximately an equal rate. Historically, estab lished journals have not been able either to absorb this increase in publishable material or to extend their readership to the new specialists. International and national meetings, symposia and seminars, workshops, and newsletters success fully bring to the attention of physicians within developing specialties what is occurring, but generally only in demonstration form without providing historical perspective, pathoanatomical correlates, or extensive discussion. Page and time limitations oblige the authors to present only the essence of their material. Pediatric neurosurgery is an example of a specialty that has developed during the past 15 years. Over this period, neurosurgeons have obtained special train ing in pediatric neurosurgery, and then dedicated themselves primarily to its practice. Centers, Chairs, and educational programs have been established as groups of neurosurgeons in different countries throughout the world organized themselves respectively into national and international societies for pediatric neurosurgery. These events were both preceded and followed by specialized courses, national and international journals, and ever-increasing clinical and investigative studies into all aspects of surgically treatable diseases of the child's nervous system.
Principles of Neurosurgery, by Drs. Richard G. Ellenbogen, Saleem I. Abdulrauf and Laligam N Sekhar, provides a broad overview of neurosurgery ideal for anyone considering or training in this specialty. From general principles to specific techniques, it equips you with the perspectives and skills you need to succeed. Comprehensive without being encyclopedic, this new edition familiarizes you with the latest advances in the field—neuroimaging, the medical and surgical treatment of epilepsy, minimally invasive techniques, and new techniques in position and incisions—and shows you how to perform key procedures via an online library of surgical videos at www.expertconsult.com. No other source does such an effective job of preparing you for this challenging field! Get comprehensive coverage 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. Gain a clear visual understanding from over 1,200 outstanding illustrations—half in full color—including many superb clinical and operative photographs, surgical line drawings, and at-a-glance tables. Apply best practices in neuroimaging techniques, minimally invasive surgery, epilepsy surgery, and pediatric neurosurgery. Master key procedures by watching experts perform them in a video library online at www.expertconsult.com, where you can also access the fully searchable text, an image gallery, and links to PubMed. Keep up with recent advances in neurosurgery with fully revised content covering neuroimaging, the medical and surgical treatment of epilepsy, minimally invasive techniques, new techniques in position and incisions, deep brain stimulation, cerebral revascularization, and treatment strategies for traumatic brain injury in soldiers. Apply the latest guidance from new chapters on Cerebral Revascularization, Principles of Modern Neuroimaging, Principles of Operative Positioning, Pediatric Stroke and Moya-Moya, Anomalies of Craniovertebral Junction, and Degenerative Spine Disease. Tap into truly global perspectives with an international team of contributors led by Drs. Richard G. Ellenbogen and Saleem I. Abdulrauf. Find information quickly and easily thanks to a full-color layout and numerous detailed illustrations.
Covers state-of-the-art techniques! This text presents state-of-the-art techniques for surgery of the craniovertebral junction and cervical spine. It provides concise explanations of the underlying principles of each technique and insights into the unique issues in pediatric surgery. With this complete resource, you will gain the solid foundation in surgical concepts necessary to make critical clinical decisions as well as the technical knowledge and confidence to carry them out. Highlights include: Detailed explanations illuminating the links between embryology and normal and abnormal development of the craniovertebral junction and cervical spine In-depth discussion of the issues and techniques involved in both atlantoaxial and occipitocervical surgery in children An entire chapter devoted to managing craniocervical conditions of patients with Down Syndrome An examination of traumatic injuries of the craniocervical junction in children More than 100 step-by-step illustrations demonstrating key surgical techniques This readily accessible text will be a valuable asset in the library of physicians managing and treating craniocervical conditions, from the most experienced pediatric neurosurgeon to residents in the early stages of their careers.
This book offers a critical review of the head and neck from an anatomical, physiological and clinical perspective. It begins by providing essential anatomical and physiological information, then discusses historical and current views on specific aspects in subsequent chapters. For example, the anatomy of the skull cap or cranial vault provided in the first chapter is discussed in the context of malformation and identity, as well as the development of the bony skull, in the following chapters. These chapters provide stepping-stones to guide readers through the book. There are new fields of research and technological developments in which Anatomy and Physiology lose track of progress. One of the examples discussed is the automated face recognition. In some respects, e.g. when it comes to cancers and malformations, our understanding of the head and neck – and the resulting therapeutic outcomes – have been extremely disappointing. In others, such as injuries following car accidents, there have been significant advances in our understanding of head and neck dysfunctions and their treatment. Therefore head movements, also during sleep, and head and neck reflexes are discussed. The book makes unequivocal distinctions between correct and incorrect assumptions and provides a critical review of alternative clinical methods for head and neck dysfunctions, such as physiotherapy and lymphatic drainage for cancers. Moreover, it discusses the consequences of various therapeutic measures for physiological and biomechanical conditions, as well as puberty and aging. Lastly, it addresses important biomedical engineering developments for hearing e.g. cochlear implants and for applying vestibular cerebellar effects for vision.
The book provides an excellent review of all the clinical aspects of neuroanesthesia in children, including neurosurgeries during fetal state to neonatal, infancy, toddler, and school-going age groups. To provide optimal anesthetic care in children undergoing neurosurgery, the care provider must have adequate knowledge on the developing brain and spinal cord, and the effect of anesthetics on the neuronal tissue, and the inherent issues pertaining to neurologic lesions. This book covers the diagnostic, imaging, surgical as well as anesthetic managements of all the neurosurgical problems in children. The chapters include a wide range of topics from basic neurophysiology to general concerns for pediatric neuroanesthesia, including fluid management, blood transfusion, temperature regulation, and surgical positioning, as well as specific issues such as anesthesia for brain tumor surgery, hydrocephalus, neural tube defects, cerebrovascular surgeries such as aneurysmal surgery, arteriovenous malformations (AVMs), Moyamoya disease, and vein of Galen malformation, functional neurosurgery, epilepsy surgery, neuroendoscopy, craniovertebral junction anomalies, spinal surgeries, neurotrauma, and brain abscess with congenital heart diseases. Interesting topics like neuroanesthesia in remote locations, regional anesthesia during neurosurgery, and anesthesia for children with neuromuscular disease are also discussed. Moreover, the book elaborates on advanced neuroanesthesia techniques during fetal neurosurgery and craniopagus separation surgery; and the postoperative intensive care management aspects in each chapter. It is supplemented with figures depicting surgical procedures and positioning, neuroimages, tables and illustrations for easy understanding. This book caters to neuroanesthesiologists, pediatric anesthesiologists, residents, and fellows of anesthesia or neuroanesthesia, practicing anesthesiologists, pediatric neurointensivists, nurse anesthetists, neurosurgeons, and pediatric neurosurgeons. It also serves as a reference book for the DM (neuroanesthesiology and neurocritical care), DNB-SS (neuroanesthesiology), and MD (anesthesiology) curriculums apart from anesthesia residency and pediatric anesthesia/ neurosurgery fellowship programs offered at various Institutions worldwide.
The book provides an excellent review of all the clinical aspects of neuroanesthesia in children, including neurosurgeries during fetal state to neonatal, infancy, toddler, and school-going age groups. To provide optimal anesthetic care in children undergoing neurosurgery, the care provider must have adequate knowledge on the developing brain and spinal cord, and the effect of anesthetics on the neuronal tissue, and the inherent issues pertaining to neurologic lesions. This book covers the diagnostic, imaging, surgical as well as anesthetic managements of all the neurosurgical problems in children. The chapters include a wide range of topics from basic neurophysiology to general concerns for pediatric neuroanesthesia, including fluid management, blood transfusion, temperature regulation, and surgical positioning, as well as specific issues such as anesthesia for brain tumor surgery, hydrocephalus, neural tube defects, cerebrovascular surgeries such as aneurysmal surgery, arteriovenous malformations (AVMs), Moyamoya disease, and vein of Galen malformation, functional neurosurgery, epilepsy surgery, neuroendoscopy, craniovertebral junction anomalies, spinal surgeries, neurotrauma, and brain abscess with congenital heart diseases. Interesting topics like neuroanesthesia in remote locations, regional anesthesia during neurosurgery, and anesthesia for children with neuromuscular disease are also discussed. Moreover, the book elaborates on advanced neuroanesthesia techniques during fetal neurosurgery and craniopagus separation surgery; and the postoperative intensive care management aspects in each chapter. This book caters to neuroanesthesiologists, pediatric anesthesiologists, residents, and fellows of anesthesia or neuroanesthesia, practicing anesthesiologists, pediatric neurointensivists, nurse anesthetists, neurosurgeons, and pediatric neurosurgeons. It also serves as a reference book for the DM (neuroanesthesiology and neurocritical care), DNB-SS (neuroanesthesiology), and MD (anesthesiology) curriculums apart from anesthesia residency and pediatric anesthesia/ neurosurgery fellowship programs offered at various Institutions worldwide.
"Packed with information that is useful on a daily basis. This book will be useful for all who care for children with disabilities or chronic disase." --Journal of Parenteral and Enteral Nutrition Food and nutrition studies are more relevant to the practice of medicine than ever before. As scientific understanding of these links has expanded over the last decade, the need for an authoritative reference has never been greater. This fully revised and updated edition of PEDIATRIC AND ADULT NUTRITION IN CHRONIC DISEASES, DEVELOPMENTAL DISABILITIES, AND HEREDITARY METABOLIC DISORDERS offers a comprehensive reference to the nutritional interventions for diseases across the lifespan. Comprising more than 60 topic-based chapters from leading figures in nutrition and medicine, this book is the most up-to-date work on diet as a symptom of, and therapy for, chronic, hereditary, and developmental disorders. Enriched with tables and charts that distill the latest recommendations for nutrient intake, physical activity, this third edition is a convenient and essential resource for busy clinicians and students in nutrition, dietetics, and medical specialties.
This issue reviews the state of the art in pediatric demyelinating diseases. Articles cover topics on childhood transverse myelitis, neuromyelitis optica, multiple sclerosis, acute demyelinating encephalopathy, and more.
The book attempts to provide the essential information that postgraduates throughout India need to capture to effectively address the health problems that our children and youth may face in the times to come. Our objective is to be comprehensive yet concise and reader friendly, embracing both the new advances in science as well as the time-honored art of pediatric practice. Both Indian and international experts in respective fields have provided the details which have been further scrutinized for exposition and usefulness to pediatric postgraduates by a chosen team of eminent academicians. We have liberally included tables, line diagrams, images, clinical photographs, illustrative figures, flowcharts and algorithms in the main text. The book is divided in 10 major Parts and further arranged into 51 Sections to cover all aspects of postgraduate pediatric curriculum. Themes which have major public health relevance for India are extensively covered. It is almost impossible to cover all pediatric problems with the same degree of detail and hence a careful balance has been made in the details of description of diseases and their management to the needs of the students, and to keep the book to a manageable size. Take-home messages are provided at the end of each chapter. Selected recent references, mostly leading articles, reviews and position statements, are provided for more detailed information if desired by the student or the teacher.
Taking a practical, easy-to-reference signs and symptoms approach, Fenichel’s Clinical Pediatric Neurology, 8th Edition, provides a solid foundation in the diagnosis and management of primary neurologic disorders of childhood while bringing you fully up to date with recent developments in the field. It offers step-by-step, authoritative guidance that considers each presenting symptom in terms of differential diagnosis and treatment, reflecting real-life patient evaluation and management. Perfect for board exam preparation, office use, or residency reference, this well-organized, revised edition is an ideal introduction to this complex and fast-changing field. Includes a new chapter on genetics in relation to epilepsy, autism, and many neurometabolic disorders, with up-to-date coverage of genetic testing, diagnosis, and pharmacogenomics. Brings you up to date with the new definition of status epilepticus; new guidelines for Lennox Gastaut syndrome; new FDA-approved drugs for epilepsy, ADHD, dystonia, and more; new data on sudden infant death syndrome; and revised consensus criteria which unifies the concepts of neuromyelitis optica (NMO) and neuromyelitis optica spectrum disorders (NMOSD). Defines age at onset, course of illness, clinical features, and treatment options for each neurological disease, all logically organized by neurological signs and symptoms in a highly templated format. Features weighted differential diagnosis tables and treatment algorithms that help you quickly identify the more common and most treatable neurological disorders, as well as evaluate and manage the most difficult neurodegenerative disorders, including those caused by inborn errors of metabolism. Shares the knowledge and experience of Dr. J. Eric Piña-Garza, MD, a longtime associate and protégé of Dr. Gerald Fenichel, and Dr. Kaitlin C. James, Medical Director of the Pediatric Epilepsy Monitoring Unit at Vanderbilt Children's Hospital.
Comprehensive yet practical, this book is the first of its kind to focus exclusively on both major and minor conditions affecting the pediatric cervical spine. Written by eminent orthopedic and spinal surgeons, it provides a systematic approach based on traditional categories: anatomy, pathology, imaging, and both surgical and non-surgical treatment strategies. Utilizing the most up-to-date evidence, the subject is approached in three main sections. The basic science of the pediatric cervical spine – anatomy, biomechanics, imaging and diagnostic techniques – is covered in part I. The clinical aspects of pediatric cervical spine disorders are discussed in part II, including trauma, inflammatory conditions, infections, tumors, congenital anomalies and others. The medical and surgical treatment of these disorders comprises part III, presenting conservative techniques such as immobilization and surgical techniques such as arthrodesis. Complications and other related pediatric cervical conditions are also covered in this last section. Written by an international panel of experts and skillfully edited by leaders in the field, The Management of Children's Cervical Spine Disorders is a unique and definitive resource for pediatric orthopedic spine surgeons, neurologists and all medical professionals treating these delicate conditions.
