Endovascular Neurosurgery Through Clinical Cases

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.

Jandial’s 100 Case Reviews in Neurosurgery is the only reference offering a comprehensive approach to effective preparation for oral examinations, MOC, or grand rounds. Ideal for residents and graduates alike, it covers 100 of the most commonly encountered neurosurgical cases and presents them in a layout mirroring that of the oral exams. This singular resource eliminates the need to consult several texts, providing readers with all of the complete, concise knowledge needed to go in with confidence. Covers 100 of the most commonly encountered neurosurgical cases on oral exams. Highly templated format mirrors that of the oral exams and ensures quick and easy navigation. Over 500 illustrations ensure an enhanced visual understanding. Provides a chapter on endovascular neurosurgery, a topic newly included on oral exams. Features robust sections and art on the challenging areas of peripheral nerve surgery and vascular surgery. Includes common questions on complication management. Appendices with key neurosurgery tables and figures (e.g. positioning, spinal fracture grading, and neuropathology) facilitate quick review. Information is backed by evidence when available.

This book aims to provide the trainee and practicing minimally invasive neurological therapist with a comprehensive understanding of the background science and theory that forms the foundation of their work. The contents are based on the tutorial teaching techniques used at the University of Oxford and are authored by the MSc Course Director. The tutorial is a learning episode focussed on a particular topic and intended to guide the student/reader through the background literature, to highlight the research on which standard practices are based and to provide the insights of an experienced practitioner. Each chapter of the book covers a different topic to build a complete review of the subspecialty, with in-depth discussion of all currently used techniques. The literature is reviewed and presented in context to illustrate its importance to the practice of this rapidly expanding field of medical treatment.

Part of the Oxford Case Histories series, this volume includes 65 neurosurgical cases covering core topics specified in the UK Neurosurgical Training Curriculum. Cases are drawn from the following clinical areas: trauma, vascular neurosurgery, tumours, spinal neurosurgery, hydrocephalus and paediatric neurosurgery, functional neurosurgery, and medical problems in neurosurgery. Revolving around actual patients and the relevant knowledge required in specific situations for decision making in clinical practice, this book will serve as an invaluable educational tool to help trainees, doctors, and pratising neurosurgeons manage the a wide variety of clinical scenarios encountered in neurosurgery.

This book provides recent progress of neuroendovascular surgery, which is a minimally invasive treatment of cerebral aneurysms. Great advances have been made in the techniques, devices and large randomized clinical trials showing striking therapeutic benefit for cerebral aneurysms. The treatment of cerebral aneurysms has also seen substantial evolution, increasing the number of aneurysms that can be treated successfully with minimally invasive therapy. In the 17 chapters, authors introduce the techniques, devices, device structures and therapeutic concepts. Attendings, fellows, residents, medical students or anyone interested in sharpening their diagnostic and therapeutic skill set will benefit from reading this text. This book will include many clinical cases and skills and clinical concepts, which will benefit professional /practitioner.

"I am delighted to introduce this volume of Neurosurgery by Example: Key Cases and Fundamental Principles. Neurosurgical training and practice are based on managing a wide range of complex clinical cases with expert knowledge, sound judgment, and skilled technical execution. Our goal in this series is to present exemplary cases in the manner they are actually encountered in the neurosurgical clinic, hospital emergency department, and operating room. In this volume, Drs. Peter Nakaji and Michael Levitt invited a broad range of expert contributors to share their extensive wisdom and experience in all major areas of vascular neurosurgery. Each chapter contains a classic presentation of an important clinical entity, guiding readers through the assessment and planning, decision making, surgical procedure, after care, and complication management. 'Pivot points' illuminate the changes required to manage patients in alternate or atypical situations. Each chapter also presents lists of pearls for the accurate diagnosis, successful treatment, and effective complication management of each clinical problem. These three focus areas will be especially helpful to neurosurgeons preparing to sit for the American Board of Neurological Surgery oral examination, which bases scoring on these three topics. Finally, each chapter contains focused reviews of medical evidence and expected outcomes, helpful for counseling patients and setting accurate expectations. Rather than exhaustive reference lists, chapter authors provide focused lists of high priority additional reading recommended to deepen understanding. The resulting volume should provide you with a dynamic tour through the practice of vascular neurosurgery, guided by some of the leading experts in North America"--

Quickly retrieve essential facts, equipment information and clinical pearls when preparing for a neuroendovascular case Ideal for both newcomers and practitioners of the specialty, Handbook of Neuroendovascular Surgery is both a succinct introduction and a quick reference guide for key concepts and technical information prior to, during, and after a procedure. It progresses logically from basic scientific concepts to equipment and technical aspects to treatment of specific neurovascular diseases, expertly capturing the core information needed in daily practice. Key Features: Contributions by neurosurgeons, radiologists, and neurologists reflect the multidisciplinary nature of neuroendovascular treatment Critical summaries of Peri-Procedural Patient Care and Equipment and Techniques to help in case preparation Generous use of tables and illustrations create fast visual summaries and distill large amounts of information Valuable appendices on routinely used technical information, pathology classification systems, endovascular medications, and full-color pictorials designed for teaching and patient education. The pictorials are available for download at Thieme's Media Center. Written by specialists trained in both open cerebrovascular neurosurgery and neuroendovascular surgery, this portable handbook is a treasure trove of practical information that is essential for both beginners and more experienced neurosurgeons who want to refresh their knowledge in state-of-the-art neuroendovascular techniques.

Neurointervention is a fast-growing subspecialty, and recent trials have demonstrated its role in ischaemic and haemorrhagic stroke. This has generated tremendous interest among interventional neuroradiology, neurology and neurosurgery communities. Nevertheless, formal teaching programmes that provide the required experience are limited, and many early career practitioners are not exposed to the crucial technical details essential to safely performing the procedure before they start practising independently. The book presents 100 characteristic case studies to illustrate the salient technical and clinical issues in decision-making and problem solving during the procedure. This book conveys the “real-world” issues and solutions that are not addressed in detail in most books. As such it is a practical teaching book with useful “tips and tricks” on how to handle specific challenging situations, and is particularly useful for fellows in neurointervention training programmes..