Functional Neurosurgery

This text presents a comprehensive and state-of the-art approach to stereotactic and functional neurosurgery. Overarching sections include achieving stereotactic precision, defining trajectories and targets, the biophysics of stereotactic therapies, diseases and targets, and the future of functional neurosurgery. Each section is designed to be inclusive of all relevant topics, serving as an unbiased resource to new clinicians in this field or established clinicians that are aiming to better understand complementary methods. Importantly, each section and the associated chapters can be used by basic and translational scientists as well as engineers and industry to better understand and deliver innovation to the field. Chapters within each section methodically analyze traditional and recently emerging concepts and techniques; address underlying principles with examples drawn from specific diseases and applications; and cover patient selection, target selection, available stereotactic methods, nuanced surgical methods, and clinical evidence across treatment options. Written by experts in each area, Stereotactic and Functional Neurosurgery is a definitive guide to the latest developments in stereotactic targeting, electrode implantation, surgical treatment of neurological and psychiatric disorders, the renaissance of stereotactic lesions, and the frontier of restorative neurosurgery for a variety of disorders that have no other therapeutic options.

Offers expert guidance on functional neurosurgery and neuromodulation, lists of requirements, and the instruments needed to perform these procedures. Answers practical questions such as "What do I need when performing a thermal procedure?", "What do I need to bear in mind when assembling a device?", and "What do I need to remember with regards to voltages, electrodes, percutaneous leads, RF generators, imaging, and micro instruments?" Consolidates today’s available information and guidance in this timely area into one convenient resource. Functional Neurosurgery and Neuromodulation provides comprehensive coverage of this emerging, minimally invasive area of health care. Recent advances in these areas have proven effective for pain relief, memory loss, addiction, and much more. This practical resource by Drs. Kim J. Burchiel and Ahmed Raslan brings you up to date with what’s new in the field and how it can benefit your patients.

This book covers stereotactic principles as well as functional stereotaxis, covering the history and uses of the techniques, treatments for specific conditions, and future developments. Includes a DVD demonstrating surgical procedures.

Functional neurosurgery resource features state-of-the-art approaches from renowned experts! For patients with inadequately treated epilepsy, tremor, dystonia, spasticity, depression, obsessive-compulsive disorder, Parkinson's and Alzheimer's disease, functional neurosurgery offers hope. Functional Neurosurgery: The Essentials is a reader-friendly introduction to this fascinating and rapidly evolving field. The text is edited by internationally prominent functional neurosurgeons Jeffrey A. Brown, Julie G. Pilitsis, and Michael Schulder. It features contributions from authors with expertise spanning the disciplines of neurosurgery, neurology, rehabilitation and physical medicine, neurophysiology, bioengineering, psychiatry and ophthalmology. Opening with a brief history of stereotaxy/functional neurosurgery and brain stereotactic frames, 41 concise and coherent chapters explore cutting-edge approaches to a broad range of functionally treatable conditions. The chapters yield a solid foundation of understanding of the field, with insightful commentary, pearls, and nuances from the editors. The starting question in the neuroprosthetics chapter, "Can a computer infer human intention or perception?" brings to life the exciting, inquisitive, and pioneering spirit of this subspecialty. The robust reference list provides a guide to deeper study that should continue throughout training and practice. Highlights Imaging: MRI and CT for stereotactic neurosurgery, fMRI and resting state MRI Movement disorders: A comparative analysis of the risks and benefits of deep brain stimulation versus lesioning Epilepsy: Temporal lobectomy and extra-temporal surgery; invasive monitoring, neuromodulation, laser interstitial thermal therapy, and vagus nerve stimulation Dystonia: Etiology to diagnosis, medical and surgical options Future innovations: Exoskeletons, intention controlled, and visual neuroprosthetics The text is a fundamental resource for neurosurgical residents during their functional neurosurgery rotations and for general neurosurgeons and functional subspecialists on procedures they may not routinely perform in clinical practice.

Functional neurosurgery resource features state-of-the-art approaches from renowned experts! For patients with inadequately treated epilepsy, tremor, dystonia, spasticity, depression, obsessive-compulsive disorder, Parkinson's and Alzheimer's disease, functional neurosurgery offers hope. Functional Neurosurgery: The Essentials is a reader-friendly introduction to this fascinating and rapidly evolving field. The text is edited by internationally prominent functional neurosurgeons Jeffrey A. Brown, Julie G. Pilitsis, and Michael Schulder. It features contributions from authors with expertise spanning the disciplines of neurosurgery, neurology, rehabilitation and physical medicine, neurophysiology, bioengineering, psychiatry and ophthalmology. Opening with a brief history of stereotaxy/functional neurosurgery and brain stereotactic frames, 41 concise and coherent chapters explore cutting-edge approaches to a broad range of functionally treatable conditions. The chapters yield a solid foundation of understanding of the field, with insightful commentary, pearls, and nuances from the editors. The starting question in the neuroprosthetics chapter, "Can a computer infer human intention or perception?" brings to life the exciting, inquisitive, and pioneering spirit of this subspecialty. The robust reference list provides a guide to deeper study that should continue throughout training and practice. Highlights Imaging: MRI and CT for stereotactic neurosurgery, fMRI and resting state MRI Movement disorders: A comparative analysis of the risks and benefits of deep brain stimulation versus lesioning Epilepsy: Temporal lobectomy and extra-temporal surgery; invasive monitoring, neuromodulation, laser interstitial thermal therapy, and vagus nerve stimulation Dystonia: Etiology to diagnosis, medical and surgical options Future innovations: Exoskeletons, intention controlled, and visual neuroprosthetics The text is a fundamental resource for neurosurgical residents during their functional neurosurgery rotations and for general neurosurgeons and functional subspecialists on procedures they may not routinely perform in clinical practice.

The important issue of rehabilitation is usually not reflected in the neurosurgical literature but left to publications on neurological rehabilitation or neuropsychological literature. However, it is the neurosurgeon who should care for the functional rehabilitation of patients who are disabled by movement disorders, spasticity, epilepsy, pain, and disorders of the vegetative state as they suffer from acute or chronic central nervous system, spinal cord and peripheral nerve lesions. The papers in this volume highlight the state of the art, basic research, and clinical as well social-medical application of neurorehabilitation around the world, depending on different socio-cultural and economic situations as they were reported and discussed at recent international conferences and workshops of the World Federation of Neurosurgical Societies Committee on Neurorehabilitation and the Euroacademia Multidisciplinaria Neurotraumatologica.

"Series Editor's Preface Dear Reader, 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. Ahmed Raslan and Ashwin Viswanathan invited a broad range of expert contributors to share their extensive wisdom and experience in all major areas of functional 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 functional neurosurgery, guided by some of the leading experts in North America. Additional volumes cover each subspecialty area of neurosurgery, using the same case-based approach and board review features. Nathan R. Selden, MD, PhD Campagna Professor and Chair Department of Neurological Surgery Oregon Health & Science University"--

Comprehensive coverage of the latest techniques in functional neurosurgery Part of the second edition of the classic Neurosurgical Operative Atlas series, Functional Neurosurgery provides step-by-step guidance on the innovative and established techniques for managing epilepsy, pain, and movement disorders. This atlas covers the current surgical procedures, providing concise descriptions of indications and surgical approaches, as well as recommendations for how to avoid and manage postoperative complications. The authors describe the underlying physiological principles and state-of-the art recording techniques that are used for brain localization. This edition addresses topics that are rarely covered in other texts, including motor cortex stimulation for neuropathic pain, novel technical approaches for insertion of deep brain stimulator electrodes, and radiosurgery for movement disorders. Highlights: New chapters on the evolving indications for deep brain stimulation, frameless neuronavigation techniques, and interventional MRI-guided treatments More than 650 high-quality images demonstrating anatomy and surgical steps Consistent format in all chapters to enhance ease of use Ideal for neurosurgeons and residents, this operative atlas is a practical surgical guide that will serve as both a reference and a refresher prior to performing a specific procedure. Series description The American Association of Neurological Surgeons and Thieme have collaborated to produce the second edition of the acclaimed Neurosurgical Operative Atlas series. Edited by leading experts in the field, the series covers the entire spectrum of neurosurgery in five volumes. In addition to Functional Neurosurgery, the series also features: Neuro-Oncology, edited by Behnam Badie Spine and Peripheral Nerves, edited by Christopher Wolfla and Daniel K. Resnick Pediatric Neurosurgery, edited by James Tait Goodrich Vascular Neurosurgery, edited by R. Loch Macdonald