Introduction To Vascular Neurosurgery

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.

Vascular Neurosurgery, a new volume in the second edition of the classic Neurosurgical Operative Atlas series, is an exquisitely detailed atlas of the surgical approaches to common neurovascular diseases and conditions. Chapters are divided into three main sections including aneurysms and subarachnoid hemorrhage, vascular malformations, and ischemic and other cerebrovascular diseases. In each chapter renowned experts guide the clinician step-by-step through management, providing insights into patient selection, preoperative evaluation, surgical technique, and postoperative management. Highlights: Concise chapters arranged in a consistent format to enhance ease of use Coverage of microsurgical techniques, minimally-invasive approaches, and endoscopy Practical tips on patient positioning, instruments, and how to avoid and manage potential complications More than 300 illustrations, most of them in full-color, demonstrating surgical steps Vascular Neurosurgery is a practical, how-to book for clinicians, fellows, and residents in neurosurgery and vascular surgery. It is an ideal reference to consult in advance of performing a neurovascular procedure or to prepare for the oral board examinations. 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 Vascular 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 Functional Neurosurgery, edited by Philip A. Starr, Nicholas M. Barbaro, and Paul S. Larson

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.

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 answers frequently asked questions about common pediatric neurosurgical conditions related to vascular malformations of the brain and spinal cord, in an attempt to fill in the gap and answer numerous questions that arises after a diagnosis is made. Pediatric patients with neurosurgical conditions are almost always referred from either primary care physicians, neurologists internists or a specialist in family medicine. Recently, neurosurgeons treating adult population also refer a pediatric patient to their colleague specialized in this field. There are over 1500 academic and private hospitals in the US who have dedicated tertiary Neurosurgery services and cater thousands of small children every year, in addition to numerous centers that have level 1 and 2 trauma care. However, there are few tertiary level Pediatric centers which can provide quality care for neurosurgical conditions. This book is specially written and illustrated for residents, fellows and consultants/attendings in all pediatric related specialties, including but not limited to Neurosurgery, Neurology, Pediatrics, Radiology, Anesthesia.

"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"--

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.

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.