Movement Disorder Surgery

'This is one of those books that movement disorder specialists in all fields, including neurosurgeons, neurologists, neuropsychologists, basic scientists, and others will want to have on their shelves.' 'On balance I feel this book is a must on the reading list of groups involved in movement disorders surgery. We, in our group, have enjoyed it immensely.'

An essential reference for state-of-the-art techniques in movement disorder surgery Authored by world renowned experts in neurosurgery and neurology, this book is a comprehensive reference for the entire spectrum of surgical treatments for movement disorders, with an emphasis on the use of deep brain stimulation. It provides essential information on the proposed mechanism of action, electrophysiology, preoperative evaluation, surgical techniques, postoperative care, and anticipated outcomes. High-quality images of anatomy and electrophysiology supplement detailed descriptions of each surgical procedure to ensure that clinicians gain a solid understanding of each clinical problem. The text covers the newest techniques, such as frameless functional stereotactic approaches, and provides critical discussion of the efficacy and possible complications of deep brain stimulation. Features: Complete technical details for performing movement disorder surgery with or without microelectrode recording Practical discussion of a simplified electrical basis for programming deep brain stimulators Information about new directions for deep brain stimulation as well as alternative therapies, such as gene therapy and cellular therapy Guidance on how to avoid and manage potential complications Extensive coverage of anesthesia to help clinicians optimize patient care and comfort Recommendations for setting up a multidisciplinary practice More than 150 high-quality illustrations demonstrating key concepts This essential reference will aid clinicians and residents in neurosurgery, neurology, anesthesiology, and neurophysiology in instituting the best practices for movement disorder surgery.

This book summarizes the current state of movement disorder management and the role of surgical therapies as an alternative to medication. Following a chapter on the history of movement disorder surgery, leaders in their fields describe the pathophysiology, functional neuroanatomy, clinical presentation, and medical management of Parkinson’s disease, dystonia, and essential tremor. This is followed by chapters on the spectrum of movement disorder surgery itself, from the lesioning procedures of radiofrequency ablation, stereotactic radiosurgery, and high-frequency ultrasound to the modulatory procedures of “asleep”, image-guided deep brain stimulation (DBS) and “awake”, microelectrode-guided DBS. The final chapters focus on closed-loop DBS, drug-delivery, gene therapy, and other emerging neurosurgical therapies, highlighting long-standing experimental strategies that are reaching exciting phases of clinical translation. This volume is a valuable tool for accessing the wide spectrum of concepts that currently define this dynamic field.

In Surgical Treatment of Parkinson's Disease and Other Movement Disorders, a panel of highly experienced neurosurgeons, neurophysiologists, neuropsychologists, and neuroanatomists join forces to create an integrated, cutting-edge survey all of the methodologies necessary for successful surgical treatment.

Written by internationally recognized authorities, this comprehensive reference reviews the entire range of surgical treatments for movement disorders including Parkinson's disease, tremor, dystonia, Huntington's disease, hemiballism, hemifacial spasm, and spasticity. The contributors explain the rationale and indications for surgery in patients with movement disorders, describe each step of contemporary surgical techniques, and examine current controversies regarding patient selection criteria, optimal targets for therapy, and surgical methods. Coverage includes state-of-the-art information on functional stereotactic surgery, microelectrode recording, neuroimaging, new targets within the brain for surgery, new indications for deep brain stimulation, and neural transplantation. More than 200 illustrations complement the text.

As movement disorder surgery advances and becomes more commonplace, the need for accurate physiological localizing data- optimally achieved through extracellular microelectrode recording- is more critical than ever. However, this complex technique carries a high learning curve and most neurosurgeons have little training in the field. Here is the first book to provide a comprehensive overview of the art of microelectrode recording in movement disorders surgery, offering a solid understanding of the basics, as well as much useful clinical information for experienced practitioners. Key features: Examines the scientific basis and background of microrecording, types of results one can expect, controversies, avenues for research, and probable directions for future development Valuable ''how-to-get-started'' guide to commercial systems Clearly details principles and techniques for data analysis, signal processing and pattern recognition, target selection, and other critical issues All topics have been evaluated and reviewed by leading experts in the field Tackling all important points in microelectrode recording, this book will sharpen your knowledge of the science and clinical application of the increasingly important technique. For neurosurgeons, neurologists, and neurophysiologists undertaking complex movement disorder procedures, this book is a must.

Approved for 15 hr. of category 1 CME credit towards the AMA Physicians' Recognition Award through Aug. 1, 2001. Home study examination questions included in pocket.

A thorough review of the surgical procedures and technologies currently available for the treatment of various movement disorders, this guide illustrates strategies for the management of conditions such as Parkinson's disease, essential tremor, dystonia, Tourette's syndrome, hemifacial spasm, and cerebral palsy-emphasizing surgical indications and outcomes, as well as methods of complication prevention and avoidance.