Pediatric Vascular Neurosurgery

This book is a detailed resource on the technical aspects of pediatric neurosurgery that relate to vascular malformations of the brain and spinal cord. It introduces concepts relevant to cerebrovascular system development and the classification of vascular malformations. Information on a range of disorders is then provided with an emphasis placed on answering frequently asked questions in relation to a particular condition. Therefore, enabling the reader to systematically improve their understanding of how approach treating patients utilizing techniques such as ultrasound and spinal angiography. The chapters, authored by experts in their respective field, provide a standard of care based on current diagnostic and management guidelines for pediatric neurosurgical diseases. Pediatric Vascular Neurosurgery: Technical Nuances in Contemporary Pediatric Neurosurgery (Part 2) is a comprehensive overview of how to approach diagnosing and treating a range of vascular malformations encountered in pediatric patients. The problem-solving approach of this work makes it a valuable addition to the literature and suitable for use by residents, fellows and consultants within pediatrics and allied specialities, including Neurosurgery, Neurology, Neuro-anesthesia, Neuro-critical care and advanced health care providers amongst others.

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.

This book is a detailed resource on the technical aspects of pediatric neurosurgery that relate to vascular malformations of the brain and spinal cord. It introduces concepts relevant to cerebrovascular system development and the classification of vascular malformations. Information on a range of disorders is then provided with an emphasis placed on answering frequently asked questions in relation to a particular condition. Therefore, enabling the reader to systematically improve their understanding of how approach treating patients utilizing techniques such as ultrasound and spinal angiography. The chapters, authored by experts in their respective field, provide a standard of care based on current diagnostic and management guidelines for pediatric neurosurgical diseases. Pediatric Vascular Neurosurgery: Technical Nuances in Contemporary Pediatric Neurosurgery (Part 2) is a comprehensive overview of how to approach diagnosing and treating a range of vascular malformations encountered in pediatric patients. The problem-solving approach of this work makes it a valuable addition to the literature and suitable for use by residents, fellows and consultants within pediatrics and allied specialities, including Neurosurgery, Neurology, Neuro-anesthesia, Neuro-critical care and advanced health care providers amongst others.

Dr. Paul Klimo, a Neurosurgeon with the Wright-Patterson Medical Center at the Wright-Patterson United States Air Force Base in Ohio guest edits this informative issue on pediatric vascular neurosurgery. Dr. Klimo and his contributors cover numerous key topics, including normal and abnormal development of the intracranial vascular system, congenital and inherited pediatric neurovascular diseases, diagnosis and management of arteriovenous malformations in children, radiosurgery for pediatric arteriovenous malformations, neurointerventional techniques in children, intracranial cavernous malformations in children, spinal vascular malformations in children, and many more.

Multi-pronged approaches to pediatric neurovascular diseases Bridging the gap between the pediatric specialist unaccustomed to handling neurovascular pathologies and the neurovascular specialist unaccustomed to treating pediatric patients, this text covers the cutting-edge, multi-modal techniques for managing pediatric neurovascular disease, disorders, and malformations. It contains full descriptions and insightful perspectives on the most advanced surgical, endovascular, and medical treatments for cerebral aneurysms, arteriovenous fistulas, arteriovenous malformations, Galen's vein malformations, moyamoya disease, spinal vascular malformations, pediatric stroke, and more. Highlights: Easy-to-follow organization of disease topics according to endovascular, surgical, or medical treatment method Discussion of endovascular techniques and tools for angioplasty and stents in children, as well as how to manage possible complications such as stroke and hemorrhage More than 200 illustrations highlighting principles of disease pathology Review of the existing literature helps the clinician gain a full understanding of the fundamentals in neurovascular disease management With contributions from world-renowned experts, this is an exceptional clinical reference for neurosurgeons, neuroradiologists, neurointerventionalists, neurologists, and pediatricians seeking to gain expertise in a multi-pronged approach to pediatric neurovascular disease.

It is estimated that the functionally significant body of knowledge for a given medical specialty changes radically every 8 years. New special ties and "sub-specialization" are occurring at approximately an equal rate. Historically, established journals have not been able either to absorb this increase in publishable material or to extend their reader ship to the new specialists. International and national meetings, sympo sia and seminars, workshops, and newsletters successfully bring to the attention of physicians within developing specialties wh at is occur ring, but generally only in demonstration form without providing historical perspective, pathoanatomical correlates, or extensive discus sion. 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 devel oped during the past 15 years. Over this period neurosurgeons have obtained special training 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 invest igative studies into all aspects of surgically treatable diseases of the child's nervous system.

Part of the Neurosurgery by Example series, this volume on pediatric neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. As pediatric neurosurgery approximates the anatomical and pathophysiological breadth of all specialty areas of adult neurosurgery, the cases provided are exemplary of those that are more relevant to, and seen in higher frequency, in pediatrics. The cases also demonstrate presentation and management appropriate for pediatrics, as both are distinct in pediatric compared to adult neurosurgery. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Pediatric Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.

Pediatric Neurosurgery identifies and describes the theoretic concepts of clinical and operative neurosurgery in the different ages of childhood, emphasizing both clinical and surgical principles. It presents a comprehensive body of pediatric clinicopathologic entities, elaborating upon the anatomical and physiological criteria which distinguish individual age categories. This book is unique in that it establishes an holistic approach to perceiving spatially the dimensions of the child vis-a-vis the surgeon and his team, the disarticulation of individual states of operative procedures and the grouping of procedures common to the treatment of different clinicopathological entities, the presentation of clinical parameters indicative of surgical treatment and essential to determining which techniques are preferable. The extensive use of artwork and operative photographs highlights the systematic description of general and specific surgical techniques as it integrates the clinical principles into guidelines for therapy.