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Neurosurgical interventions have the potential to change a person's concept of self, as well as affect their neurological and cognitive function to an unacceptable level for both patient and family. In an increasingly complex and evolving field, the ethical implications of treatments and their eventual outcomes must be carefully balanced. Ethics in Neurosurgical Practice is a comprehensive and practical guide for managing the treatment of patients with debilitating neurosurgical conditions. Chapters address specific conditions, such as traumatic brain injuries, ischemic stroke and spinal surgery, and the ethical challenges that each of these pose. Detailed case studies present potential scenarios that readers might encounter, and their outcomes. Future developments of this fast-paced field are expanded upon, including televised live surgery and the ethical aspects of innovation in neurosurgery. A broad variety of contributors in different fields, including neurosurgeons, intensivists and bioethicists, ensures comprehensive coverage from a range of views and experiences.

Evidence-Based Neurosurgery: An Introduction will teach the practitioner to employ evidence-based approaches to common problems in neurosurgery. The book begins with a review of the concepts and techniques involved in the practice of evidence-based medicine, including the basics of critical analysis using methodologically rigorous evidence-synthesis techniques. The second part of the text provides useful examples of the use of this critical analysis for common clinical situations, such as stent placement, managing infection, metastases, craniocerebral trauma, cervical spine trauma, and more. This book covers all phases of clinical practice, from patient assessment, to diagnosis, to prognosis, and treatment, helping you address such questions as: How do you reliably determine the characteristics of the individual patient's condition? What is the likely course of the disease? How do you determine what interventions are likely to have a positive impact? Does the intervention work under certain specified circumstances? Evidence-Based Neurosurgery is an invitation to apply the rigorous methods of evidence-based medicine to improve your practice of neurosurgery.

In the last few years, the development of new technologies in the medical field has allowed procedures and improved surgical techniques to be performed, which until recently would have been unthinkable.Modern neurosurgery is forever tied to technological progress: the development of robotics and robotic-assisted surgery; enhanced visualization, perfusion, and function monitoring in vascular surgery; new techniques of bone reconstruction; new cerebral imaging tools; and alternative treatments such as laser interstitial thermal therapy or immunotherapy for tumors. This book is designed to be a comprehensive introduction to these new developments and to their application in clinical practice. We have tried to provide a unique background and insights to coherently present these new technologies.

The book provides an update of several pathological conditions of the CNS that require neurosurgical treatment. The different chapters, written by the most eminent international scientists and clinicians in the field of neuroscience, offer a critical assessment of the relevant nosographic entities that are the subject of current scientific debate. The first chapter critically analyses the new WHO classification of brain tumours, while the second chapter is specifically devoted to intracranial tumours in the first years of life. The technical aspects of neuro-oncological surgery are addressed by two chapters dealing with the suprasellar approach to infratentorial tumours and how to decrease the risk of a specific complication of the surgical management of these tumours in the paediatric population, namely post-operative speech impairment. Hypothalamic tumours with their associated epilepsy and intracranial schwannomas complete the technical surgical section on intracranial tumours. An interesting chapter presents the latest advances in clinical prediction in neurosurgery. Spinal problems are discussed in two chapters, the first considering evolving concepts on craniovertebral and spinal instability and the second Chiari malformations. The management of intracranial arachnoid cysts is still a matter of controversy, as demonstrated in a specific chapter of the book. Another chapter deals with subdural haematomas in both adults and children. Hydrocephalus is treated in two chapters devoted to two post-inflammatory or post-infectious complications leading to specific and difficult-to-treat abnormalities in the CSF circulation. The final chapter of the book illustrates the rationale behind midface advancement in craniosynostosis. As with the previous volume in the series, the present volume represents an important contribution to the advancement of neurosurgical specialties.

A summary of all facets of this new and rapidly developing field in neurosurgery. Besides neuroendoscopy, the books main topics are neuronavigation, functional neurosurgery, radiosurgery, neurotransplantation, and molecular neurosurgery. Provides a thorough overview of the state of the art and future perspectives in minimally invasive neurosurgery.

The current practice of medicine is largely moving toward applying an evidence-based approach. Evidence-based medicine is the integration of best research evidence using systematic reviews of the medical literature and then translating it into practice by selecting treatment options for specific cases based on the best research. Clinicians rely on the availability of evidence and accordingly take decisions to provide best treatment to their patients. Clinical management of neurologically compromised patients is challenging and varied; for this reason, treating physicians including neuroanesthesiologists are always in search of best available evidence for patient management and care. Essentials of Evidence-Based Practice of Neuroanesthesia and Neurocritical Care highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions. This comprehensive resource succinctly discusses evidence-based practice of neuroanesthesia based on systematic reviews in clinical neuroscience research. Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring. Evidence-based practice is now an integral part of neuroscience, and this book will help residents and trainees gain knowledge to apply it to their practice. Endorsements/Reviews: "Evidence based practice is facilitating changes at a rapid pace in neuroanesthesia and neurocritical care practice. Its practice is exceedingly crucial in neuroanesthesia and neurocritical care considering the criticality of the neurologically sick patients, which leaves little or no room for error for an acceptable outcome in them. Patient management in Neuroanesthesia and neurocritical care has many contentious issues because of rapidly evolving changes in their management which require treatment guided by the latest available evidence in literature. Dr. Hemanshu Prabhakar is a strong proponent of evidence based practice for the management of neurologically ill patients both for surgical procedures and their management in neurointensive care unit. Undoubtedly, this book will be of enormous benefits to the students as well as teachers of neuroanesthesia and neurocritical care sub-specialties." -- Parmod Bithal, Editor-In-Chief, Journal of Neuroanaesthesiology and Critical Care (JNACC) - Highlights the various controversies that exist in the practice of neuroanesthesia and provides conclusive evidence-based solutions - Topics include neurophysiology: ICP or CPP thresholds; neuropharmacology: intravenous or inhalational anesthetics; and neuromonitoring: ICP monitoring - Provides residents and trainees with the knowledge to apply evidence-based practice of neuroanesthesia to their practice

This issue of Neurosurgery Clinics of North America is devoted to "Advances in Neuromodulation." Editors Won Kim, MD, Antonio De Salles, MD, and Nader Pouratian, MD have assembled the top experts to review topics such as: peripheral nerve stimulation; spinal cord stimulation for gait reanimation and vascular pathology; deep brain stimulation for Tourettes, OCD, depression, Parkinson’s disease, eating disorders, dystonia, and headache; and techniques for image-guided deep brain stimulation, advanced imaging for targeting, and closed loop neuromodulation.