This volume describes the most relevant and cutting-edge technological news on the complex surgical procedure of acoustic neuroma. The clinical-radiological diagnosis and surgical indications are briefly presented and the surgical technique is illustrated step-by-step: video clips show the latest means of treating these patients. All these indications were prepared by highly experienced experts in the field, based on their personal experience. The new technologies discussed concern e.g. the intraoperative identification and position of the facial nerve, hearing preservation, techniques for dural closure, and the usefulness of laser and ultrasound aspirators. The book also discusses a number of ongoing projects, including those on: diluted papaverine for microvascular protection of cranial nerves, flexible endoscope for IAC control of tumor removal, fluid cement for bone closure, administering aspirin to control residual tumors larger than 7mm, and DTI for preoperative prediction of the position of the facial nerve. This is a highly informative presented book providing surgeon interested in acoustic neuroma with necessary information on modern technologies available for improving the results of patients.

The definitive resource on clinical management of vestibular schwannoma from world renowned experts Although a histologically benign and relatively uncommon tumor, otolaryngologists and neurosurgeons have maintained a lasting and deep-rooted fascination with vestibular schwannoma, also known as acoustic neuroma. Advancements in microsurgical technique, radiosurgery, and radiotherapy, coupled with an increased understanding of the natural history of the disease, have made modern management of this tumor considerably more complex. Concurrently, new controversies have added to the original debates among pioneering surgeons, with the pendulum swinging between conservatism and definitive cure. Comprehensive Management of Vestibular Schwannoma, by distinguished Mayo Clinic clinicians and renowned international contributors, is a comprehensive textbook covering all the clinical aspects of vestibular schwannoma management. Eighty-four chapters written by multidisciplinary experts including otolaryngologists, neurosurgeons, radiation oncologists, neurologists, neuroradiologists, and audiologists, ensure a balanced view of all treatment modalities for sporadic and neurofibromatosis type 2-associated vestibular schwannoma. Key Features Evaluation, surgical and nonsurgical approaches, rehabilitation, controversies, and long-term clinical outcomes Detailed illustrations by Robert Morreale, senior medical illustrator at the Mayo Clinic, highlight relevant anatomy and surgical approaches Chapter summary tables provide readers with a rapid clinical reference derived from the published world literature The chapter "Anatomy of Vestibular Schwannoma Surgery" by the late internationally renowned neurosurgeon Albert L. Rhoton Jr. reflects his major contributions on this subject With inclusion of fundamental principles to advanced concepts, this is a robust resource for residents, fellows, and early attending physicians, as well as mid- to later-career physicians who care for patients with vestibular schwannoma.

Vestibular schwannoma is a rare benign tumor arising from VIII cranial nerve. Its localisation into internal auditory canal and cerebello-pontine angle is the main reason for the relevant clinical implication of such disease. This book develops all the features regarding the vestibular schwannoma, starting from the biology of the tumor, passing to the clinical presentation and instrumental diagnostic pathway to make diagnosis and concluding with therapeutic options linked to several factors regarding tumor size, localisation, symptoms, patient characteristics and outcome. The chapters are divided into 3 sections: pathophysiology, clinical features and treatment. Advancements in microsurgical technique and radiosurgery, coupled with an increased understanding of the natural history of the disease, have made modern management of this tumor considerably more complex and the opinions are still divided between conservatism and definitive cure.The last section includes the rehabilitation after treatment of patients affected by vestibular schwannoma.The contributions to this book were done by several eminent expert authors in their field, and all references are up to date. This is a robust resource for residents, fellows, and early attending physicians, as well as mid- to later-career physicians who care for patients with vestibular schwannoma.

Use today's latest technology and methods to optimize imaging of complex skull base anatomy. This practical reference offers expert guidance on accurate preoperative lesion localization and the evaluation of its relationship with adjacent neurovascular structures. - Features a wealth of information for radiologists and surgeons on current CT and MR imaging as they relate to skull base anatomy. - Covers localizing skull base lesions, reaching the appropriate differential diagnosis, and deciding which surgical approach is best. - Consolidates today's available information and guidance in this challenging area into one convenient resource.

Introducing Vestibular Schwannomas with 26 new chapters, a concise and practical style with accurate, evidence-based explanations, illustrations and simple tables deliberately chosen to make this monograph easy to read and understand. All chapters are arranged according to practical clinical needs. Various aspects of vestibular schwannomas are comprehensively presented in this monograph. Understand the clinical presentation with detailed explanation of neurological cause, natural history and tumour growth predictive factors. The chapters review various topics on the application of audiological tests in the diagnosis of Vestibular schawnnomas, rationale and criteria for conservative management, surgical excision, factors involving the operation theatre during surgery, transtemporal surgical approaches for accessing vestibular schwannomas. Retrosigmoid approach to vestibular schwannomas, applications of endoscopy, Radiosurgery, nursing care, complication avoidance and management, Auditory rehabilitation, physiotherapy subjects are discussed in detail. The definitive useful resource on medical control of vestibular schwannoma from global famend professionals Although a histologically benign and comparatively unusual tumor, otolaryngologists and neurosurgeons have maintained an enduring and deep-rooted fascination with vestibular schwannoma, additionally referred to as acoustic neuroma. Advancements in microsurgical technique, radiosurgery, and radiotherapy, coupled with an multiplied knowledge of the herbal records of the disease, have made cutting-edge control of this tumor extensively extra complex. Concurrently, new controversies have introduced to the unique debates amongst pioneering surgeons, with the pendulum swinging among conservatism and definitive cure. Vestibular schwannomas are benign neoplasms springing up from vestibular of cranial nerve and comprising round 5% of all number one intracranial tumours. Hearing loss and tinnitus are the maximum not unusualplace offering features. MRI is the imaging modality of desire. Surgery is the remedy of desire in medically suit patients; however, some instances can be controlled via way of means of conservative method or via way of means of radiosurgery. Surgical procedures want to be individualized in step with length of tumour and listening to status. The maximum critical difficulty after surgical treatment stays facial paresis. Outcome is ideal in majority of instances and recurrence fees are low. This book should be kept by every neurosurgeon and postgraduate student as a ready reference to all aspects of vestibular schwannomas—from history and conservative treatment to radiosurgery and prevention and restoration of seventh and eighth nerve dysfunction. A book which discusses surgical aspects of schwannoma tumor surgery and the different surgical techniques used in schwannoma tumor surgery.A book explaining how to perform vestibular schwannoma surgery with the use of surgical videos.A book about how to navigate vestibular schwannoma surgery.

Although many things can go wrong in the brain, this book also shows that our brain is strong. It highlights the key findings that can be seen on magnetic resonance imaging (MRI) and computed tomography (CT) scans, including those related to normal brain aging and common diseases such as brain infarcts, fractures of the skull as well as fractures and tumors of the vertebral column. It offers insights into brain MRI and CT scans, enabling readers to interpret the key findings.

This book provides evidence-based management in neuro-oncology covering all aspects such as pathology, radiology, surgery, radiation, and chemotherapy.The field of neuro-oncology is rapidly evolving and new evidence is coming out every day towards the optimal management of brain tumors. This necessitates a requirement of a complete guide that shall provide an evidence-based and personalized approach towards dealing with patients. This book also covers recent advances in personalized treatment formed through the relevant basis of anatomy, imaging, radiology, surgical, radiation and systemic treatment of brain and spinal tumors. In addition it also covers the , practical aspects of the planning of the Gamma knife and other radio surgical aspects. The book shall provide valuable assistance to practicing neuro-oncologists to practice better evidence-based personalized medicine.

This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.

This video guide increases the surgeon's understanding of all types of surgical approaches for vestibular schwannoma surgery: retrosigmoid, translabyrinthine, middle cranial fossa and combined approaches. 2D and 3D videos are included to increase the readers’ understanding of these complex surgical techniques. These are accompanied by step-by-step narrated cadaveric dissection videos showing the crucial steps of each approach. This book is a learning tool and video reference for those training to perform the procedure and enhances the readers understanding of neuroanatomy. A detailed review of all surgical options and their risks, along with tips, tenets and pitfalls is included. The authors provide an unbiased discussion of all options with balanced comparison between surgical approaches and algorithms for patient selection.

This book is a practical guide on image-guided robotic (CyberKnife®) radiosurgery of the brain and the spine. The volume introduces the radiosurgical community to the potential of image-guidance in the treatment of neurosurgical diseases including neuro-oncological, vascular and functional disorders. Principles of image-guided radiosurgery, including physics and radiobiology are considered. Each chapter provides a critical review of the literature and analyses of several aspects to offer an assessment of single and hypofractionated treatments. Based on the authors’ experience, tables or summaries presenting the treatment approaches and associated risks are included as well. Providing a practical guide to define the selection of dose, fractionation schemes, isodose line, margins, imaging, constraints to the structures at risk will support safe practice of neuroradiosurgery. This book aims to shed new light on the treatment of neoplastic and non-neoplastic diseases of the central nervous system using the CyberKnife® image-guided robotic radiosurgery system. It will be adopted by neurosurgery residents and neurosurgery consultants as well as residents in radiation oncology and radiation oncologists; medical physicists involved in radiosurgery procedures may also benefit from this book.