Professor Dolenc edited the first comprehensive and up-to-date text dealing with the cavernous sinus. His book addressed anyone concerned with the diagnosis and treatment of lesions of the skull base. Now, twenty years later, the same author edits a new volume with articles by specialists in the topic presenting the state-of-the-art in this technology.
The decision of Harvey Cushing to leave general surgery and concentrate on the infant field of central nervous system surgery was in retrospect a landmark in the history of neurosurgery. His concentrated work, and also that of his colleague Walter Dandy, originated with the desires of both pioneers to understand surgical anatomy and neurophysiology. The fundamental knowledge and surgical techni ques that they provided became the standard of excellence for several generations of neurosurgeons; so much so that the general belief was that the surgical techniques could not be improved upon. Twenty-five to thirty years ago microtechniques began to appear in a few surgical research centers, they were then gradually applied to clinical neurosurgery and have contributed to a new level of understanding in surgical anatomy and neurophysiology. We are now fortunate to have a new standard of morbidity and mortality in the surgical treatment of intrathecal aneurysms, angiomas, and tumors. It has been said that microneurosurgery was reaching its limits, especially when treating lesions in and around the cavernous sinus and skull base; those lesions notorious for involvement of the dural and extradural compartments, with a tendency to infiltrate adjacent nerves and blood vessels. The dangers of uncontrollable hemorrhage from the basal sinuses and post-operative CSF rhinorrhea appeared unsurmountable. The lateral aspects of the petro-clival region have been of interest to a few pioneering ENT surgeons and neurosurgeons but the cavernous sinus in most respects has remained the final unconquered summit.
A complete guide to the diagnosis and treatment of dural cavernous sinus fistula. Includes sections on anatomy, etiology and pathogenesis. Explains the role of the most modern imaging techniques. Discusses the various transvenous techniques for successful endovascular treatment. Contains many informative illustrations, some in color.
This first-of-its-kind volume focuses on the anatomy, imaging, and surgery of the dural venous sinuses and the particular relevance to neurosurgery and trauma surgery. Knowledge of the fine clinical anatomy involved in neurosurgery and skull base surgery has progressed greatly in recent years, and this title reflects new information of particular importance to neurosurgeons, trauma surgeons, neurologists, interventional radiologists, and others who need a complete, up-to-date understanding of this complex anatomical area. - Provides thorough coverage of the clinical anatomy of the dural venous sinuses, highlighted by 250 clear, high-quality illustrations and clinical photographs. - Covers imaging techniques and surgery in separate chapters following extensive anatomy coverage. - Presents the knowledge and experience of recognized experts and authors in the field. - Consolidates today's available information and guidance into a single, convenient resource.
This clinically oriented book will familiarize the reader with all aspects of the diagnosis of tumors and other disorders of the pituitary gland by means of magnetic resonance imaging (MRI). The coverage includes acromegaly, Cushing’s disease, Rathke cleft cysts, prolactinomas, incidentalomas, nonsecreting adenomas, other lesions of the sellar area, hypophysitis, and central diabetes insipidus. Normal radiologic anatomy and the numerous normal variants are described, and guidance is also provided on difficulties, artifacts, and other pitfalls. The book combines concise text and high-quality images with a question and answer format geared toward the needs of the practitioner. MRI is today considered the cornerstone in the diagnosis of diseases of the hypophyseal-hypothalamic region but the relatively small size of the pituitary gland, its deep location, the many normal anatomic variants, and the often tiny size of lesions can hinder precise evaluation of the anatomic structures and particularly the pituitary gland itself. Radiologists and endocrinologists will find MRI of the Pituitary Gland to be full of helpful information on this essential examination, and the book will also be of interest to internists and neurosurgeons.
This book presents 57 typical cases of neuro-ophthalmic diseases in the emergency room, which represent notoriously complex and difficult challenges for junior doctors. The physical manifestations of these neurologic disorders include visual loss, transient blurring, diplopia, headache, pupillary abnormality, and even cognition problems. Each case provides a wealth of information, including the case report, comments, diagnosis, management, prognosis and concise notes, as well as photographs and other images. As a case-based clinical reference work on neuro-ophthalmic diseases, the book offers readers essential, concretely applicable information and guidance.
Neurointervention is a fast-growing subspecialty, and recent trials have demonstrated its role in ischaemic and haemorrhagic stroke. This has generated tremendous interest among interventional neuroradiology, neurology and neurosurgery communities. Nevertheless, formal teaching programmes that provide the required experience are limited, and many early career practitioners are not exposed to the crucial technical details essential to safely performing the procedure before they start practising independently. The book presents 100 characteristic case studies to illustrate the salient technical and clinical issues in decision-making and problem solving during the procedure. This book conveys the “real-world” issues and solutions that are not addressed in detail in most books. As such it is a practical teaching book with useful “tips and tricks” on how to handle specific challenging situations, and is particularly useful for fellows in neurointervention training programmes..
This book provides comprehensive information on fungal infections of the central nervous system (CNS). Fungal infections are still a major public health challenge for most of the developing world and even for developed countries due to the rising numbers of immune compromised patients, refugee movements, and international travel. Although fungal infections involving the CNS are not particularly common, when they do occur, the results can be devastating in spite of recent advances and currently available therapies. Further, over the past several years, the incidence of these infections has seen a steep rise among immunodeficient patients. In this context, aggressive surgery remains the mainstay of management, but conservative antifungal drug treatment complemented by aggressive surgical debridement may be necessary. Yet the optimal management approach to fungal infections of the CNS remains controversial, owing to the limited individual experience and the variable clinical course of the conditions. Addressing that problem, this comprehensive book offers the ideal resource for neurosurgeons, neurologists and other specialists working with infectious diseases.
