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Advances and Technical Standards in Neurosurgery


Edition: 1st
Author(s): Pickard, J.D.
ISBN10:  3211140271
ISBN13:  9783211140277
Format:  Hardcover
Pub. Date:  3/1/2004
Publisher(s): Springer Verlag

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Table of Contents
List of Contributors xiii
A. Advances
Disorders of Consciousness: Anatomical and Physiological Mechanisms.
J.L. VALATX, I.N.S.E.R.M. U480, Claude Bernard University, Lyon, France
Abstract
3(1)
Introduction
4(1)
The Wake-Sleep Cycle
4(4)
Phenomenology
5(1)
Regulation
6(2)
Wakefulness Network
8(7)
The Posterior Hypothalamus
11(1)
Histamine Network
11(1)
Orexin/Hypocretin Network
12(2)
Brainstem Acetylcholine and Amine Networks
14(1)
The Serotonin System
15(1)
Tentative Functions of the Wake System
15(3)
Effect of Sleep Deprivation on Cognitive Performances
17(1)
References
18(6)
Advances in Craniosynostosis Research and Management.
J. GUIMARÃES-FERREIRA¹, J. MIGUÉNS², and C. LAURITZEN³, ¹Departments of Human Anatomy and Plastic Surgery, University of Lisbon School of Medicine, Lisbon, Portugal; ²Department of Neurosurgery, University of Lisbon School of Medicine, Lisbon, Portugal; ³Head, Craniofacial Unit, Department of Plastic Surgery, Sahlgrenska University Hospital, Goteborg, Sweden
Abstract
24(1)
Introduction
24(1)
Normal Craniofacial Embryology and Growth
25(2)
Aetiology, Pathogenesis and Function
27(7)
Classification and Diagnosis
34(1)
Evolution of Surgical Treatment
35(4)
Recent Advances
39(9)
Molecular Studies
39(1)
Imaging Techniques and Surgical Planning
39(1)
Resorbable Fixation
40(1)
Bone Substitutes and Tissue Engineering
41(2)
Distraction Osteogenesis and the Spring-Mediated Cranioplasties
43(3)
Resorbable Distractor Devices
46(1)
Minimally Invasive Surgery
47(1)
In Utero Surgery
48(1)
Surgical Techniques
48(18)
Sagittal Synostosis
49(1)
Unicoronal Synostosis
50(6)
Metopic Synostosis
56(2)
Unilambdoid Synostosis
58(2)
Bicoronal Synostosis
60(2)
Saethre-Chotzen Syndrome
62(1)
Crouzon and Pfeiffer Syndromes
62(1)
Apert Syndrome
63(3)
References
66(22)
B. Technical Standards
Preoperative Clinical Evaluation, Outline of Surgical Technique and Outcome in Temporal Lobe Epilepsy.
A. IMMONEN¹, L. JUTILA², R. KÄLVIÄINEN², E. MERVAALA³, K. PARTANEN 4, J. PARTANEN³, R. VANNINEN 4, A. YLINEN 5, I. ALAFUZOFF 6, L. PALJÄRVI 6, H. HURSKAINEN¹, J. RINNE¹, M. PURANEN 4, and M. VAPALAHTI¹; ¹Department of Neurosurgery, Kuopio University Hospital, Kuopio, Finland; ²Department of Neurology, Kuopio University Hospital, Kuopio, Finland; ³Department of Clinical Neurophysiology, Kuopio University Hospital, Kuopio, Finland; 4 Department of Clinical Radiology, Kuopio University Hospital, Kuopio, Finland; 5 Department of Neuroscience and Neurology, University of Kuopio, Kuopio, Finland; 6 Department of Clinical Pathology, Kuopio University Hospital, Kuopio, Finland
Abstract
88(1)
Introduction
89(1)
Epidemiology of Temporal Lobe Epilepsy (TLE)
89(1)
Etiology and Pathology of TLE
90(1)
Temporal Lobe Seizure Symptomatology
91(1)
Mesial TLE
92(1)
Neocortical TLE
92(1)
Selection of Candidates for Preoperative Assessment
92(1)
Neuropsychological Evaluation in TLE
93(2)
WADA Test
94(1)
Magnetic Resonance Imaging (MRI) in TLE
95(6)
Volumetry
96(1)
NMR-Spectroscopy
97(1)
Lesions in MRI
98(1)
Functional MRI
98(3)
EEG-Videotelemetry in TLE
101(1)
Interictal EEG
101(1)
Diagnostic EEG-Videotelemetry
101(1)
Intracranial EEG-Monitoring in TLE
102(4)
Indications for Intracranial EEG
102(1)
Intracranial EEG-Recording in Videotelemetry
102(1)
Surgical Technique for Inserting the Electrodes
103(1)
Complications of Invasive EEG-Monitoring
104(2)
Functional Imaging in TLE
106(5)
Positron Emission Tomography, PET
107(2)
Single Photon Emission Computed Tomography, SPECT
109(1)
Magnetoencephalography, MEG
110(1)
Indications for Surgery in TLE
111(1)
Surgery in Patients with Temporal Lobe Lesions
112(1)
Technique of Tailored Temporal Lobe Resection with Amygdalo-Hippo-campectomy
113(6)
Peroperative Electrocorticography
117(2)
Outcome of Surgery with Respect to Seizures
119(2)
Complications
121(2)
Conclusions
123(1)
Acknowledgement
124(1)
References
124(10)
Motor Evoked Potential Monitoring for Spinal Cord and Brain Stem Surgery.
F. SALA, P. LANTERI, and A. BRICOLO, Department of Neurological Sciences and Vision, Section of Neurosurgery, University of Verona
Abstract
134(1)
Introduction
134(1)
Part I: Intraoperative Neurophysiological Techniques
135(13)
The Past
135(1)
Historical Background on MEP Monitoring
135(1)
Misconceptions about MEP Monitoring
137(1)
The Present
138(1)
MEP Monitoring Techniques for Spinal Cord and Brainstem Procedures
138(1)
Transcranial Electrical Stimulation of the Motor Cortex and Muscle Recordings (Multipulse Technique)
139(1)
Transcranial Electrical Stimulation of the Motor Cortex and Epidural Recordings (Single Pulse Technique)
140(1)
Mapping of the Corticospinal Tract During Brainstem Procedures
142(1)
The "Future"
143(1)
Mapping of the Corticospinal Tract During Spinal Cord Procedures: The Collision Technique
143(1)
Monitoring of the Corticobulbar Tracts
144(4)
Part II: Clinical Application
148(13)
Correlation Between Intraoperative MEP Recordings and Post-Operative Motor Outcome
148(1)
How to Avoid Irreversible MEP Loss
149(1)
Warning Signals
150(1)
Corrective Measures for the Management of Deteriorating Signals
152(1)
Dose MEP Monitoring Really Make a Difference?
153(1)
Illustrative Cases
153(8)
Conclusions
161(4)
References
165(1)
Acknowledgments
165(7)
Motor Evoked Potential Monitoring for the Surgery of Brain Tumours and Vascular Malformations.
G. NEULOH and J. SCHRAMM, Department of Neurosurgery, University of Bonn, Germany
Abstract
172(1)
Introduction
173(3)
Direct Stimulation Mapping
173(1)
Evoked Potentials
174(1)
Motor Evoked Potentials
175(1)
MEP Technique
176(12)
Stimulation
177(6)
Recording
183(1)
Safety and Anesthesia
184(2)
Equipment and Staffing
186(2)
Neurophysiological Functional Mapping of the Pericentral Cortex
188(8)
SEP Phase Reversal
189(4)
Intraoperative Stimulation Mapping
193(2)
Extraoperative Mapping with Grid Electrodes
195(1)
Principles of Clinical Application
196(6)
Indications for MEP Monitoring
196(1)
Interpretation of MEP Changes
197(1)
Correlation of Intraoperative MEP Changes and Motor Outcome
198(2)
Surgical Reactions to MEP Changes
200(1)
Influence of MEP Monitoring on Surgical Results and Outcome
201(1)
Specific Applications
202(6)
Supratentorial Tumors and Vascular Malformations
202(1)
Central Tumors and AVMs
203(1)
Insular Tumors and Sylvian AVMs
204(4)
Infratentorial Surgery
208(3)
Indications for MEP Monitoring
208(1)
Impact on Surgical Strategy
208(1)
Clinical Experience with MEP Monitoring for Infratentorial Surgery
208(3)
Aneurysms
211(2)
SEP Monitoring for Aneurysm Surgery
211(1)
Conduction of MEP Monitoring for Aneurysm Surgery
212(1)
Clinical Experience
212(1)
Clinical Relevance of Aneurysm Monitoring
213(1)
Summary and Conclusions
213(6)
Why MEP Monitoring?
213(4)
When to Perform MEP Monitoring?
217(1)
How to Achieve Good MEP Monitoring?
217(1)
How to Assess and Interpret MEPs?
218(1)
Does MEP Monitoring Influence Surgical Strategy and Postoperative Outcome?
218(1)
References
219(10)
Functional Neuronavigation and Intraoperative MRI.
C. NIMSKY, O. GANSLANDT, and R. FAHLBUSCH, Department of Neurosurgery, University Erlangen-Nurnberg, Erlangen, Germany
Abstract
229(1)
Introduction
230(1)
Functional Neuronavigation
231(6)
Magnetoencephalography
232(1)
Functional MRI
233(1)
Clinical Impact of Functional Imaging
234(1)
Comparing MEG/fMRI
234(3)
Intraoperative Imaging
237(11)
Low-Field MR Imaging
237(1)
Clinical Experience
238(1)
Pituitary Tumour Surgery
239(1)
Glioma Surgery
240(1)
Epilepsy Surgery
242(1)
Limitations and Imaging Alternatives
242(2)
High-Field MR Imaging
244(1)
Integration of a High-Field Scanner into the Operating Room
245(1)
First Clinical Results
247(1)
Summary & Future Developments
248(6)
Acknowledgments
254(1)
References
254(11)
Surgical Anatomy of the Insula.
M. GUENOT¹, J. ISNARD², and M. SINDOU¹; ¹Department of Functional Neurosurgery, Hôpital Neurologique, P. Wertheimer, University of Lyon, France, ²Department of Functional Neurology and Epileptology, Hopital Neurologique P. Wertheimer, University of Lyon, France
Summary
265(1)
Introduction
266(3)
Descriptive Anatomy [33, 39]
269(14)
The Borders of the Insula
269(1)
The Insular Cortex (Fig. 7)
270(2)
Relationships (Figs. 8-12)
272(1)
The Association Fibers
273(1)
Short Association Fibers
273(1)
Long Ipsihemispheric Association Fascicles
273(1)
Vascular Anatomy (Figs. 13-15)
274(1)
Arterial Relationships
277(1)
Veins
278(1)
Functional Anatomy
278(1)
Connections (Fig. 17) [1, 17, 18]
278(1)
Physiological Roles of the Insula [1-3, 13, 14, 22, 23, 27]
280(1)
Insula and Pain
281(2)
The Insula and Epilepsy Surgery
283(1)
Tumoral Surgery in the Insular Region
283(2)
Conclusion
285(1)
References
285

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