Robert F Spetzler – författare

Multi-pronged approaches to pediatric neurovascular diseasesBridging 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 managementWith 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.

Moyamoya Disease: Diagnosis and Treatment covers the key clinical disciplines involved in managing patients with moyamoya disease, including diagnostic work up, imaging, neurocognitive evaluation, and surgical options for pediatric and adult patients. The text and accompanying videos provide neurosurgeons and other health professionals treating Moyamoya patients with all the information they need to make the right diagnostic and surgical decisions.Key Features: Includes online access to videos and animations, narrated by Dr. Wanebo, demonstrating surgical techniques discussed in the book Written and edited by world-renowned experts at the Barrow Neurological Institute and other centers of excellence focused on Moyamoya Covers these dynamic topics in Moyamoya: cortical microvasculature, genetics, neuropsychiatric evaluation, and endovascular therapy Contains detailed illustrations and descriptions of technical aspects of treatment such as the direct and indirect methods of revascularizationAll neurosurgeons and neurologists caring for Moyamoya patients will find this book to be an important reference that they will consult often in their daily practice.

The complex, highly technological field of neurovascular surgery is quickly expanding, encompassing traditional surgical approaches, as well as endovascular and neurointerventional techniques. The last decade has seen increased cross-specialty interest in utilizing minimally invasive techniques to help prevent and treat cerebrovascular disease. Concurrently, there has been important research analyzing the efficacy of surgical methods versus endovascular approaches – and the clip versus coil discussion is covered herein.Written by 21st Century pioneers in the field, this second, cutting-edge edition offers the latest science throughout 1,400 pages – and a remarkable video library – covering anatomy, diagnosis, epidemiology, history, treatment indications, technical nuances, outcomes, and complications. Internationally renowned experts from across the globe share clinical pearls and best practices, from the research lab to the ER to the OR. Medical, surgical, endovascular, cerebral revascularization, bypass surgery, radiation therapy, and other procedures are covered in depth. Evidence-based and transdisciplinary, the second edition covers the full spectrum of neurovascular pathologies, preoperatively and postoperatively, including:Ischemic Stroke and Vascular InsufficiencyCerebral and Spinal AneurysmsCerebral and Spinal Arteriovenous Fistulae and MalformationsVascular TumorsCarotid Artery DiseaseMoya-Moya DiseaseRevascularization techniquesOrganized into 11 primary sections, 99 richly illustrated chapters, and more than 140 videos, this volume is an invaluable, one-stop reference tool. It is a must-have for general, vascular and endovascular neurosurgeons; interventional radiologists; neurologists; critical care practitioners; and neuro-rehabilitation specialists.

First Prize Winner at the 2018 BMA Medical Book Awards!The highly complex specialty of brainstem surgery requires many years of study, a focus on precision, and a passionate dedication to excellence to prepare the neurosurgeon for navigating significant anatomic challenges. Although the brainstem is technically surgically accessible, its highly eloquent structure demands rigorous surgical decision-making. An in-depth understanding of brainstem and thalamic anatomy and the safe entry zones used to access critical areas of the brainstem is essential to traversing the brainstem safely and successfully.This remarkable, one-of-a-kind atlas draws on the senior author's decades of experience performing more than 1,000 surgeries on the brainstem, thalamus, basal ganglia, and surrounding areas. Its content is organized by anatomic region, enabling readers to study separate subdivisions of the brainstem, each of which has its own unique anatomic and surgical considerations. From cover to cover, the atlas provides readers with technical guidance on approach selection, the timing of surgery, and optimization of outcomes-elucidated by more than 1700 remarkable color illustrations, dissections, clinical images, and line drawings.Key Highlights Beautifully detailed, highly sophisticated brain slices and dissections by Kaan Yagmurlu, who trained under the internationally renowned neuroanatomist and neurosurgeon Albert Rhoton Jr.Color illustrations clearly labeled with callouts and other indicators of foci of interest delineate multiple safe entry zones to the brainstemMore than 50 detailed patient cases highlight each patient's history of previous neurological disorders, presenting symptoms, preoperative imaging, diagnosis, the planned surgical approach, patient positioning, intraoperative and postoperative imaging, and outcomeSeven animations and more than 50 surgical videos elucidate approach selection, anatomy, and surgical outcomes of thalamic region and brainstem lesionsThis illuminating atlas provides insights into the complexities of the hallowed halls of the brainstem. Neurosurgeons and neurosurgical residents alike who glean knowledge from the clinical pearls throughout each section will no doubt become more adept surgeons, to the ultimate benefit of their patients.

The ultimate guide to navigating and treating brainstem pathologies from master neurosurgeon Robert SpetzlerThe brainstem is one of the last bastions of surgical prohibition because of its densely packed ascending and descending tracts and nuclei carrying information to and from the brain. Although 10% of all pediatric tumors and 5% of all vascular anomalies occur in the brainstem, neurosurgeons have traditionally resisted dissecting lesions in this area. Recent advances in imaging, microscopy, anesthesia, and operative techniques have expanded the treatment paradigm for this most eloquent region of the brain.Surgery of the Brainstem, by internationally renowned neurosurgeons Robert F. Spetzler, M. Yashar S. Kalani, and Michael T. Lawton, along with an impressive cadre of global experts, is a comprehensive guide to managing disorders of the brainstem, thalamic region, and basal ganglia. Organized in seven sections with 33 chapters, the text opens with four sections covering a variety of topics. Section I presents the history of brainstem surgery; Section II examines anatomy, development, and pathology; Section III reviews patient examination, imaging, and monitoring; and Section IV provides a succinct overview of surgical approaches. Sections V-VII cover a wide range of adult and pediatric tumors, ischemia, stroke, aneurysms, arteriovenous malformations, and cerebral cavernous malformations. More than 300 high-quality clinical images and medical illustrations enhance the text.Key Highlights A full spectrum of treatment modalities and outcomes, including open surgery, endoscopic approaches, stereotactic radiosurgery, radiotherapy, endovascular techniques, and revascularizationAn anatomy chapter featuring stunning Rhoton-style anatomical dissections delineates critical landmarks in the brainstem, thalamus, pineal region, and cranial nervesDetailed discussion of patient positioning and exposure of various brainstem domainsPearls on overcoming psychological, pathological, and anatomical barriers and managing complicationsUnderstanding the basic anatomy, pathology, and clinical complexities of the brainstem and thalamic regions is essential for safe navigation and treatment. This remarkable book will provide neurosurgeons with additional insights on performing resections and achieving the best possible outcomes for patients with pathologic conditions in this delicate region.This book includes complimentary access to a digital copy on https://medone.thieme.com

Neurovascular medicine has emerged as an established, semi-independent subspecialty of neurology and neurosurgery. Decision Making in Neurovascular Disease focuses on the challenging process of determining the best approach for managing patients with intracranial atherosclerosis, carotid artery disease, stroke, aneurysms, arteriovenous malformations, arteriovenous fistulae, cavernous malformations, and hypervascular tumors. Leonardo Rangel-Castilla, Robert Spetzler, esteemed coauthors, and an impressive cadre of experts discuss highly divergent modalities including medical management, open cerebrovascular, endovascular, radiosurgery, and combined/multimodality alternatives.The book is organized into seven sections: Ischemic Stroke and Vascular Insufficiency, Aneurysms – Anterior Circulation, Aneurysms – Posterior Circulation, Aneurysms – Other, Arteriovenous Malformations and Fistula, Cavernous Malformations, and Hypervascular Tumors. Chapters include an introduction, decision-making algorithm, whether to treat, conservative management, anatomical considerations, clinical and imaging evaluation, differential diagnosis, treatment options, images, clinical and radiographic follow-up, and suggested reading.Key highlights:Simple algorithms accompanying 71 chapters supported by the latest, most updated information in the literatureMore than 300 radiologic images help elucidate disease-specific treatment decision makingStep-by-step guidance, clinical pearls, surgical nuances, complication avoidance, and evidence-based outcomes provide in-depth understandingPoint/counterpoint expert commentary on each case provides balanced insights on potential implications of specific treatmentsThis essential step-by-step book is a must-have for residents and fellows in neurosurgery, neurology, endovascular, interventional radiology, vascular neurology, and neurocritical c

Now in a fully revised and expanded second edition, this book remains the gold standard guide to the surgical treatment of diseases in the cerebellopontine angle (CPA), the fragile area of the skull base that Harvey Cushing famously described as “the bloody angle.” This edition combines current information on the relevant clinical diseases of the CPA with dramatically improved surgical management of its diseases, arranged in five thematic sections. The first section presents the basis and rationale for treatment, including historical perspectives, microsurgical anatomy, relevant radiology and neurology. Part two is composed of chapters on surgical approaches, and parts three and four provide detailed descriptions of surgical management techniques for vestibular schwannomas and non schwannomatous lesions, respectively. The final section provides 21 distinct clinical cases with associated video segments, demonstrating the approaches and techniques in real time. With images courtesy of the renowned Barrow Neurological Institute, Surgery of the Cerebellopontine Angle, Second Edition is a boon resource for expert specialists in neurosurgery, neurotology, neuroradiology, otolaryngology/head and neck surgery, and endovascular surgery.

Now in a fully revised and expanded second edition, this book remains the gold standard guide to the surgical treatment of diseases in the cerebellopontine angle (CPA), the fragile area of the skull base that Harvey Cushing famously described as “the bloody angle.” This edition combines current information on the relevant clinical diseases of the CPA with dramatically improved surgical management of its diseases, arranged in five thematic sections. The first section presents the basis and rationale for treatment, including historical perspectives, microsurgical anatomy, relevant radiology and neurology. Part two is composed of chapters on surgical approaches, and parts three and four provide detailed descriptions of surgical management techniques for vestibular schwannomas and non schwannomatous lesions, respectively. The final section provides 21 distinct clinical cases with associated video segments, demonstrating the approaches and techniques in real time. With images courtesy of the renowned Barrow Neurological Institute, Surgery of the Cerebellopontine Angle, Second Edition is a boon resource for expert specialists in neurosurgery, neurotology, neuroradiology, otolaryngology/head and neck surgery, and endovascular surgery.

Refinements in the neurosurgical armamentarium continue to push the borders of neurosurgery forward. Lesions considered inoperable a few years ago can now be resected, especially in the region of the skull base. These new developments, plus rapid technological innovations in microneurosurgery, have dramatically altered the scope of modern neurosurgery.Now, with Volume 2 of the acclaimed Color Atlas of Microneurosurgery, the distinguished authors provide detailed descriptions of surgical anatomy and the major neurosurgical approaches to cerebrovascular lesions. You will find coverage of aneurysms, arteriovenuous malformations, cerebrovascular malformations, and vascular compression – all derived from a wide range of etiologies. Divided into three sections on anatomy, surgical approaches, and underlying pathology, the book demonstrates the most innovative new techniques, procedures and approaches as performed in hundreds of clinical cases. The result is the most detailed and comprehensive microneurosurgical atlas ever compiled, an ideal reference for practicing neurosurgeons and residents–in–training.