Advances and Technical Standards in Neurosurgery (häftad)
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Häftad (Paperback / softback)
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Softcover reprint of the original 1st ed. 1992
Springer Verlag GmbH
Nornes, H. (förf)/Pasztor, E. (förf)/Pickard, J. D. (förf)/Strong, A. J. (förf)/Ya?Argil, M. G. (förf)
1 Illustrations, color; 34 Illustrations, black and white; XIV, 230 p. 35 illus., 1 illus. in color.
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1 Paperback / softback
Advances and Technical Standards in Neurosurgery (häftad)

Advances and Technical Standards in Neurosurgery

Häftad, Engelska, 1993-09-01
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As an addition to the European postgraduate training system for young neurosurgeons we began to publish in 1974 this series devoted to Advances and Technical Standards in Neurosurgery which was later sponsored by the European Association of Neurosurgical Societies. This series was first discussed 1972 at a combined meeting of the Italian and German Neurosurgical Societies in Taormina, the founding fathers of the series being Jean Brihaye, Bernard Pertuiset, Fritz Loew and Hugo Krayenbiihl. Thus were established the principles of European co-operation which have been born from the European spirit, flourished in the European Association, and have throughout been associated with this series. The fact that the English language is well on the way to becoming the international medium at European scientific conferences is a great asset in terms of mutual understanding. Therefore we have decided to publish all contributions in English, regardless of the native language of the authors. All contributions are submitted to the entire editorial board before publication of any volume. Our series is not intended to compete with the publications of original scientific papers in other neurosurgical journals. Our intention is, rather, to present fields of neurosurgery and related areas in which important recent advances have been made. The contributions are written by spe cialists in the given fields and constitute the first part of each volume.
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  • Personality and Neurosurgery

    J Brihaye, L Calliauw, F Loew, R Van Den Bergh

    The human personality is inextricably bound up with, among other things, the function of the central nervous system. Diseases and malfunctions of the brain, head injuries and neurosurgical operations can all result in permanently altered behaviour...


A. Advances.- Proton Spectroscopic Imaging in Cerebral Ischaemia, Where we Stand and What Can Be Expected.- Historical Overview.- Methodology of Proton Magnetic Resonance Spectroscopy (MRS).- General Aspects.- Water Suppression.- Fat Suppression.- Localization.- Spectroscopic Imaging.- Quantification of Spectra.- Pulse Sequence and Computer Analysis.- Materials and Methods.- H-1 MR Spectroscopic Measurements; Data Accumulation.- H-1 MR Spectroscopic Measurements; Data Processing.- Patient Material.- Results.- Discussion.- Abbreviations.- References.- Radiosurgery.- History.- Radiosurgery Systems. Tools and Methods.- The Gamma Knife.- Radiosurgery with Heavy Particles.- Radiosurgery with Photons from Linear Accelerator.- Radiobiological Principles in Radiosurgery.- Dose-rate Effects.- Radiosensitivity of Vessels.- Biological and Chemical Modification of the Radiation Response.- Radiosurgery with the Gamma Knife.- Method.- Angiography.- CT and MRI Imaging.- Dose Planning.- Dose Selection.- Gamma Knife in Arteriovenous Malformations.- Decision Making.- The Target.- Patient Population.- AVM Location.- The Procedure. Pre- and Peri-treatment Management.- Follow-up.- Treatment Variables.- Results.- Changes in the Angiogram.- Neurological Outcome.- Rebleed.- Undue Effects.- Cavernous Hemangiomas.- Linear Accelerator in Arteriovenous Malformations.- Charged-particle Radiosurgery in Arteriovenous Malformations.- Discussion.- Radiosurgery in Tumours.- Craniopharyngiomas.- Pituitary Adenomas.- Pituitary Dependent Cushing's Disease.- Acromegaly.- Nelson's Syndrome.- Prolactin-Secreting Tumours.- Tumours in the Pineal Region.- Meningiomas.- Acoustic Neuromas.- Untoward Effects Following Radiosurgery of Acoustic Neuroma.- Metastatic Brain Tumours.- Glial Tumours.- Discussion.- The Gamma Knife in Functional Radiosurgery.- Cancer Pain.- Trigeminal Neuralgia.- Movement Disorder.- Psychosurgery.- Epilepsy.- Conclusions.- Discussion.- References.- Functional Imaging of Blood Brain Barrier Permeability by Single Photon Emission Computerised Tomography and Positron Emission Tomography.- The BBB.- Mechanisms of BBB Opening.- Imaging and Quantification.- SPECT.- PET.- Theory.- The Methods.- The Tracers.- BBB Evaluation in Brain Tumours.- Is Permeability Really Increased?.- BBB Alteration in Oedema.- Pharmacological Interferences.- Multiple Sclerosis.- Dementia of Alzheimer Type.- Conclusion.- References.- B. Technical Standards.- Economic Aspects of Neurosurgery.- Economics of Surgery in General.- Cost of Surgery to the Health Service.- Patient and Family.- Benefits of Surgery.- Features of Neurosurgery.- Specific Neurosurgical Examples.- a) Investigations and Early Diagnosis.- b) New Therapeutic Drugs and Technologies.- c) Management of Acute Head Injuries.- d) Use of Intensive Care.- e) The Wessex Study of Cost-benefit in a NSU.- Costings.- Costs of Averting Death or Severe Disability.- Costs of Averting Severe Disability Alone.- Future Directions.- References.- Current Concepts of Measurement of Cerebrospinal Fluid Absorption and Biomechanics of Hydrocephalus.- Production.- Formation.- Transportation.- Composition and Volumes.- Absorption and Sagittal Sinus Pressure.- Correlation Between ICP and CSF Formation/Absorption.- Vasopressin and ICP.- Measurement of Resistance to CSF Outflow.- I. Infusion Methods.- A. The Constant Pressure Servo-controlled Infusion Method.- B. The Constant Infusion and Constant Pressure Method.- The Lumbo-ventricular Perfusion.- The Ventricular Infusion.- The Lumbar Infusion.- C. The Constant Rate Infusion Test.- The Standard Infusion Test.- The Computerized Infusion Test.- II. Bolus Injection Tests.- III. The Radio Isotope Dilution Method.- Normal Rout Values.- Reproducibility and Reliability of Measurement of Rout.- Hydrocephalus.- Classification of Hydrocephalus.- Pathophysiology of Hydrocephalus.- The Role of Rout.- The Role of Brain Compliance.- Normal Pressure Hydrocephalus.- Complications in CSF-Shunting Operations