RT Book, Section
A1 Ramayya, Ashwin G.
A1 Sinha, Saurabh
A1 Grady, M. Sean
A2 Brunicardi, F. Charles
A2 Andersen, Dana K.
A2 Billiar, Timothy R.
A2 Dunn, David L.
A2 Kao, Lillian S.
A2 Hunter, John G.
A2 Matthews, Jeffrey B.
A2 Pollock, Raphael E.
SR Print(0)
ID 1164315755
T1 Neurosurgery
T2 Schwartz's Principles of Surgery, 11e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259835353
LK accessmedicine.mhmedical.com/content.aspx?aid=1164315755
RD 2024/04/20
AB Key  Points  Neurologic  surgery  specializes  in  primarily  surgical  management  of  central,  peripheral,  and  autonomic  nervous  system  disorders.  Although  clinical  examination  is  paramount,  neurosurgical  diagnosis  and  treatment  are  aided  largely  by  a  variety  of  modalities,  such  as  magnetic  resonance  imaging  and  intracranial  pressure  monitoring.  The  common  treatment  goals  for  traumatic  brain  and  spinal  injury  are  aimed  at  preventing  secondary  insults  of  hypoxia  and  hypotension.  Aneurysmal  subarachnoid  hemorrhage  remains  one  of  the  most  morbid  and  intensive  neurosurgical  diseases.  Endovascular  therapy  is  a  growing  technology  that  allows  for  safer  securing  of  ruptured  aneurysms.  Brain  tumors  can  arise  from  primary  or  metastatic  tissues.  Treatment  typically  involves  resection,  followed  by  radiation  and/or  chemotherapy,  depending  on  the  type  and  grade  of  tumor.  Spinal  instrumentation  is  used  for  surgical  stabilization  of  many  types  of  spinal  instability,  including  traumatic,  infectious,  oncologic,  and  degenerative.  Infection  of  the  nervous  system  is  a  serious  and  prevalent  medical  problem.  Operative  management  is  indicated  for  most  conditions  in  which  there  is  symptomatic  compression  of  neural  structures.  Functional  neurosurgery  via  device  implantation  is  a  rapidly  evolving  discipline  that  has  already  become  the  standard  of  care  in  treating  medically  refractory  Parkinson’s  disease  and  essential  tremor.  A  wider  variety  of  deep  brain  stimulation  targets  will  treat  additional  neuropsychiatric  diseases.  Stereotactic  radiosurgery  is  a  powerful  treatment  option  for  intracranial  disease,  whether  it  is  primary  or  adjunct.  Gamma  knife  surgery  can  be  used  to  treat  tumors,  vascular  malformations,  and  cranial  neuralgias.