Principles And Practice Of Keyhole Brain Surgery

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Principles and Practice of Keyhole Brain Surgery

Author : Charles Teo
Publisher : Thieme
ISBN 13 : 3131758619
Total Pages : 274 pages
Book Rating : 4.1/5 (317 download)

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Book Synopsis Principles and Practice of Keyhole Brain Surgery by : Charles Teo

Download or read book Principles and Practice of Keyhole Brain Surgery written by Charles Teo and published by Thieme. This book was released on 2015-04-29 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: A step-by-step guide to modern techniques of keyhole brain surgery Developed 20 years ago by leading innovators in the field, the keyhole concept of brain surgery has become an integral part of the practice of neurosurgery. This timely and comprehensive book covers the thinking, philosophy, and techniques of modern keyhole brain surgery, including a realistic assessment of its benefits and limitations. Written by expert practitioners and highlighted by vivid surgical illustrations and procedural videos, Principles and Practice of Keyhole Brain Surgery functions as an experienced mentor working side by side with neurosurgeons as they master the techniques. Special Features: Introduces the basic principles of the keyhole approach, including the practical, technical, and logistical aspects of planning procedures and operating through small openings Beautifully illustrated with nearly 900 endoscopic images, diagrams, surgical drawings, and operative photographs, many showing step-by-step procedures Details the pivotal role of the endoscope in keyhole brain surgery and its ability to provide multiple angles of visualization, including a useful catalog of clinical situations where the endoscope has proven most effective Demonstrates contemporary keyhole approaches (e.g. the eyebrow/sub-frontal approach) in procedures for supratentorial intra-axial brain tumors, tumors of the cribriform plate and orbit, parasellar masses, craniopharyngiomas, tumors of the middle fossa and cavernous sinus and many other conditions in the cranial base Offers more than 100 procedural videos on the Thieme's MediaCenter, narrated by the authors and aligned to chapters in the book for an unparalleled learning resource Providing all the information necessary to achieve surgical goals through well placed, smaller openings—with the added benefits of shorter procedures, fewer wound complications and better patient outcomes—Principles and Practice of Keyhole Brain Surgery is essential for every neurosurgeon in practice today.

Neurosurgery

Author : Anne J. Moore
Publisher : Springer Science & Business Media
ISBN 13 : 1846280516
Total Pages : 678 pages
Book Rating : 4.8/5 (462 download)

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Book Synopsis Neurosurgery by : Anne J. Moore

Download or read book Neurosurgery written by Anne J. Moore and published by Springer Science & Business Media. This book was released on 2007-04-22 with total page 678 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides coverage of a broad range of topics in the ?eld of neurosurgery, 5 for residents and registrars in training and for recent graduates of training programs. 6 As neurosurgical training incorporates expertise from centers worldwide, there is a 7 need to have input from specialists in neurosurgery from various countries. This text 8 is a compilation by expert authors in the USA and the UK to provide information on 9 the basic knowledge and clinical management required for optimal care of neuro- 2011 surgical patients. 1 The text is an up-to-date synopsis of the ?eld of neurosurgery from American and 2 British perspectives, which covers the most common clinical conditions encountered 3 by neurosurgeons. The chapters are organized under broad topics, including inves- 4 tigative studies, perioperative care, the role of newer techniques and the management 5 of tumors, vascular and traumatic lesions. Additional topics are then covered, includ- 6 ing pediatrics, spine and peripheral nerve lesions, as well as functional neurosurgery 7 and infections. We anticipate that trainees will ?nd this information useful for certi?- 8 cation examinations and recent graduates of neurosurgical training programs can 9 utilize this text as an update of the most important neurosurgical topics.

Endoscopic and Keyhole Cranial Base Surgery

Author : James J. Evans
Publisher : Springer
ISBN 13 : 3319643797
Total Pages : 396 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Endoscopic and Keyhole Cranial Base Surgery by : James J. Evans

Download or read book Endoscopic and Keyhole Cranial Base Surgery written by James J. Evans and published by Springer. This book was released on 2019-04-02 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first two sections of this text address endoscopic and keyhole surgical procedures for cranial base and deep brain structures. These sections provide a comprehensive, state-of-the art review of this minimally invasive field and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in cranial base surgery. The philosophy, techniques, indications and limitations of endoscopic and keyhole cranial base surgery are covered in detail. This reference includes a discussion of the basic principles of these approaches as well as the preoperative planning, intraoperative pearls, and reconstruction techniques. The thorough descriptions of the practical and technical aspects are accompanied by extensive illustrations, figures and operative images. Extending beyond the technical details of these procedures, this text provides a third section that focuses on a thorough analysis and comparison of the endoscopic, keyhole and traditional open approaches to specific intracranial regions. Utilizing a “target-based” approach, the utility of each surgical technique is evaluated in regard to accessing pathology of the anterior, middle and posterior fossa cranial base as well as the deep central regions of the brain. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. Endoscopic and Keyhole Cranial Base Surgery will be a valuable resource to specialists in optimizing surgical results and improving patient outcomes.

Minimally Invasive Skull Base Surgery

Author : Moncef Berhouma
Publisher : Nova Science Publishers
ISBN 13 : 9781628085884
Total Pages : 440 pages
Book Rating : 4.0/5 (858 download)

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Book Synopsis Minimally Invasive Skull Base Surgery by : Moncef Berhouma

Download or read book Minimally Invasive Skull Base Surgery written by Moncef Berhouma and published by Nova Science Publishers. This book was released on 2014-05-14 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: Classically defined as the art of curing by the hand, hand intended as the organ of the possible, and positive certitude according to Paul Valery, surgery is shifting toward a scientific discipline with a very high technological valence. Neurosurgery in general, and skull base surgery in particular do not stave off this natural evolution. Obviously, technological advances have driven the tremendous progresses in both diagnosis (CT scan, MRI, angiography ) and therapeutic fields (ultrasonic aspiration, radiosurgery). This technological aspect should not hide the humanistic remnant of the modern neurosurgeon, who should propose the less invasive technique in his possession to treat most efficiently his patient, keeping in mind the quality of life above all. The compromise between the invasiveness of the surgical approach to the skull base and the main goal of the surgery has shed light on the recent concept of minimally invasive skull base surgery.This concept has been conspicuously initiated by Axel Perneczky in the late 1980s under the descriptive keyhole neurosurgery, especially through the renowned eyebrow supra-orbital mini-craniotomy and the implementation of endoscope-assisted microneurosurgery. A decade after, Jho and others introduced the endoscopic endonasal approaches to the skull base, with a perpetual development and an exponential rhythm of scientific publications. This recent paradigm shift toward a minimal approach-related iatrogeny coupled with a maximally efficient surgical target is not so clear cut, as pioneering neurosurgeons such as Cushing, Dandy or Dott among others already adopted this philosophy of work, limited by the technology available at that time that did not permit their minimally invasive expectations. This has been possible only with the progresses made in the fields of imaging, surgical instrumentation, illumination technologies (microscope and endoscope), radiosurgery, and neuroanesthesia.

Minimally Invasive Skull Base Surgery

Author : Moncef Berhouma
Publisher : Nova Science Publishers
ISBN 13 : 9781628085679
Total Pages : 0 pages
Book Rating : 4.0/5 (856 download)

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Book Synopsis Minimally Invasive Skull Base Surgery by : Moncef Berhouma

Download or read book Minimally Invasive Skull Base Surgery written by Moncef Berhouma and published by Nova Science Publishers. This book was released on 2013-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Classically defined as the art of curing by the hand, hand intended as the organ of the possible, and positive certitude according to Paul Valery, surgery is shifting toward a scientific discipline with a very high technological valence. Neurosurgery in general, and skull base surgery in particular do not stave off this natural evolution. Obviously, technological advances have driven the tremendous progresses in both diagnosis (CT scan, MRI, angiography ) and therapeutic fields (ultrasonic aspiration, radiosurgery). This technological aspect should not hide the humanistic remnant of the modern neurosurgeon, who should propose the less invasive technique in his possession to treat most efficiently his patient, keeping in mind the quality of life above all. The compromise between the invasiveness of the surgical approach to the skull base and the main goal of the surgery has shed light on the recent concept of minimally invasive skull base surgery.This concept has been conspicuously initiated by Axel Perneczky in the late 1980s under the descriptive keyhole neurosurgery, especially through the renowned eyebrow supra-orbital mini-craniotomy and the implementation of endoscope-assisted microneurosurgery. A decade after, Jho and others introduced the endoscopic endonasal approaches to the skull base, with a perpetual development and an exponential rhythm of scientific publications. This recent paradigm shift toward a minimal approach-related iatrogeny coupled with a maximally efficient surgical target is not so clear cut, as pioneering neurosurgeons such as Cushing, Dandy or Dott among others already adopted this philosophy of work, limited by the technology available at that time that did not permit their minimally invasive expectations. This has been possible only with the progresses made in the fields of imaging, surgical instrumentation, illumination technologies (microscope and endoscope), radiosurgery, and neuroanesthesia.

Comprehensive Overview of Modern Surgical Approaches to Intrinsic Brain Tumors

Author : Kaisorn Chaichana
Publisher : Academic Press
ISBN 13 : 0128117834
Total Pages : 506 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Comprehensive Overview of Modern Surgical Approaches to Intrinsic Brain Tumors by : Kaisorn Chaichana

Download or read book Comprehensive Overview of Modern Surgical Approaches to Intrinsic Brain Tumors written by Kaisorn Chaichana and published by Academic Press. This book was released on 2019-03-15 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive Overview of Modern Surgical Approaches to Intrinsic Brain Tumors addresses limitations in the scientific literature by focusing primarily on surgical approaches to various intrinsic neoplasms using diagrams and step-by-step instructions. It provides the advantages and disadvantages of these approaches, controversies, and technical considerations and discusses topics such as anatomy, pathology and animal models, imaging, open brain tumor approaches and minimally invasive approaches. Additionally, it discusses controversial treatments and the pros and cons of each. This book is a valuable source for medical students, neurosurgeons and any healthcare provider who has an interest in brain tumors and techniques to treat them. Provides a comprehensive review of different approaches, explaining them step-by- step Includes diagrams that show surgical approaches Presents the advantages and disadvantages of each approach to aid in decision-making

Neurovascular Surgery

Author : Julius July
Publisher : Springer
ISBN 13 : 9811089507
Total Pages : 288 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Neurovascular Surgery by : Julius July

Download or read book Neurovascular Surgery written by Julius July and published by Springer. This book was released on 2018-09-27 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.

Modern Neurosurgery and Neuroanatomy

Author : Albert Sufianov
Publisher : Frontiers Media SA
ISBN 13 : 2832500889
Total Pages : 139 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis Modern Neurosurgery and Neuroanatomy by : Albert Sufianov

Download or read book Modern Neurosurgery and Neuroanatomy written by Albert Sufianov and published by Frontiers Media SA. This book was released on 2022-11-10 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Key Concepts in MIN - Intracerebral Hemorrhage Evacuation

Author : Klaus Dieter Maria Resch
Publisher : Springer Nature
ISBN 13 : 3030906299
Total Pages : 470 pages
Book Rating : 4.0/5 (39 download)

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Book Synopsis Key Concepts in MIN - Intracerebral Hemorrhage Evacuation by : Klaus Dieter Maria Resch

Download or read book Key Concepts in MIN - Intracerebral Hemorrhage Evacuation written by Klaus Dieter Maria Resch and published by Springer Nature. This book was released on 2022-03-22 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book adds in chapter 1 and 2 the MIN-key techniques Laser and sealing, completing the 3 MIN-key techniques of the first volume. In chapter 3 the evolution of anatomy to a key-concept of MIN is described, presenting theory and reality of anatomical perspectives that can be used by the MIN-surgeon directly in the OR. Anatomy must be elaborated according to Gestalt-Theory to become a Key of MIN. Still anatomy is the "House of Medicine”, giving a mental place to all knowledge, theories and biological functions. The "surgical simulation concept" of chapter 4 as trainings environment follows, also as a key-concept of MIN. In this chapter we draw the line from Gestalt-Anatomy to a Surgical Simulation Application in Pathological Anatomy exemplified in aneurysm cases. Chapter 5 presents the best preservation technique of anatomical perishable matter, forming durable, dry and odorless specimen of unknown precision and beauty. The scientific value of this unique technique and the benefit for MIN are shown by many examples.With the Plastination gallery of chapter 6 the best head-plastinates and sheet-plastinates of head and brain complete the volume. Many of the specimen have been shown around the globe in the famous exhibitions “body worlds“ (Prof. Dr. G. v. Hagens/Inventor of Plastination).

Principles and Practice of Stereotactic Radiosurgery

Author : Lawrence S. Chin
Publisher : Springer Science & Business Media
ISBN 13 : 0387710701
Total Pages : 708 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis Principles and Practice of Stereotactic Radiosurgery by : Lawrence S. Chin

Download or read book Principles and Practice of Stereotactic Radiosurgery written by Lawrence S. Chin and published by Springer Science & Business Media. This book was released on 2010-05-05 with total page 708 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first contemporary, comprehensive reference for neurosurgeons and radiation oncologists using Gamma Knife and Linear Accelerator technology. Each chapter includes specific case presentations representative of the most commonly treated conditions, including applications for spinal disorders. Chapters conclude with counterpoint experiences, oriented to treatment options other than radiosurgery. These counterpoint discussions are written by noted experts and address in greater detail the indications, results and complications of their approach and enable readers to improve decision making with regard to their own patients.

The Glioma Book

Author : Michael E. Sughrue
Publisher : Thieme
ISBN 13 : 1626234450
Total Pages : 827 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis The Glioma Book by : Michael E. Sughrue

Download or read book The Glioma Book written by Michael E. Sughrue and published by Thieme. This book was released on 2019-10-25 with total page 827 pages. Available in PDF, EPUB and Kindle. Book excerpt: A unique resource on glioma leverages advances and firsthand insights to enact meaningful change Glioblastoma (GBM) or glioma is an extremely aggressive and malignant brain tumor, with cell infiltration, rapid invasion, and a high frequency of relapse. The Glioma Book by neurosurgeon Michael Sughrue is a highly personal book — a culmination of two years of writing and more than 1,000 surgeries. It presents a unique viewpoint with the potential to transform the traditional paradigm that too often informs treatment of this universally fatal brain tumor. The book reinterprets the role of the cerebrum and sub-cortex, leverages scientific advances to improve cytoreduction and reduce neurological deficits, and challenges the myth of the "inoperable" glioma. This is the first step-by-step technical guide focused on aggressively resecting different types of gliomas. The book is logically organized, starting with a foundation of fundamental knowledge, then progressing to practical applications. Chapters focus on the skills necessary to perform glioma surgery, specific techniques, and systematic approaches to gliomas in different brain regions. Numerous case examples illuminate concepts introduced earlier in the book and explain how to perform these procedures About 30 high quality videos posted online provide insightful procedural guidance The role of connectomic imaging in visualizing the cerebrum, and other innovative techniques including awake brain mapping and diffusion tensor tractography Neurosurgeons who embrace the concepts in this book will realize they can change the glioma treatment paradigm. Continually improving techniques and viewing a glioma diagnosis as a battle for a patient's life, rather than an exercise in inevitable failure can impart progress in treating this devastating disease.

Principles & Practice of Neuro-Oncology

Author :
Publisher : Demos Medical Publishing
ISBN 13 : 1617050148
Total Pages : 967 pages
Book Rating : 4.6/5 (17 download)

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Book Synopsis Principles & Practice of Neuro-Oncology by :

Download or read book Principles & Practice of Neuro-Oncology written by and published by Demos Medical Publishing. This book was released on 2010-10-21 with total page 967 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neuro-oncologic (brain and spine) cancers account for 19,000 new cases and 13,000 deaths per year. The early and proper diagnosis of these virulent cancers is critical to patient outcomes and diagnosis and treatment strategies are continually evolving. The multidisciplinary team that manages these patients involves medical and radiation oncology, neurosurgery, neuroimaging, nurses and therapists. Principles and Practices of Neuro-Oncology establishes a new gold standard in care through a comprehensive, multidisciplinary text covering all aspects of neuro-oncology. Six major sections cover all topics related to epidemiology and etiology, molecular biology, clinical features and supportive care, imaging, neuroanatomy and neurosurgery, medical oncology and targeted therapies, and radiation oncology for adult and pediatric cancers. Expert contributors from multiple disciplines provide detailed and in-depth discussions of the entire field of neuro-oncology including histopathologic harmonization, neurosurgical techniques, quality of life and cognitive functions, and therapeutic changes in terms of combined modality treatments, advanced radiation techniques, the advent of new drugs, especially targeted agents, and the tantalizing early promise of personalized therapeutic approaches. With contributions from over 180 authors, numerous diagrams, illustrations and tables, and a 48 page color section, Principles and Practice of Neuro-Oncology reflects the breadth and depth of this multi-faceted specialty.

Neuroendoscopy

Author : Spyros Sgouros
Publisher : Springer Science & Business Media
ISBN 13 : 3642390854
Total Pages : 232 pages
Book Rating : 4.6/5 (423 download)

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Book Synopsis Neuroendoscopy by : Spyros Sgouros

Download or read book Neuroendoscopy written by Spyros Sgouros and published by Springer Science & Business Media. This book was released on 2013-11-22 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a result of technological improvements, neuroendoscopy is now used in the treatment of many more patients, enabling the performance of previously unavailable operations with low complication rates and rapid patient recovery. This book presents the distilled experience of world experts in this evolving field. Current applications in a wide variety of settings are explained in detail and likely future developments are identified. In addition, the available neuroendoscopic instruments are reviewed and the results of international trials and collaborative studies, presented. This book will fully acquaint the reader with the breadth and depth of available neuroendoscopy techniques and their impressive therapeutic potential. It should serve as the reference book on neuroendoscopy for the next 10 years.

Integrated Management of Complex Intracranial Lesions

Author : Vijay Agarwal
Publisher :
ISBN 13 : 9781108830034
Total Pages : pages
Book Rating : 4.8/5 (3 download)

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Book Synopsis Integrated Management of Complex Intracranial Lesions by : Vijay Agarwal

Download or read book Integrated Management of Complex Intracranial Lesions written by Vijay Agarwal and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "The combined endoscopic endonasal, transethmoidal, transcribriform approach with endoscope-assisted supraorbital craniotomy is a minimally invasive approach that can be used as an alternative to the classic transcranial, transfacial, or combined craniofacial approaches to lesions of the anterior cranial fossa. This approach is best used for lesions that extend anteriorly to the frontal sinus, laterally beyond the lamina papyracea, and inferiorly into the ethmoid sinus. This chapter details the approach as well as closure of the combined endoscopic endonasal, transethmoidal, transcribriform approach with endoscope-assisted supraorbital craniotomy"--

Principles and Practice in Ophthalmic Assisting

Author : Janice K. Ledford
Publisher : CRC Press
ISBN 13 : 1040140939
Total Pages : 832 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Principles and Practice in Ophthalmic Assisting by : Janice K. Ledford

Download or read book Principles and Practice in Ophthalmic Assisting written by Janice K. Ledford and published by CRC Press. This book was released on 2024-06-01 with total page 832 pages. Available in PDF, EPUB and Kindle. Book excerpt: Time is an incredibly valuable resource for ophthalmic and para-optometric personnel, whether they are still studying on their way to certification or they are already in the trenches in daily practice. To keep up, they need a single, cohesive text containing everything they need to learn. Principles and Practice in Ophthalmic Assisting: A Comprehensive Textbookmeets that need, covering all subject areas in detail while also maintaining a readable, user-friendly style. Editors Janice Ledford and Al Lens have gathered a prestigious team of over 40 contributors, all of them ophthalmic and optometric medical personnel, who actively perform the tasks they write about. Their time-tested expertise is like having a group of specialists right by your side to show how it’s done and answer questions. From A-scan to zygoma, Principles and Practice in Ophthalmic Assisting: A Comprehensive Textbookincludes everything ophthalmic and para-optometric personnel need to know to effectively perform their duties, assist their patients, and advance their careers. Each chapter is written in a friendly manner and follows an established framework, making it easy to digest any new information or as a quick reference to the material needed. Chapters also include valuable “tricks of the trade” that could only come from authors with intimate knowledge of their topics. Topics covered: General ophthalmic knowledge Ophthalmic skills Optical skills Ophthalmic medical sciences Surgical services and skills Administrative skills Whether perfecting current skills, learning new ones, or studying for exams, Principles and Practice in Ophthalmic Assisting: A Comprehensive Textbook makes both a perfect learning tool for students and a complete reference tool for staff whether they are new to the eyecare industry or have years of experience.

Minimally Invasive Spine Surgery

Author : Burak Ozgur
Publisher : Springer Science & Business Media
ISBN 13 : 038789831X
Total Pages : 193 pages
Book Rating : 4.3/5 (878 download)

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Book Synopsis Minimally Invasive Spine Surgery by : Burak Ozgur

Download or read book Minimally Invasive Spine Surgery written by Burak Ozgur and published by Springer Science & Business Media. This book was released on 2009-10-08 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally Invasive Spine Surgery is a beautifully illustrated atlas describing the 18 most widely accepted minimally invasive procedures in spine surgery. Written by leaders in both neurologic and orthopedic spine surgery, this book offers the most up-to-date material and the broadest perspective on the subject. Procedures range from simple to complex and cover the cervical, thoracic and lumbar regions of the spine.

Skull Base Surgery of the Posterior Fossa

Author : William T. Couldwell
Publisher : Springer
ISBN 13 : 3319670387
Total Pages : 226 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Skull Base Surgery of the Posterior Fossa by : William T. Couldwell

Download or read book Skull Base Surgery of the Posterior Fossa written by William T. Couldwell and published by Springer. This book was released on 2017-11-10 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.