Neurosurgical Diseases: An Evidence-Based Approach to Guide Practice

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A structured, evidence-based approach to neurosurgical decision-making for brain pathologies

Evidence-based neurosurgery is one of the most important pillars upon which to build decision management pathways. Effective delivery of care involves understanding the natural history of the disease and the evidence behind available treatment options. Neurosurgical Diseases: An Evidence-Based Approach to Guide Practice by esteemed neurosurgeons Leon T. Lai, Cristian Gragnaniello, and expert contributors covers cranial pathologies neurosurgeons commonly encounter in everyday practice.

The book combines a structured approach to evidence-based neurosurgery with expert opinions, analysis of up-to-date clinical data, understanding of patient preferences and values, and firsthand experiences to facilitate translation of evidence into clinical practice. Twenty-seven consistently formatted chapters are each dedicated to a different disease state, including brain tumors, cerebrovascular disease, Cushing's disease, traumatic brain injury, trigeminal neuralgia, and normal pressure hydrocephalus. All chapters include an introduction, current statistics and data, natural history of the pathology, selected papers for further reading, procedural options and outcomes, and recommended treatment protocols from the authors.

Key Features

  • Key content summarized in reader-friendly bullets, diagrams, tables, and illustrative figures enhances acquisition of knowledge
  • Discussion of new developments including treatment recommendations for primary and metastatic brain tumors
  • Statistical data on cerebral aneurysm treatment outcomes and recommendations for treatment
  • New protocols for treating head trauma, closed head injuries, and spontaneous intracranial hemorrhage

This essential resource will help neurosurgical residents and junior neurosurgeons make challenging surgical treatment decisions for complex conditions, clearly and concisely and based on the best evidence.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Author(s): Leon Lai, Cristian Gragnaniello
Publisher: Thieme
Year: 2022

Language: English
Pages: 256
City: New York

Neurosurgical Diseases: An Evidence-Based Approach to Guide Practice
Title Page
Copyright
Dedication
Contents
Foreword
Preface
Acknowledgments
Contributors
1 Natural History and Management Options of Recurrent Glioblastoma
1.1 Introduction
1.2 Selected Papers on the Natural History of Recurrent Glioblastoma
1.3 The Natural History of Recurrent Glioblastoma
1.4 Selected Papers on the Treatment Outcomes of Recurrent Glioblastoma
1.5 Treatment Options for Recurrent Glioblastoma
1.5.1 Repeat Surgery
1.5.2 Further Radiotherapy
1.5.3 Further Chemotherapy
1.6 Authors’ Recommendations
2 Natural History and Management Options of Unruptured Brain Arteriovenous Malformation
2.1 Introduction
2.2 Selected Papers on the Natural History of Unruptured bAVM
2.2.1 Comparing Future Risk of ICH for Unruptured bAVM
2.2.2 Factors that Impact on the Risk of First ICH
2.2.3 The Expected Outcome fromb AVM ICH
2.2.4 Understanding the Cause for ICH Associated with bAVM
2.3 Selected Papers on the Treatment Options for Unruptured Brain AVM
2.4 Treatment Options for Unruptured Brain AVM
2.4.1 Embolization
2.4.2 Radiosurgery
2.4.3 Surgery with or without Planned Preoperative Embolization
2.4.4 Results of Surgery
2.4.5 Combined Treatment
2.4.6 Conclusion Regarding Treatment
3 Natural History and Surgical Management of Spontaneous Intracerebral Hemorrhage
3.1 Introduction
3.2 Selected Papers on the Natural History of Spontaneous ICHs
3.3 Natural History of Spontaneous ICHs
3.4 Natural History of Spontaneous Supratentorial ICH
3.5 Natural History of Spontaneous Infratentorial ICH
3.6 Selected Papers on Surgical Management of Spontaneous ICHs
3.7 Surgical Management Options for Spontaneous ICHs
3.8 Surgical Management of Spontaneous Supratentorial ICH
3.9 Surgical Management of Spontaneous Infratentorial ICH
3.10 Surgical Management for Spontaneous ICH Associated with Intraventricular Hemorrhage
3.11 Medical Management of Spontaneous ICH
3.12 Authors’ Recommendations
3.12.1 Medical Management of Spontaneous ICH
3.12.2 Management of Supratentorial Hemorrhage
3.12.3 Management of Infratentorial Hemorrhage
3.12.4 Management of Intraventricular Hemorrhage
4 Natural History and Management Options of Pineal Cyst
4.1 Introduction
4.2 Selected Papers on the Natural History of Pineal Cyst
4.3 Natural History
4.4 Selected Papers on the Treatment Options for Pineal Cyst
4.5 Treatment Options for Pineal Cysts
4.6 Authors’ Recommendations
5 Natural History and Management Options of Colloid Cysts
5.1 Introduction
5.2 Selected Papers on the Natural History of Colloid Cysts
5.3 Natural History of Colloid Cysts
5.4 Predicting the Risk of Sudden Death
5.5 Selected Papers on the Treatment Outcomes of Colloid Cysts
5.6 Treatment Options
5.7 Authors’ Recommendations
6 Natural History and Management Options of Vestibular Schwannomas
6.1 Introduction
6.2 Selected Papers on Natural History
6.3 Natural History
6.3.1 Rate of Growth
6.3.2 Risk Factors for Growth
6.3.3 Growth in Neurofibromatosis Type 2 Vestibular Schwannomas
6.4 Selected Papers on Treatment
6.5 Treatment
6.5.1 Microsurgery
6.5.2 Stereotactic Radiosurgery
6.5.3 Microsurgery and Stereotactic Radiosurgery
6.5.4 Neurofibromatosis Type 2
6.6 Authors’ Recommendations
7 Natural History and Management Options of Acromegaly
7.1 Introduction
7.2 Pathology
7.3 Clinical Signs and Presentation
7.4 Imaging
7.5 Diagnosis and Follow-up
7.6 Selected Papers on the Natural History of Acromegaly
7.7 Natural History of Acromegaly
7.8 Selected Papers on the Management Options for Acromegaly
7.9 Management Options
7.9.1 Surgery
7.9.2 Stereotactic Radiosurgery
7.9.3 Medical Therapy
7.10 Authors’ Recommendations
8 Natural History and Management Options for Cushing’s Disease
8.1 Introduction
8.2 Selected Papers on the Natural History of Cushing’s Disease
8.3 The Natural History of Cushing’s Disease
8.4 Selected Papers on the Treatment Outcomes of Cushing’s Disease
8.5 Treatment of Cushing’s Disease
8.5.1 Surgical Resection
8.5.2 Radiation Therapy
8.5.3 Medical Treatment
8.5.4 Recurrent Cushing’s Disease
8.6 Authors’ Recommendations
9 Natural History and Management Options of Traumatic Brain Injury
9.1 Introduction
9.2 Selected Papers on the Natural History of Traumatic Brain Injury
9.3 Natural History of Traumatic Brain Injury
9.4 Predicting Outcomes Following Traumatic Brain Injury
9.5 Assessment of the Primary Brain Injury
9.6 Assessment of Secondary Brain Injury
9.7 Selected Papers on the Treatment Outcomes
9.8 Treatment Options
9.9 Medical Management of Severe Traumatic Brain Injury
9.10 Surgical Management of Severe Traumatic Brain Injury
9.11 Decompressive Craniectomy Following Severe Traumatic—not Hemicraniectomy Brain Injury
9.12 Authors’ Recommendations
10 Natural History and Management Options of Angionegative Subarachnoid Hemorrhage
10.1 Introduction
10.2 Selected Papers on the Natural History of Angionegative SAH
10.3 Natural History
10.4 Selected Papers on the Management Options of Angionegative SAH
10.5 Treatment Options
10.6 Authors’ Recommendations
11 Natural History and Management Options of Low-Grade Glioma
11.1 Introduction
11.2 Selected Papers on the Natural History of LGG
11.3 Natural History of Low-Grade Glioma
11.4 Rate of Progression to High-Grade Glioma
11.5 Selected Papers on the Treatment Outcomes of LGGs
11.6 Treatment Options
11.6.1 Surveillance Alone
11.6.2 Radical Surgical Resection
11.6.3 Radiotherapy
11.6.4 Chemotherapy
11.7 Prognostication
11.8 Authors’ Recommendations
12 Natural History and Management Options of Nonfunctional Pituitary Adenoma
12.1 Introduction
12.2 Selected Papers on the Natural History of NFPAs
12.3 Natural History of NFPAs
12.4 Selected Papers on the Management Options of NFPAs
12.5 Management Options
12.5.1 Endocrine Evaluation
12.5.2 Ophthalmologic Evaluation
12.5.3 Surgery
12.5.4 Radiation Therapy
12.5.5 Medical Therapy
12.6 Authors’ Recommendations
13 Natural History and Management Options of Craniopharyngioma
13.1 Introduction
13.2 Selected Papers on the Natural History of Craniopharyngioma
13.3 Natural History of Craniopharyngioma
13.4 Selected Papers on the Management of Craniopharyngioma
13.5 Treatment Options
13.5.1 Surgery
13.6 Our Experience
13.7 Authors’ Recommendations
14 Natural History and Management Options of Idiopathic Intracranial Hypertension
14.1 Introduction
14.2 Selected Papers on Natural History
14.3 Natural History of Idiopathic Intracranial Hypertension
14.3.1 Factors Predicting Blindness or Poor Visual Outcome
14.4 Selected Papers on Management Options for Idiopathic Intracranial Hypertension
14.5 Management Options for Idiopathic Intracranial Hypertension
14.5.1 Weight Loss Including Bariatric Surgery
14.5.2 Pharmaceutical Treatments
14.5.3 Surgical Treatments
14.6 Authors’ Recommendations
15 Natural History and Management Options of Chronic Subdural Hematoma
15.1 Introduction
15.2 Selected Papers on the Natural History of Chronic Subdural Hematoma
15.3 Natural History
15.3.1 Inflammation
15.3.2 Angiogenesis
15.3.3 Hyperfibrinolysis
15.4 Selected Papers on the Management of Chronic Subdural Hematoma
15.5 Treatment Options
15.5.1 Surgical
15.5.2 Middle Meningeal Artery Embolization for Chronic Subdural Hematoma
15.5.3 Nonsurgical
15.6 Authors’ Recommendations
16 Natural History and Management Options of Unruptured Intracranial Aneurysms
16.1 Introduction
16.2 Selected Papers on Natural History of UIAs
16.3 Natural History of UIAs
16.4 Lifelong Rupture Risk of Intracranial Aneurysms Depends on Risk Factors
16.4.1 Aneurysm-Related Risk Factors
16.5 Serial Imaging Surveillance
16.6 Selected Papers on Management Options for UIAs
16.7 Management Options for UIAs
16.8 Endovascular and Surgical Repair: Outcomes and Obliteration Rates
16.9 Authors’ Recommendations
17 Natural History and Management Options of Aneurysmal Subarachnoid Hemorrhage
17.1 Introduction
17.2 Selected Papers on the Natural History of Aneurysmal Subarachnoid Hemorrhage
17.3 Natural History of Aneurysmal Subarachnoid Hemorrhage
17.3.1 Vasospasm
17.3.2 Chronic Hydrocephalus
17.3.3 Seizure
17.4 Selected Papers on the Management Options for Aneurysmal Subarachnoid Hemorrhage
17.5 Management Options for Aneurysmal Subarachnoid Hemorrhage
17.5.1 Intracranial PressureManagement
17.5.2 Seizure Prophylaxis
17.5.3 Timing of Treatment
17.5.4 Overview of Treatment Modalities
17.5.5 Comparing Treatment Modalities
17.5.6 Procedural and Periprocedural Complications
17.5.7 Rerupture after Treatment
17.6 Authors’ Recommendations
18 Natural History and Management Options of Cerebral Cavernous Malformation
18.1 Introduction
18.2 Selected Papers on the Natural History of Cavernous Malformations
18.3 Natural History of Cavernous Malformation
18.3.1 Risk of Hemorrhage
18.3.2 Risk of Rebleeding
18.3.3 Risk of Seizures
18.3.4 Associated Vascular Abnormalities
18.4 Limitations of Studies on the Natural History of Cavernomas
18.5 Selected Papers on the Treatment Outcomes for Cavernous Malformations
18.6 Treatment Options for Cavernous Malformations
18.6.1 Recommendations for Treatment
18.7 Authors’ Recommendations
19 Natural History and Management Options of Skull Base Chordoma
19.1 Introduction
19.2 Selected Papers on the Natural History of Skull Base Chordoma
19.3 Natural History of Skull Base Chordoma
19.4 Selected Papers on the Treatment Outcomes of Skull Base Chordoma
19.5 Treatment Options and Surgical Outcome
19.6 Authors’ Recommendations
20 Natural History and Management Options of Chiari 1 Malformation
20.1 Introduction
20.1.1 CM-1-Associated Syringomyelia
20.1.2 Pathophysiology of Chiari Malformation Type 1
20.2 Selected Papers on the Natural History of Chiari Malformation Type 1
20.3 Natural History of Chiari Malformation Type 1
20.3.1 Asymptomatic Chiari Malformation Type 1
20.3.2 Symptomatic Chiari Malformation Type 1
20.4 Selected Papers on the Management Options of Chiari Malformation Type 1
20.4.1 Adults
20.4.2 Pediatrics
20.5 Management Options for Chiari Malformation Type 1
20.6 Authors’ Recommendations
21 Natural History and Management Options of Cranial Dural Arteriovenous Fistulas
21.1 Introduction
21.1.1 Pathophysiology
21.1.2 Classification
21.1.3 Clinical Presentation and Imaging Evaluation
21.2 Selected Papers on the Natural History of Cranial Dural Arteriovenous Fistula
21.3 Natural History of DAVFs
21.3.1 Natural History of Low-Grade DAVFs
21.3.2 Natural History of High-Grade DAVFs
21.4 Selected Papers on Treatment Outcomes of DAVFs
21.5 Treatment Strategy
21.6 Therapeutic Options
21.6.1 Endovascular Treatment
21.6.2 Endovascular Outcomes
21.6.3 Microsurgical Treatment
21.6.4 Microsurgical Outcomes
21.6.5 Radiosurgical Treatment
21.6.6 Radiosurgical Outcomes
21.7 Authors’ Recommendations
22 Natural History and Management Options of Cerebral Metastases
22.1 Introduction
22.2 Selected Papers on the Natural History of Cerebral Metastases
22.3 Natural History of Cerebral Metastases
22.4 Selected Papers on the Treatment Outcomes of Cerebral Metastases
22.5 Treatment Options for Cerebral Metastases
22.5.1 Supportive
22.5.2 Surgery
22.5.3 Whole Brain Radiotherapy
22.5.4 Stereotactic Radiosurgery
22.5.5 Chemotherapy and Novel Agents
22.5.6 Treatment Outcomes by Primary Malignancy
22.6 Authors’ Recommendations
23 Natural History and Management Options of Convexity Meningioma
23.1 Introduction
23.2 Selected Papers on the Natural History of Convexity Meningioma
23.3 Natural History of Incidental Convexity Meningioma
23.3.1 Size
23.3.2 Growth Rate and Tumor Doubling Time
23.4 Risk Factors That Predict Tumor Growth
23.5 Recurrence
23.6 Selected Papers on the Treatment Options for Convexity Meningioma
23.7 Treatment Options for Convexity Meningioma
23.8 Observation
23.9 Surgery
23.10 Radiotherapy
23.11 Authors’ Recommendations
24 Natural History and Management Options of Ruptured Brain Arteriovenous Malformation
24.1 Introduction
24.2 Selected Papers on the Natural History of Ruptured bAVMs
24.3 Natural History of Ruptured bAVM
24.4 Risk of Recurrent Hemorrhage
24.5 Other Factors
24.6 Associated Aneurysms
24.7 Infratentorial Brain Arteriovenous Malformations
24.8 Deep Venous Drainage
24.9 Selected Papers on the Treatment of Ruptured bAVMs
24.10 Treatment Options for Ruptured bAVM
24.11 Surgery
24.11.1 Timing of Intervention
24.12 Stereotactic Radiosurgery
24.12.1 Timing of Radiosurgery
24.13 Embolization
24.13.1 Role of Embolization
24.13.2 Timing of Embolization
24.13.3 Outcomes of Embolization
24.14 Authors’ Recommendations
25 Natural History and Management Options of Trigeminal Neuralgia
25.1 Introduction
25.2 Selected Papers on the Natural History of Trigeminal Neuralgia
25.3 Natural History of Trigeminal Neuralgia
25.4 Selected Papers on the Treatment of Trigeminal Neuralgia
25.5 Treatment Options of Trigeminal Neuralgia
25.5.1 Medical Therapy
25.5.2 Microvascular Decompression
25.5.3 Percutaneous Ablative Procedures
25.5.4 Percutaneous Radiofrequency Thermocoagulation
25.5.5 Glycerol/Alcohol Injection
25.5.6 Balloon Compression
25.5.7 Stereotactic Radiosurgery
25.6 Trigeminal Neuralgia in Multiple Sclerosis
25.7 Authors’ Recommendations
26 Natural History and Management Options of Cerebral Lymphoma
26.1 Introduction
26.2 Diagnosis and Evaluation
26.2.1 Imaging
26.3 Selected Papers on Natural History of PCNSL
26.4 Natural History of PCNSL
26.5 AIDS-Associated PCNSL
26.6 Selected Papers on Treatment Outcomes of PCNSL
26.7 Treatment Outcomes of PCNSL
26.7.1 The Role of Steroids Prior to Biopsy
26.7.2 Induction Therapy
26.7.3 Consolidation Therapy
26.7.4 Surgery
26.8 Authors’ Recommendations
27 Natural History and Management Options of Normal-Pressure Hydrocephalus
27.1 Introduction
27.2 Selected Papers on the Natural History of Idiopathic Normal Pressure Hydrocephalus
27.3 Natural History
27.4 Selected Papers on the Treatment Options of Idiopathic Normal Pressure Hydrocephalus
27.5 Treatment Options
27.6 Treatment Outcomes
27.7 Authors’ Recommendations
Index