By H. Penzholz (auth.), Prof. Dr. Wolfgang Piotrowski, Prof. Dr. Mario Brock, Priv.-Doz. Dr. Margareta Klinger (eds.)
Distribution rights for Japan: Nankodo Co., Ltd., Tokyo
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The papers during this quantity summarize information regarding the latest and potent options for treating diffcult sensible difficulties and painful events through the use of minimally invasive spinal surgical procedure recommendations. Spinal endoscopy either for diagnostic and therapy reasons is gifted in addition to microsurgical operations for spinal difficulties, intradiscal innovations for the therapy of disc degenerative pathology, and dynamic stabilization innovations including an updated overview of physiopathology of the illnesses.
Written by way of well-known specialists, this quantity is a complete reference at the use of complicated imaging thoughts within the analysis and administration of spinal trauma. in a single cohesive resource, the booklet brings jointly details on state of the art medical imaging—including multidetector CT and high-field MRI techniques—and the pathophysiology, neurologic evaluate, clinical administration, surgical operation, and postoperative evaluation of backbone trauma and spinal wire damage.
Nice publication for the first yr resident and 4th yr scientific pupil. Many radiographs, charts, tables, surgical line drawings, and stable references all through this textbook. it truly is a chic hardcover ca 1999 with huge print, hence more straightforward to learn at the hours of darkness on-call rooms. i'm hoping Drs. Loftus and Grossman choose to pop out with a third variation quickly.
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Additional info for CNS Metastases Neurosurgery in the Aged
AI-Sarraf, M. : Malignant melanoma and central nervous system metastases. Cancer 42, 660-668 (1978) 3. : Metastatic neoplasms of the brain. Their frequency in relation to age. Cancer 15, 270274 (1964) 4. : Symposium on surgical aspects of cancer problems; metastatic tumors of the brain. Surg. Clin. North. Am. ll, 1143-1145 (1951) 5. : Intracranial metastatic melanoma. Longterm survival following subtotal resection. South. Med. J. 65, 344-346 (1972) 6. : An evaluation of the surgical management of melanoma of the brain.
Nevertheless, 86% of our patients had a severe paraparesis on admission. That means that our patients were referred for a neuroradiological diagnosis and treatment only if serious deficits were present. Fifty-four per cent showed an improvement in the paraparesis after surgical decompression. In cases with anterior mass lesions a remarkably high proportion (40%) worsened after operation. The same holds true for those malignant tumors with marked vascularity. We feel that if it is found on CT scan or myelography that the lesion is located anterior to the spinal cord, primary radiotherapy should be given.
Klinger © Springer-Verlag Berlin Heidelberg 1984 ~ ~ 3 months 2 days ~<1 day Our therapeutic approach (2) consisted of a laminectomy and. removal of extradural foreign tissue as far as possible. Depending on the histologic report additional radiotherapy and cytostatic therapy was carried out postoperatively (4). As was to be expected the postoperative results were the better~ the fewer neurologic 'deficits existed preoperatively. As regards the initial pain symptoms we were able to achieve an improvement in 75% of the cases.