By Michael L.J. Apuzzo, Charles Y. Liu, Daniel Sullivan
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The papers during this quantity summarize information regarding the newest and potent innovations for treating diffcult useful difficulties and painful occasions through the use of minimally invasive spinal surgical procedure strategies. Spinal endoscopy either for diagnostic and therapy reasons is gifted in addition to microsurgical operations for spinal difficulties, intradiscal innovations for the remedy of disc degenerative pathology, and dynamic stabilization options including an up to date assessment of physiopathology of the ailments.
Written by way of well-known specialists, this quantity is a entire reference at the use of complicated imaging options within the analysis and administration of spinal trauma. in a single cohesive resource, the ebook brings jointly details on state of the art scientific imaging—including multidetector CT and high-field MRI techniques—and the pathophysiology, neurologic evaluate, clinical administration, surgery, and postoperative evaluation of backbone trauma and spinal twine damage.
Nice booklet for the first 12 months resident and 4th yr scientific pupil. Many radiographs, charts, tables, surgical line drawings, and reliable references all through this textbook. it really is a sublime hardcover ca 1999 with huge print, as a result more straightforward to learn at midnight on-call rooms. i am hoping Drs. Loftus and Grossman choose to pop out with a third variation quickly.
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The skepticism mainly concerned the possibility least improving mental disorders. The fate of such patients was always the same: internment in an asylum, cold showers, and bromide as therapeutic arsenal for the unresponsive and the straight jacket for the agitated patient. ” There was a period of great popularity for lobotomy as a general cure for all mental illnesses, including for children. During the following years, several authors, both in Europe and the United States, improved the technique with operations that were less and less invasive to reduce the phenomenon of “post-leukotomy syndrome,” characterized by cognitive, affective, and psychomotor deficits.
Whatever the case, psychosurgery fell into disuse and was offered in only a few centers. Despite the criticism about the practice of lobotomy, there were many valuable lessons to be learned from these experiences in regard to the understanding of the neural circuitries involved in psychiatric disorders. New sophisticated ideas, refinement of modern technologies, and use of less invasive and functional techniques have recently rekindled interest in psychosurgery. Whereas the older techniques of leucotomy involved cutting a very large amount of the white matter tracts, the modern functional procedures emphasize selective stimulation of specific areas or circuitries without any ablative damage of the brain.
Finally, it is well established that depressed patients have autonomic system dysfunction that is mediated by the vagus nerve. If depressed patients have abnormalities in brain regions that control the vagus nerve from the top down, then perhaps stimulating the vagus nerve might engage this dysfunctional circuitry from the bottom up (34, 38). This sort of speculation led to a study in 2000 by Rush et al. (61) in which 30 patients without a history of epilepsy, but who met Diagnostic and Statistical Manual of Mental Disorders-IV criteria for MD, were treated with VNS.