Seven Cavernomas - Michael T. Lawton

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Résumé :
An incomparable collection of evidence-based cavernoma road trips through the cerebral terrain Seven Cavernomas: Tenets and Techniques for Resection is the fourth volume in a remarkable series by internationally renowned neurosurgeon Michael T. Lawton. As with the three prior volumes, Dr. Lawton leverages his vast expertise as a leading cerebrovascular neurosurgeon, sharing insights and knowledge gained from operating on over 1,400 cavernomas. Seven Cavernomas integrates quintessential clinical, anatomical, and microsurgical concepts into a comprehensive heuristic to position neurosurgeons to achieve the best patient outcomes with cavernoma microsurgical resection. Section 1 details the 10 cavernoma tenets, starting with a taxonomy for classification by location and surface representation. Subsequent chapters describe brainstem and cerebral anatomy as well as dissection techniques in detail, covering the triangle concept, arterial landmarks, hotspots of brain eloquence, recurrence, patient selection, and cartography. Section 2 examines the seven types of cavernous malformations, with insightful pearls on resection techniques. The closing chapter concludes with discussion of the future role neurosurgery will play in understanding how the brain gives us our consciousness, emotion, memory, and intelligence. Key Highlights Taxonomy of seven cavernoma types and 35 subtypes guides the neurosurgeon to choose the most optimal approaches, execute the operation skillfully, and maximize intraoperative performance - Brainstem cavernous malformation cartography maps out the special relationships between the craniotomy, subarachnoid approach, anatomical triangles, safe entry zones, and arteries as vascular waypoints - An impressive compendium of 65 surgical videos and eight animations captures the action, progression, movement, and technical nuances that sculpt the art of neurosurgery - A total of 500 exquisitely rendered illustrations and clinical images delineate anatomical components with stunning accuracy This volume is an essential reference for every vascular neurosurgeon. The book demonstrates in meticulous detail how the art and science of map-making is a path to crystallizing the art and science of cavernoma resection. The taxonomy provides a consistent nomenclature for discussion while providing technical and navigational nuance, inspiring confidence, and empowering neurosurgeons to improve patient outcomes. This print book includes a scratch off code to access a complimentary digital copy on MedOne. Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product....

Biographie:
- Section I The Tenets - 1 Taxonomy - 1.1 Classifying Surgical Pathology - 1.2 Informing Surgical Strategy - 1.3 Neuroanatomy - 1.4 Neuroradiology - 1.5 Neurology - 1.6 Neurosurgery - 1.7 Seven Cavernomas Framework - 2 Subarachnoid Dissection - 2.1 Seven Surgical Corridors - 2.1.1 Cerebral Sulci - 2.1.2 Sylvian Fissure - 2.1.3 Interhemispheric Fissure - 2.1.4 Ventricular System - 2.1.5 Tentorial Fissure - 2.1.6 Cerebellopontine Cistern - 2.1.7 Cisterna Magna - 2.2 Conclusion - 3 Triangle Concept - 3.1 The Triangle Concept - 3.2 A System of Anatomical Triangles - 3.3 Midbrain Triangles - 3.3.1 Carotid-Oculomotor Triangle - 3.3.2 Oculomotor-Tentorial Triangle - 3.3.3 Supracerebellar-Supratrochlear and Supracerebellar-Infratrochlear Triangles - 3.3.4 Infragalenic Triangle - 3.4 Pontine Triangles - 3.4.1 Posteromedial (Kawase) Triangle - 3.4.2 Glossopharyngeal-Cochlear Triangle - 3.4.3 Supra- and Infratrigeminal Triangles - 3.4.4 Interlobular Triangle - 3.5 Medullary Triangles - 3.5.1 Vertebrobasilar Junctional Triangle - 3.5.2 Subtonsillar Triangle - 3.5.3 Vagoaccessory Triangle - 3.5.4 Cerebellar Vallecular Triangle - 3.6 Thalamic and Basal Ganglial Triangles - 3.6.1 Supracarotid-Infrafrontal Triangle - 3.6.2 Caudate-Thalamostriate Triangle - 3.6.3 Septocaudate Triangle - 3.6.4 Infragalenic Triangle - 3.7 Cerebral and Cerebellar Triangles - 3.7.1 Vallecular Triangle - 3.7.2 Interlobular Triangle - 3.8 Clinical Evidence - 3.9 Conclusion - 4 Arterial Landmarks - 4.1 Rivers of the Brain - 4.2 Middle Cerebral Arteries - 4.3 Anterior Cerebral Arteries - 4.4 Internal Carotid Artery - 4.5 Posterior Cerebral Arteries - 4.6 Superior Cerebellar Artery - 4.7 Anterior Inferior Cerebellar Artery - 4.8 Posterior Inferior Cerebellar Artery - 4.9 Arterial Dissection Codes - 5 Safe Entry Zones - 5.1 From Inoperable to Operable - 5.2 Clinical Evidence - 5.3 The Safety of Safe Entry Zones - 5.4 The 21 Brainstem Safe Entry Zones - 5.5 Midbrain Safe Entry Zones - 5.5.1 Interpeduncular Zone - 5.5.2 Anterior Mesencephalic Zone - 5.5.3 Lateral Mesencephalic Sulcus Zone - 5.5.4 Intercollicular Zone - 5.5.5 Supracollicular and Infracollicular Zones - 5.6 Pontine Safe Entry Zones - 5.6.1 Supratrigeminal and Infratrigeminal - 5.6.2 Middle Cerebellar Peduncle or Lateral Pontine - 5.6.3 Area Acustica - 5.6.4 Median Sulcus (Pons) - 5.6.5 Suprafacial Collicular - 5.6.6 Superior Foveal - 5.6.7 Pontomedullary Sulcus - 5.7 Medullary Safe Entry Zones - 5.7.1 Anterolateral Sulcus - 5.7.2 Olive - 5.7.3 Posterolateral Sulcus and Lateral Medullary - 5.7.4 Median Sulcus (Medulla) - 5.7.5 Infrafacial Collicular - 5.7.6 Posterior Median Sulcus - 5.7.7 Posterior Intermediate Sulcus - 5.8 Accuracy of Preoperative MRI in Determining Surface Proximity - 5.9 Neuronavigation, Hemosiderin Stain, and Neuromonitoring - 5.10 Brainstem CM Taxonomy and Associated SEZs - 6 Resection Technique - 6.1 The Mulberry - 6.2 Extracapsular Resection Technique - 6.3 Intracapsular Resection Technique - 6.4 Brain Transgression - 6.5 Technical Overview of the Trans-MCP Approach - 6.6 Superomedial Trajectory Beyond the SEZ: Superior Cerebellar Peduncle - 6.7 Posteromedial Trajectory Beyond the SEZ: Pontine Tegmentum - 6.8 Invisible Triangles - 6.9 Orienteering Beyond - 7 Eloquent Noneloquence - 7.1 Ten Percent Myth - 7.2 Eloquent Noneloquence - 7.3 Clinical Evidence - 7.4 Eloquent Cortex - 7.5 Large-Scale Brain Networks - 7.6 Seven Hotspots of Cerebral Eloquence - 7.7 Expanding the Concept of Cerebral Eloquence - 8 Residual and Recurrent Cavernous Malformations - 8.1 Problem of Recurrence - 8.2 Clinical Evidence - 8.3 Detection - 8.4 Surgical Blind Spots - 8.5 Right-Angle Method - 8.6 Fine Line - 9 Patient Selection - 9.1 Rationale for a Brainstem Cavernous Malformation Grading Scale...

Sommaire:
- Section I The Tenets - 1 Taxonomy - 1.1 Classifying Surgical Pathology - 1.2 Informing Surgical Strategy - 1.3 Neuroanatomy - 1.4 Neuroradiology - 1.5 Neurology - 1.6 Neurosurgery - 1.7 Seven Cavernomas Framework - 2 Subarachnoid Dissection - 2.1 Seven Surgical Corridors - 2.1.1 Cerebral Sulci - 2.1.2 Sylvian Fissure - 2.1.3 Interhemispheric Fissure - 2.1.4 Ventricular System - 2.1.5 Tentorial Fissure - 2.1.6 Cerebellopontine Cistern - 2.1.7 Cisterna Magna - 2.2 Conclusion - 3 Triangle Concept - 3.1 The Triangle Concept - 3.2 A System of Anatomical Triangles - 3.3 Midbrain Triangles - 3.3.1 Carotid-Oculomotor Triangle - 3.3.2 Oculomotor-Tentorial Triangle - 3.3.3 Supracerebellar-Supratrochlear and Supracerebellar-Infratrochlear Triangles - 3.3.4 Infragalenic Triangle - 3.4 Pontine Triangles - 3.4.1 Posteromedial (Kawase) Triangle - 3.4.2 Glossopharyngeal-Cochlear Triangle - 3.4.3 Supra- and Infratrigeminal Triangles - 3.4.4 Interlobular Triangle - 3.5 Medullary Triangles - 3.5.1 Vertebrobasilar Junctional Triangle - 3.5.2 Subtonsillar Triangle - 3.5.3 Vagoaccessory Triangle - 3.5.4 Cerebellar Vallecular Triangle - 3.6 Thalamic and Basal Ganglial Triangles - 3.6.1 Supracarotid-Infrafrontal Triangle - 3.6.2 Caudate-Thalamostriate Triangle - 3.6.3 Septocaudate Triangle - 3.6.4 Infragalenic Triangle - 3.7 Cerebral and Cerebellar Triangles - 3.7.1 Vallecular Triangle - 3.7.2 Interlobular Triangle - 3.8 Clinical Evidence - 3.9 Conclusion - 4 Arterial Landmarks - 4.1 Rivers of the Brain - 4.2 Middle Cerebral Arteries - 4.3 Anterior Cerebral Arteries - 4.4 Internal Carotid Artery - 4.5 Posterior Cerebral Arteries - 4.6 Superior Cerebellar Artery - 4.7 Anterior Inferior Cerebellar Artery - 4.8 Posterior Inferior Cerebellar Artery - 4.9 Arterial Dissection Codes - 5 Safe Entry Zones - 5.1 From Inoperable to Operable - 5.2 Clinical Evidence - 5.3 The Safety of Safe Entry Zones - 5.4 The 21 Brainstem Safe Entry Zones - 5.5 Midbrain Safe Entry Zones - 5.5.1 Interpeduncular Zone - 5.5.2 Anterior Mesencephalic Zone - 5.5.3 Lateral Mesencephalic Sulcus Zone - 5.5.4 Intercollicular Zone - 5.5.5 Supracollicular and Infracollicular Zones - 5.6 Pontine Safe Entry Zones - 5.6.1 Supratrigeminal and Infratrigeminal - 5.6.2 Middle Cerebellar Peduncle or Lateral Pontine - 5.6.3 Area Acustica - 5.6.4 Median Sulcus (Pons) - 5.6.5 Suprafacial Collicular - 5.6.6 Superior Foveal - 5.6.7 Pontomedullary Sulcus - 5.7 Medullary Safe Entry Zones - 5.7.1 Anterolateral Sulcus - 5.7.2 Olive - 5.7.3 Posterolateral Sulcus and Lateral Medullary - 5.7.4 Median Sulcus (Medulla) - 5.7.5 Infrafacial Collicular - 5.7.6 Posterior Median Sulcus - 5.7.7 Posterior Intermediate Sulcus - 5.8 Accuracy of Preoperative MRI in Determining Surface Proximity - 5.9 Neuronavigation, Hemosiderin Stain, and Neuromonitoring - 5.10 Brainstem CM Taxonomy and Associated SEZs - 6 Resection Technique - 6.1 The Mulberry - 6.2 Extracapsular Resection Technique - 6.3 Intracapsular Resection Technique - 6.4 Brain Transgression - 6.5 Technical Overview of the Trans-MCP Approach - 6.6 Superomedial Trajectory Beyond the SEZ: Superior Cerebellar Peduncle - 6.7 Posteromedial Trajectory Beyond the SEZ: Pontine Tegmentum - 6.8 Invisible Triangles - 6.9 Orienteering Beyond - 7 Eloquent Noneloquence - 7.1 Ten Percent Myth - 7.2 Eloquent Noneloquence - 7.3 Clinical Evidence - 7.4 Eloquent Cortex - 7.5 Large-Scale Brain Networks - 7.6 Seven Hotspots of Cerebral Eloquence - 7.7 Expanding the Concept of Cerebral Eloquence - 8 Residual and Recurrent Cavernous Malformations - 8.1 Problem of Recurrence - 8.2 Clinical Evidence - 8.3 Detection - 8.4 Surgical Blind Spots - 8.5 Right-Angle Method - 8.6 Fine Line - 9 Patient Selection - 9.1 Rationale for a Brainstem Cavernous Malformation Grading Scale...