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Книги по МРТ КТ на английском языке / Neurosurgery Fundamentals Agarval 1 ed 2019

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Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

Neurosurgery Fundamentals

Nitin Agarwal, MD

Neurosurgery Resident

Enfolded Spine Surgery Fellow

Department of Neurological Surgery

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania

301 illustrations

Thieme

New York • Stuttgart • Delhi • Rio de Janeiro

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

Acquisitions Editor: Timothy Hiscock

Managing Editor: Gaurav Prabhu

Director, Editorial Services: Mary Jo Casey

Production Editor: Shivika

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Senior Vice President and Chief Operating

Officer: Sarah Vanderbilt

President: Brian D. Scanlan

Library of Congress Cataloging-in-Publication Data

Names: Agarwal, Nitin, 1989editor.

Title: Neurosurgery fundamentals / [edited by] Nitin Agarwal.

Description: New York : Thieme, [2019] | Includes bibliographical references and index. |

Identifiers: LCCN 2018027440 (print) | LCCN 2018027970 (ebook) | ISBN 9781626238251

| ISBN 9781626238220 | ISBN 9781626238251 (eISBN)

Subjects: | MESH: Neurosurgical Procedures | Neurosurgery—methods | Neurosurgeons Classification: LCC RD593 (ebook) | LCC RD593 (print) | NLM WL 368 | DDC 617.4/8—dc23

LC record available at https://lccn.loc.gov/ 2018027440

© 2019 Thieme Medical Publishers, Inc. Thieme Publishers New York

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ISBN 978-1-62623-822-0

Also available as an e-book: eISBN 978-1-62623-825-1

Important note: Medicine is an ever-changing science undergoing continual development. Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book.

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Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation without the publisher’s consent is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electro- nic data processing and storage.

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

To my family for the unconditional support.

To my fellow residents for helping me carry the message. To my mentors for educating me in the art of neurosurgery. To my patients for teaching me on a daily basis.

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

Contents

 

Preface . . . . . . . . . . . . . . . . . . . . . . .

. . .

. . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

xiii

 

Contributors . . . . . . . . . . . . . . . . .

. . .

. . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. .

.xv.

1

Roadmap to a Career in Neurosurgery . .

. . . . .

. . . . . . . . . . . . . . . . . . . . . . . .

. .

. 1. . . . .

 

Ahmed Kashkoush, David T Fernandes Cabral, Robert M Friedlander

 

 

1. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

1

1. 3 .

Profiles . . . . . . . . . . . . . . . . . . . . . . . .

.

7

1. 2 .

Applications.. . . . . . . . . . . . . . . . . . . .

.

1

 

 

 

 

2

History of Neurological Surgery . .

. . .

. . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

13

 

Edward G Andrews, Chandranath Sen

 

 

 

 

 

2. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

13

2..4

Spinal Neurosurgery . . . . . . . . . . . . .

.

17

2..2

The Pre-Cushing Era. . . . . . . . . . . . . .

.

14

2. 5 .

Instrumentation . . . . . . . . . . . . . . . . .

.

17

2..3

The Cushing Era. . . . . . . . . . . . . . . . .

.

15

 

 

 

 

3

Neurological Examination . . . . . . .

. . .

. . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

23

 

Prateek Agarwal, Daniel Y Zhang, M Sean Grady

 

 

 

3. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

23

3..6

Sensory Examination . . . . . . . . . . . . .

.

32

3..2

Mental Status. . . . . . . . . . . . . . . . . . .

.

23

3..7

Gait and Coordination . . . . . . . . . . . .

.

32

3..3

Cranial Nerves . . . . . . . . . . . . . . . . . .

.

23

3..8

Special Tests . . . . . . . . . . . . . . . . . . . .

.

34

3..4

Motor Examination . . . . . . . . . . . . . .

.

28

3..9

Top Hits .. . . . . . . . . . . . . . . . . . . . . . .

.

37

3..5

Reflex Examination . . . . . . . . . . . . . .

.

31

 

 

 

 

4

Neuroanatomy . . . . . . . . . . . . . . . .

. . .

. . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

40

 

David T Fernandes Cabral, Sandip S Panesar, Joao T Alves Belo, Juan C Fernandez-Miranda

 

 

4. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

40

4..6

Spinal Cord. . . . . . . . . . . . . . . . . . . . .

.

57

4..2

Bones of the Skull . . . . . . . . . . . . . . .

.

40

4..7

Vertebral Column .. . . . . . . . . . . . . . .

.

60

4. 3 .

Cerebrum.. . . . . . . . . . . . . . . . . . . . . .

.

42

4..8

Vascular Anatomy . . . . . . . . . . . . . . .

.

69

4. 4 .

Brainstem. . . . . . . . . . . . . . . . . . . . . .

.

50

4..9

Top Hits .. . . . . . . . . . . . . . . . . . . . . . .

.

78

4. 5 .

Cisterns . . . . . . . . . . . . . . . . . . . . . . . .

.

57

 

 

 

 

5

Neuroradiology for the Neurosurgeon . .

. . . . .

. . . . . . . . . . . . . . . . . . . . . . . .

. . .

81. . . . .

 

David R Hansberry, Kofi-Buaku Atsina, Mougnyan Cox, Adam E Flanders

 

 

5. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

81

5..4

Clinical Scenarios . . . . . . . . . . . . . . . .

.

85

5..2

Computed Tomography.. . . . . . . . . .

.

81

5..5

Top Hits .. . . . . . . . . . . . . . . . . . . . . . .

.

95

5..3

Magnetic Resonance . . . . . . . . . . . . .

.

82

 

 

 

 

vii

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.

Contents

6

Operating Room . . . . . . . . . . . . . . .

. .

. . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

97

 

Hanna Algattas, Kristopher Kimmell, G Edward Vates

 

 

6. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

97

6..7

Bedside Procedures . . . . . . . . . . . . .

.

101

6..2

Operating Room . . . . . . . . . . . . . . . .

.

97

6..8

Cranial Approaches . . . . . . . . . . . . . .

.

104

6..3

Cranial Positioning . . . . . . . . . . . . . . .

.

97

6..9

Spinal Approaches. . . . . . . . . . . . . . .

.

112

6..4

Spinal Positioning. . . . . . . . . . . . . . . .

.

98

6. 10.

Pediatric .......................

.

115

6..5

Positioning-Related Complications. .

.

100

6. 11.

Functional . . . . . . . . . . . . . . . . . . . . . .

.

117

6..6

Cerebral Relaxation . . . . . . . . . . . . . .

.

101

6..12

Top Hits .. . . . . . . . . . . . . . . . . . . . . . .

.

118

7

Neurocritical Care . . . . . . . . .

.

. . .

. . . .

. . . . . . . . . . . . . . . . . . . .

.

121. . . . . . . .

 

Xiaoran Zhang, Lori Shutter

 

 

 

 

 

 

7. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

121

7..5

Cerebral Metabolism and

 

 

7..2

Respiratory Physiology

.

121

 

Perfusion .. . . . . . . . . . . . . . . . . . . . . .

.

125

 

 

 

 

7. 3 .

Shock .. . . . . . . . . . . . . . . . . . . . . . . . .

.

123

7..6

Hematology and Coagulation. . . . . .

.

126

7..4

Fluid and Electrolytes . . . . . . . . . . . .

.

124

7..7

Top Hits .. . . . . . . . . . . . . . . . . . . . . . .

.

128

8

Traumatic Brain Injury . . . . . .

.

. . . .

. . . .

. . . . . . . . . . . . . . . . . . . .

.

130. . . . . . . .

 

Christine Mau, Shelly Timmons

 

 

 

 

 

 

8. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

130

8. 5 .

Anticoagulation.. . . . . . . . . . . . . . . . .

.

140

8..2

Classification of Head Injury. . . . . . .

.

130

8..6

Penetrating Trauma . . . . . . . . . . . . . .

.

143

8. 3 .

Monitoring.. . . . . . . . . . . . . . . . . . . . .

.

138

8..7

Top Hits . . . . . . . . . . . . . . . . . . . . . . . .

.

144

8..4

ICP Treatment .. . . . . . . . . . . . . . . . . .

.

138

 

 

 

 

9

Spinal Trauma . . . . . . . . . . . . . . . . .

. .

. . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.

150

 

Katherine E Wagner, Jamie Ullman

 

 

 

 

 

 

9. 1 .

Introduction. . . . . . . . . . . . . . . . . . . .

.

150

9..10

Cervical Injuries. . . . . . . . . . . . . . . . . .

.

155

9. 2 .

Examination.. . . . . . . . . . . . . . . . . . . .

.

150

9..11

C1 Fractures . . . . . . . . . . . . . . . . . . . .

.

157

9. 3 .

Imaging .. . . . . . . . . . . . . . . . . . . . . . .

.

150

9..12

Additional Principles for Cervical

 

 

9. 4 .

Shock

.

151

 

Trauma.. . . . . . . . . . . . . . . . . . . . . . . .

. 162

 

 

 

 

9. 5 .

Steroids . . . . . . . . . . . . . . . . . . . . . . . .

.

151

9..13

Thoracic Injuries . . . . . . . . . . . . . . . . .

.

163

9. 6 .

Immobilization . . . . . . . . . . . . . . . . . .

.

151

9..14

Thoracolumbar and Lumbar Spine

 

163

 

 

 

 

 

Injuries . . . . . . . . . . . . . . . . . . . . . . . . .

.

9..7

Spinal Cord Syndromes . . . . . . . . . . .

.

152

9..15

Sacral Fractures. . . . . . . . . . . . . . . . . .

.

165

9..8

Spinal Column Model . . . . . . . . . . . .

.

153

9..16

Top Hits .. . . . . . . . . . . . . . . . . . . . . . .

.

165

9..9

Cervical Spine .. . . . . . . . . . . . . . . . . .

.

155

 

 

 

 

viii

Agarwal, Neurosurgery Fundamentals (ISBN 978-1-62623-822-0), copyright © 2019 Thieme Medical Publishers. All rights reserved. Usage subject to terms and conditions of license.