Surgical Neuroangiography


Book Description

This book will be helpful to professionals who use the vascular system of the spine, spinal cord, and brain in their practice and in their search for better understanding, reliability, and safety in their decisions and actions by providing a new conceptual approach to the vascular supply to the brain spine and spinal cord. Statements such as "the median cerebral artery is a branch of the anterior cerebral artery" or "the internal carotid and vertebral arteries are minor vessels, they can be absent. They represent the most common distribution pattern to the arterial circle at the base of the brain, but certainly not the only one" show that the authors are far from providing the traditional presentation of the arterial system in man.










Surgical Neuroangiography


Book Description

Embolization has been performed in many European countries and in North America for over 20 years and is now beginning to gain accep tance in other countries. At first, experience with these techniques was shared in the form of individual case reports; today some centers have treated enough patients to be able to transform this anecdotal material into more concrete data. For the last 10 of these 20 years, the two of us have been deeply involved, encouraged, and stimulated by the interest created by the few pioneers in endovascular techniques. In 1978, when we first met, our discussion on embolization could have been summarized as disagreement. It soon became obvious that these differences were primarily related to our different individual back grounds. One of us having a strong orientation toward anatomy, and the other toward technique. We realized that these apparently opposing approaches complement each other and decided to combine them to our mutual benefit. This collaboration has matured into the search for improvements in patient care and for the safest, most reliable, and most responsible manner of treatment.










Vascular Anatomy of the Spinal Cord


Book Description

The idea for this treatise on the radiological anatomy of superficial and deep spinal cord vasculature evolved from daily routine neuroradiological work. This was also the reason for subdividing the monograph into a postmortem anatomical and a clinical part. The actual importance of a clear conception of radio anatomic fundamentals was made clear by many clinical conferences with neurologists, neurosurgeons and orthopedists, where a lack of knowledge about medullary syndromes of suspected vascular origin became evident. Also among neuroradiologists there is still widespread uncertainty in the interpretation of myelograms and angiographies in such cases. A study of the spinal cord's angioarchitecture is all the more justified and necessary considering the vast number of descriptions of cerebro vascular anatomy and pathology. The clinical challenge posed by patients suffering from partial or complete transverse spinal lesions has grown due to new diagnostic and therapeutic approaches. Myelography using water-soluble contrast media, X-ray computed tomography, magnetic resonance imaging and spinal angiography today allow and require both earlier and topographically and pathogenetically more exact classification of diseases of the spinal cord and its surrounding structures. Due to progress in microneurosurgery and interventional neuroradiology, even intramedullary lesions have become more and more accessible and treatable. Therefore this monograph mainly addresses those concerned with invasive therapeutic techniques and who are familiar with the interpretation of radio anatomic findings. A comprehensive description of medullary vascular syndromes would be beyond the scope of this treatise.







Surgical Neuroangiography


Book Description

Based on the principles of functional vascular anatomy and endovascular treatment described in the first three volumes of Surgical Neuroangiography, Volumes 4 and 5 complete the series that takes a revolutionary approach in endovascular neurosurgery. The authors are world leaders, recipients of numerous prizes in medicine, and can offer the unique fruit of their combined anatomical, clinical and therapeutic experience to investigate and understand the disease process, its anatomical features and its relationship to patients' symptoms and treatment planning. Volume 4 is geared to track the vascular abnormalities of the brain; Volume 5 the vascular abnormalities of the spine and spinal cord. Both volumes identify the specifics of vascular lesions and set the interventional neuroradiological techniques before a background of proper clinical analysis and expertise. Each volume emphasizes the strategy and management objectives from an endovascular perspective taking into consideration a multidisciplinary approach where neurologists, neurosurgeons and neuroradiologists examine the clinical presentation, the diagnostic study and the therapeutic options in a joint decision-making process.




The Spinal Cord


Book Description

Many hundreds of thousands suffer spinal cord injuries leading to loss of sensation and motor function in the body below the point of injury. Spinal cord research has made some significant strides towards new treatment methods, and is a focus of many laboratories worldwide. In addition, research on the involvement of the spinal cord in pain and the abilities of nervous tissue in the spine to regenerate has increasingly been on the forefront of biomedical research in the past years. The Spinal Cord, a collaboration with the Christopher and Dana Reeve Foundation, is the first comprehensive book on the anatomy of the mammalian spinal cord. Tens of thousands of articles and dozens of books are published on this subject each year, and a great deal of experimental work has been carried out on the rat spinal cord. Despite this, there is no comprehensive and authoritative atlas of the mammalian spinal cord. Almost all of the fine details of spinal cord anatomy must be searched for in journal articles on particular subjects. This book addresses this need by providing both a comprehensive reference on the mammalian spinal cord and a comparative atlas of both rat and mouse spinal cords in one convenient source. The book provides a descriptive survey of the details of mammalian spinal cord anatomy, focusing on the rat with many illustrations from the leading experts in the field and atlases of the rat and the mouse spinal cord. The rat and mouse spinal cord atlas chapters include photographs of Nissl stained transverse sections from each of the spinal cord segments (obtained from a single unfixed spinal cord), detailed diagrams of each of the spinal cord segments pictured, delineating the laminae of Rexed and all other significant neuronal groupings at each level and photographs of additional sections displaying markers such as acetylcholinesterase (AChE), calbindin, calretinin, choline acetlytransferase, neurofilament protein (SMI 32), enkephalin, calcitonin gene-related peptide (CGRP), and neuronal nuclear protein (NeuN). The text provides a detailed account of the anatomy of the mammalian spinal cord and surrounding musculoskeletal elements The major topics addressed are: development of the spinal cord; the gross anatomy of the spinal cord and its meninges; spinal nerves, nerve roots, and dorsal root ganglia; the vertebral column, vertebral joints, and vertebral muscles; blood supply of the spinal cord; cytoarchitecture and chemoarchitecture of the spinal gray matter; musculotopic anatomy of motoneuron groups; tracts connecting the brain and spinal cord; spinospinal pathways; sympathetic and parasympathetic elements in the spinal cord; neuronal groups and pathways that control micturition; the anatomy of spinal cord injury in experimental animals The atlas of the rat and mouse spinal cord has the following features: Photographs of Nissl stained transverse sections from each of 34 spinal segments for the rat and mouse; Detailed diagrams of each of the 34 spinal segments for rat and mouse, delineating the laminae of Rexed and all other significant neuronal groupings at each level. ; Alongside each of the 34 Nissl stained segments, there are additional sections displaying markers such as acetylcholinesterase, calbindin, calretinin, choline acetlytransferase, neurofilament protein (SMI 32), and neuronal nuclear protein (NeuN) All the major motoneuron clusters are identified in relation to the individual muscles or muscle groups they supply