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(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Source Type: journals

Endovascular Management of Extracranial Carotid and Vertebral DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endovascular therapies have become a mainstream option for treatment of many extracranial vascular disorders and is the preferred management strategy for vascular injury secondary to head and neck malignancy. The interventionalist must be familiar with the clinical trials as basis for the management of extracranial atherosclerotic disease as well as understanding the therapeutic options, risks, and benefits. Nonatherosclerotic injury including trauma, injury due to neoplasm or its treatment, and idiopathic lesions have unique considerations important to the use and deployment of various devices. The diagnostic approaches, ...
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Hjalti M. Thorisson, Michele H. Johnson Source Type: journals

Neuroendovascular Management of Tumors and Vascular Malformations of the Head and NeckEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endovascular procedures are rapidly expanding as treatment options for cerebrovascular diseases and neoplasms of the head and neck and are becoming less invasive but more effective. There are potentially dangerous anastomoses between the extracranial and intracranial circulations; hence, thorough knowledge of the anatomy is essential to minimize the risk of cranial nerve palsies, blindness, or neurologic deficits. It is essential to understand the scientific basis of treatment rationale based on advancing new neuroimaging techniques to better serve patients. An interdisciplinary approach and treatment in high-volume center...
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Laligam N. Sekhar, Arundhati Biswas, Danial Hallam, Louis J. Kim, James Douglas, Basavaraj Ghodke Source Type: journals

Neuroendovascular Management of Carotid Cavernous FistulaeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Carotid-cavernous fistulae are abnormal arterial communications within the cavernous sinus. Endovascular obliteration is the mainstay therapy for the definitive treatment of these lesions. Several approaches have been described. These include transarterial or transvenous embolization with balloons, coils, particles, or covered stents, and arterial sacrifice. The preferred technique is based on the fistula type (direct or indirect), microanatomy, chronicity, and the extent of the arterial defect. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Stavropoula I. Tjoumakaris, Pascal M. Jabbour, Robert H. Rosenwasser Source Type: journals

Neuroendovascular Management of Vasospasm Following Aneurysmal Subarachnoid HemorrhageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cerebral vasospasm continues to be the leading treatable cause of death and disability in patients with subarachnoid hemorrhage. Transluminal balloon angioplasty has been considered a safe and effective treatment for cerebral vasospasm resistant to maximal medical treatment. However, it should be performed in a timely manner, any delays could potentially increase the risk of hemorrhagic infarct. Angioplasty in the affected territory may be of benefit in improving not only the angiographic appearance but also the ultimate outcome for the patient, if performed in a timely fashion. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Pascal M. Jabbour, Stavropoula I. Tjoumakaris, Robert H. Rosenwasser Source Type: journals

Neuroendovascular Management of Dural Arteriovenous MalformationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dural arteriovenous fistulas are characterized by abnormal arteriovenous shunting localized to the pachymeninges. Fistulae venous drainage is essential to their classification, symptomatology, and treatment. Endovascular therapy is rapidly progressing to an adjunct or even alternative treatment to microsurgical resection. Several techniques, such as transarterial or transvenous embolization with metallic coils, NBCA, or Onyx, have been used successfully in several studies. The long-term clinical and radiographic outcomes of endovascular therapy for the treatment of dural arteriovenous fistulas are satisfactory, and future ...
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Kathleen A. McConnell, Stavropoula I. Tjoumakaris, Jason Allen, Maksim Shapiro, Tibor Bescke, Pascal M. Jabbour, Robert H. Rosenwasser, Peter K. Nelson Source Type: journals

Neuroendovascular Management of Acute Ischemic StrokeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endovascular reperfusion therapy is evolving as a promising treatment in the setting of acute ischemic stroke. Careful patient selection and angiographic evaluation of the location and extent of occlusion are necessary for the successful management of stroke patients. Intra-arterial chemical thrombolysis, with such agents as alteplase and urokinase, has shown favorable results in the early management of cerebrovascular ischemia. Mechanical thrombolysis is becoming an adjunctive or alternative treatment therapy via novel clot dissolution and retrieval techniques. Existing and upcoming trials are investigating the safety and...
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Stavropoula I. Tjoumakaris, Pascal M. Jabbour, Robert H. Rosenwasser Source Type: journals

Endovascular Treatment of Intracranial Arteriovenous MalformationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arteriovenous malformations (AVMs) of the brain are vascular lesions in which an abnormal tangle or nidus of vessels permits pathologic shunting of blood flow from the arterial to the venous tree without an intervening capillary bed. With brain imaging techniques, an increasing number of AVMs are detected before they hemorrhage, leading to new considerations and modifications of interdisciplinary management strategies. Treatment options include endovascular embolization, microsurgical resection, radiosurgery, medical management, or a combination of these. Neuroendovascular therapy is a critical component of this multidisci...
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Dorothea Strozyk, Raul G. Nogueira, Sean D. Lavine Source Type: journals

Endovascular Management of Intracranial AneurysmsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Data from our clinical series and others supports the idea that endovascular coil embolization is a reliable form of treatment for both ruptured and unruptured cerebral aneurysms. This form of treatment appears from preliminary data to be protective against subarachnoid hemorrhage. Although not likely to replace open surgery, the continued advancements in technology and supportive clinical data will allow endovascular therapy to become a more durable mode of treatment. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Pascal M. Jabbour, Stavropoula I. Tjoumakaris, Robert H. Rosenwasser Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is the second of 2 issues in a series on current thoughts, concepts, and the practice of neuroendovascular therapy. It deals with different neurovascular pathologies and their endovascular treatment, visiting different subjects from tumor embolizations to carotid cavernous fistulae, intracranial aneurysms, vasospasm, arteriovenous malformations, stroke, carotid and vertebral disease, and dural arteriovenous malformation. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Authors: Robert H. Rosenwasser, Pascal M. Jabbour Source Type: journals

Forthcoming issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 30, 2009 Category: Neurosurgery Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Source Type: journals

Intracranial Endovascular Balloon Test Occlusion—Indications, Methods, and Predictive ValueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the indications, methods, predictive value, and complications of the balloon test occlusion. It also briefly describes the Wada test in the context of preoperative evaluation of patients who are candidates for temporal lobectomy. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: N. Chaudhary, J.J. Gemmete, B.G. Thompson, A.S. Pandey Source Type: journals

Inferior Petrosal Sinus Sampling in the Diagnosis of Sellar NeuropathologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Because no single test is definitive for Cushing's disease (CD), establishing the diagnosis has remained a challenge that relies on building a critical mass of evidence. The differential diagnosis of corticotropin (ACTH)-dependent Cushing's syndrome (CS) traditionally has rested on noninvasive biochemical and radiologic testing. Bilateral inferior petrosal sinus sampling (BIPSS) is an invasive procedure that has become part of the diagnostic armamentarium surrounding CD. When used appropriately—that is, for patients who have biochemically confirmed ACTH-dependent CS but discordant biochemical or radiologic studies—BIPS...
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Nestor D. Tomycz, Michael B. Horowitz Source Type: journals

Percutaneous VertebroplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Vertebroplasty, the augmentation of vertebral compression fractures by image-controlled intracorporeal injection of polymethylmethacrylate cement, has shown a steady increase in use. Its chief indication is to palliate pain after a failure of noninvasive therapies. Other benefits include preventing further compression of the treated vertebra and fusing unstable fractures. Controversies include questions regarding its long-term benefit compared with natural history, claims of height restoration, biomechanical compromise of adjacent vertebrae, and its performance compared with kyphoplasty. Complications are uncommon but can ...
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Michael C. Hurley, Rami Kaakaji, Guilherme Dabus, Ali Shaibani, Mathew T. Walker, Richard G. Fessler, Bernard R. Bendok Source Type: journals

Techniques and Devices in Neuroendovascular ProceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews and discusses many of the currently available techniques and devices in the neuroendovascular arena. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Kenneth M. Liebman, Meryl A. Severson Source Type: journals

Advanced Imaging Applications for Endovascular ProceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article addresses current state-of the-art imaging applications as well as a few techniques on the horizon that show great promise in helping to characterize those lesions amenable to endovascular therapy. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Lisa M. Tartaglino, Richard J.T. Gorniak Source Type: journals

Intracranial Collateral Anastomoses: Relevance to Endovascular ProceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides a brief overview of cranial vascular development, followed by specific clinically relevant examples of extracranial and intracranial anastomoses and the internal carotid artery and vertebrobasilar anastomoses. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Adnan H. Siddiqui, Peng R. Chen Source Type: journals

Neurovascular Anatomy: A Practical GuideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents a different approach to neurovascular anatomy, starting with the venous system and demonstrating both normal and pathologic states. It reviews the cerebral circulation with attention to the microsurgical relationships, angiographic patterns, and fusion of dual-volume imaging. The importance of bony, sulcal, and ventricular anatomy is presented as it relates to the angiographic representation of pathologic lesions. Examples are given of anatomic variants seen with the operating microscope, biplanar angiography, and three-dimensional rotational angiography.” Note that in the synopsis and throughout th...
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Randy Bell, Meryl A. Severson, Rocco A. Armonda Source Type: journals

The Vascular Anatomy of the Vertebro-Spinal AxisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the vascular anatomy of the vertebra-spinal axis and covers such topics as vascular supply to the spine, spinal dura, and paraspinal musculature; vascular supply to the spinal cord; and spinal veins. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Tibor Becske, Peter Kim Nelson Source Type: journals

Vascular Anatomy: The Head, Neck, and Skull BaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Knowledge of the anatomy of the vasculature of the head and neck from the thorax to the skull base is critical to the approach to diagnosis and treatment of cerebrovascular disease. Awareness of the anatomic variations that may be encountered, common and uncommon, is necessary to avoid diagnostic pitfalls and to avert therapeutic disasters. Careful anatomic analysis and understanding of collateral pathways and dangerous anastomoses facilitates cross-sectional and angiographic diagnosis and the development of surgical and endovascular treatment strategies. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Michele H. Johnson, Hjalti M. Thorisson, Michael L. DiLuna Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is the first of two issues on a series of current thoughts, concepts, and practice of neuroendovascular therapy. The authors of these two issues come from backgrounds in neurology, neurosurgery, and interventional neuroradiology, demonstrating the way in which the various disciplines have come together for better patient care. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Authors: Robert H. Rosenwasser, Pascal M. Jabbour Source Type: journals

Forthcoming issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - June 30, 2009 Category: Neurosurgery Source Type: journals

The Development of Robotics for Interventional MRIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the development and clinical application of neuroArm, a magnetic resonance—compatible robot capable of both stereotaxy and microsurgery. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Shelly Lwu, Garnette R. Sutherland Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Source Type: journals

ErratumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the October 2008 issue of Neurosurgery Clinics of North America, the affiliations listed for the authors of Magnetic Resonance Imaging of Peripheral Nerves were incorrect. Dr. Amrami and Dr. Felmlee were incorrectly identified as affiliated with the Division of Magnetic Resonance Imaging. They are both affiliated with the Department of Radiology, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Source Type: journals

Future Directions: Use of Interventional MRI for Cell-Based Therapy of Parkinson DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article briefly reviews some of the relevant issues regarding the transplantation of cells for treatment of PD and hypothesizes how interventional MRI may be useful to optimize the surgical delivery of cells for PD and other central nervous system disorders. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Joshua Roskom, Andrzej Swistowski, Xianmin Zeng, Daniel A. Lim Source Type: journals

Future Applications: Gene TherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Gene therapy for brain disorders is one of the most promising frontiers in the practice of restorative neurosurgery. There are significant experimental gene therapy initiatives underway that have led to currently active clinical trials using direct intracerebral delivery of viral vectors, and these treatments have been reported as safe and well tolerated. In the future, other clinical trials will likely use viral vectors to transfer genes that bestow on recipient tissue a desired enzymatic or neurotrophic activity relevant to the treatment of other neurodegenerative diseases, stroke, and traumatic brain injury. (Source: Ne...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: R.M. Richardson, V. Varenika, J.R. Forsayeth, K.S. Bankiewicz Source Type: journals

Implantation of Deep Brain Stimulator Electrodes Using Interventional MRIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors describe a method for placement of deep brain stimulator electrodes using interventional MRI in conjunction with a skull-mounted aiming device (Medtronic Nexframe). This approach adapts the procedure to a standard-configuration 1.5-T diagnostic MRI scanner in a radiology suite. Preoperative imaging, device implantation, and postimplantation MRI are integrated into a single procedure performed under general anesthesia, providing real-time, high-resolution magnetic resonance confirmation of electrode position. The method is conceptually simpler than the current standard technique for deep brain stimulator placeme...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Philip A. Starr, Alastair J. Martin, Paul S. Larson Source Type: journals

Devices for Targeting the NeedleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For decades the gold standard device for stereotactic procedures has been a frame-based system that is rigidly attached to the head. More recently, frameless systems have been developed. More than 10 years after its introduction, the frameless system has not replaced its predecessor; most surgeons still prefer the frame-based system. Both systems rely on preoperative images that are registered to fiducial markers intraoperatively to meld image space to physical space. As a result, neither type of system is capable of providing real-time visualization of the brain target. A targeting device that works in conjunction with re...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Carol J. Barbre Source Type: journals

Software Requirements for Interventional MR in Restorative and Functional NeurosurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Interventional MRI (iMRI) holds great promise for optimally guiding and monitoring restorative and functional neurosurgical procedures. This technology has already been used to guide ablative therapies and insert deep brain stimulation electrodes, and many future applications are envisioned. An optimized software interface is crucial for efficiently integrating the imaging data acquired during these procedures. MR systems are largely dedicated to image prescription and acquisition, whereas neuronavigation systems typically operate with previously acquired static data. An optimal software interface for iMRI requires fusion ...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Alastair J. Martin, Philip A. Starr, Paul S. Larson Source Type: journals

Three-Tesla High-Field ApplicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors believe that 3-T intraoperative MRI (iMRI) is likely to become the standard of care for a wide range of neurosurgical procedures. Although 3-T high-field image acquisition does pose challenges, the advantages of this field strength, such as superior visualization of soft tissue and clear delineation of any residual tumor tissue, are clearly optimized using this equipment. Additionally, the use of 3-T high-field scanning offers functional options, such as brain activation studies and complex vascular imaging, that are unavailable with low- and midfield iMRI systems. The authors believe that the cost and effort n...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Peter D. Kim, Charles L. Truwit, Walter A. Hall Source Type: journals

Intraoperative MRI with 1.5 Tesla in NeurosurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
1.5 Tesla High-field MRI has been successfully integrated into operating theatres. State-of-the-art microneurosurgical equipment and computer-assisted navigation are merged with the MR to form a comprehensive unit. The set-up of an intraoperative MRI solution is delineated with special regards to the workflow. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Arya Nabavi, Lutz Dörner, Andreas M. Stark, H. Maximilian Mehdorn Source Type: journals

Anesthesia in the Intraoperative MRI EnvironmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intraoperative MRI (iMRI) can be applied in several surgical settings. The incorporation of MRI technology into the operating room requires special considerations. The size and design of the operating room, including the equipment introduced into this setting, must be MR safe and allow adequate anesthesia monitoring and care. There are general restrictions and perils that may present in an operating room setting because of the MRI technology involving the monitoring equipment, anesthesia machine, and infusion devices. Incorporating the MRI technology into the operating room presents a new challenge in a transdisciplinary e...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Sergio D. Bergese, Erika G. Puente Source Type: journals

Intraoperative MRI: SafetyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intraoperative and interventional MR have opened a new chapter in neurosurgery bringing both new therapeutic opportunities and creating unique safety challenges for the MR operating room. The presence of a large magnetic field in the otherwise familiar environment of the operating room necessitates site-specific comprehensive policies for safety, staff training, infection control, and MR compatibility. Intraoperative MRI also creates unique MR image interpretation challenges that are of paramount significance for patient safety. These safety concerns are reviewed with particular reference to the nine years experience of th...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Thomas Johnston, Robert Moser, Karen Moeller, Thomas M. Moriarty Source Type: journals

Origins of Intraoperative MRIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the various systems that have been designed over the last decade to meet the requirements of neurosurgical patients and opines on the potential future developments in the technology and application of intraoperative MRI. Because the greatest amount of experience with intraoperative MRI comes from its use in brain tumor resection, this article focuses on the origins of intraoperative MRI in relation to this field. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: John M.K. Mislow, Alexandra J. Golby, Peter M. Black Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Imaging technologies have led to tremendous advancements in the field of neurosurgery, and this merging of imaging with surgical techniques is particularly evident in the recent developments of interventional or intraoperative magnetic resonance imaging (iMRI). Over the past 20 years, iMRI has evolved from a technique intended to improve the surgical outcome for brain tumor resections to one that is particularly well suited for the treatment of disorders in functional neurosurgery. As Guest Editors of this issue of Neurosurgery Clinics of North America, we have assembled a series of articles related to iMRI with topics spa...
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Authors: Daniel A. Lim, Paul S. Larson Source Type: journals

Forthcoming issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - March 31, 2009 Category: Neurosurgery Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Source Type: journals

Peripheral Nerve: What's New in Basic Science LaboratoriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses two clinical applications that have been investigated thoroughly in the laboratory setting for decades and recently tested in the clinical setting: nerve allotransplantation to graft nerve defects, and brief electrical stimulation to promote nerve regeneration. It also discusses the generation of Thy-1-XFP transgenic mice, which express fluorescent proteins in the nervous system and provide new avenues for investigating peripheral nerve regeneration. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: Jae W. Song, Lynda J. Yang, Stephen M. Russell Tags: Translational Peripheral Nerve Research Source Type: journals

Neurostimulation Techniques for Painful Peripheral Nerve DisordersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Disorders of the peripheral nervous system often present a unique challenge to the clinician or surgeon, because the neuropathic pain associated with them can be extremely resistant to typical pain treatments. Painful peripheral nerve disorders often have pain in a particular peripheral nerve distribution, and thus an optimal treatment modality is one that delivers targeted relief to the precise distribution of the pain. To that end, peripheral nerve stimulation (PNS) has undergone several refinements in recent years. New types of stimulation, such as techniques for cranial nerve stimulation and spinal nerve root stimulati...
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: R. Morgan Stuart, Christopher J. Winfree Tags: Peripheral Nerve Pain Source Type: journals

From the Battlefront: Peripheral Nerve Surgery in Modern Day WarfareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Warfare historically causes a large number of peripheral nerve injuries. During the current global war on terror, an increased use of advanced regional anesthesia techniques appears to have significantly reduced pain syndromes that have been previously reported with missile-induced nerve injuries. Additionally, a new program has been established to develop advanced prosthetic devises that can interface with neural tissue to obtain direct neural control. As this technology matures, the functional restoration gained from these new generation prosthetic devices may exceed that which can be obtained by standard nerve repair te...
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: James M. Ecklund, Geoffrey S.F. Ling Tags: Peripheral Nerve Injuries Source Type: journals

Nerve Tubes for Peripheral Nerve RepairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article gives an overview of the experimental and clinical data on nerve tubes for peripheral nerve repair and critically analyzes the data on which the step from laboratory to clinical use is based. In addition, it briefly discusses the different modifications to the common single lumen nerve tubes that may improve the results of generation. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: Godard C.W. de Ruiter, Robert J. Spinner, Michael J. Yaszemski, Anthony J. Windebank, Martijn J.A. Malessy Tags: Peripheral Nerve Injuries Source Type: journals

Iatrogenic Nerve InjuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article on iatrogenic nerve injuries intends to focus on relevant aspects of management from a nerve surgeon's perspective. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: Thomas Kretschmer, Christian W. Heinen, Gregor Antoniadis, Hans-Peter Richter, Ralph W. König Tags: Peripheral Nerve Injuries Source Type: journals

Avoiding Iatrogenic Nerve Injury in Endoscopic Carpal Tunnel ReleaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focuses on some points that are relevant to the safe use of this technique. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: Thomas Kretschmer, Gregor Antoniadis, Hans-Peter Richter, Ralph W. König Tags: Peripheral Nerve Injuries Source Type: journals

Late Reconstruction for Brachial Plexus InjuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines these techniques, their principles, and important details. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: Brian T. Carlsen, Allen T. Bishop, Alexander Y. Shin Tags: Peripheral Nerve Injuries Source Type: journals

Nerve Root ReplantationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Traumatic avulsion of nerve roots from the spinal cord is a devastating event that usually occurs in the brachial plexus of young adults following motor vehicle or sports accidents or in newborn children during difficult childbirth. A strategy to restore motor function in the affected arm by reimplanting into the spinal cord the avulsed ventral roots or autologous nerve grafts connected distally to the avulsed roots has been developed. Surgical outcome is good and useful recovery in shoulder and proximal arm muscles occurs. Pain is alleviated with motor recovery but sensory improvement is poor when only motor conduits have...
Source: Neurosurgery Clinics of North America - January 1, 2009 Category: Neurosurgery Authors: Thomas Carlstedt Tags: Peripheral Nerve Injuries Source Type: journals