Neuroendoscopic Surgery

The grow ing body of knowledge and the fast pace of innovation in neuroendoscopic surgery com bine to create a thirst for practical inform ation am ong both new and experienced neurosurgeons. Neuroendoscopic Surgery will do m uch to slake that thirst. In this book, highly experienced contributors from around the world cover the num erous clinical indications and procedures for treating patients using neuroendoscopic surgical techniques. Who better to pull together such a stellar collection of w ritings on the state of the art than a triad of neurosurgeons representative of the span of the prototypical neurosurgeon’s career? They include my esteem ed contem porary, the renow ned senior neurosurgeon Jaim e Torres-Corzo of Mexico, w ho is know n for his work on neurocysticercosis, flexible neuroendoscopy, and m inim ally invasive surgery. Dr. Torres-Corzo stands at the apex of his career at the Autonom ous University of San Luis Potosi Medical School and as president of the Mexican Society of Neurological Surgeons. His coeditors include Dr. Torres-Corzo’s form er student, Dr. Leonardo RangelCastilla, w ho is at the beginning of his career, follow ing a neurosurgery endovascular fellowship at the University at Buffalo in New York. His grow ing clinical training, and already extensive scholarly output, portend a productive academ ic career. Dr. Rangel-Castilla com pleted a cerebrovascular and skull base neurosurgery fellowship w ith us here at Barrow Neurological Institute (BNI) in Phoenix. While w ith us, he also studied w ith my BNI colleague and the third editor of this book, Dr. Peter Nakaji, and indeed, it is from this association that the inspiration for this book arose. Dr. Nakaji bridges these two extrem es of experience of his coauthors, being between them in seniority, but having already m ade significant contributions to m inim ally invasive neurosurgery and neuroendoscopy. These fields have always been a special interest for him beyond the edges of our shared field of cerebrovascular surgery and neurooncology. A dedicated educator, Dr. Nakaji serves as the director of our BNI neurosurgery residency program , is involved in num erous research studies, and has a passion for sharing learning that you w ill find in these pages. These three neurosurgeons have not only recruited an experienced cadre of international colleagues to share their expertise on the topics covered in this collective work but have also contributed substantively to the text them selves. Neuroendoscopic Surgery begins w ith a discussion of the history of this highly skilled surgical art. In Section I, authors reveal the dram a behind the hitor-m iss attem pts to develop the first endoscopes, from their hum ble beginnings in the 1850s, to the increasingly complex neuroendoscopes that enhance the m inim ally invasive surgical techniques used today. The w ide-ranging technology now w ithin arm ’s reach is covered, along w ith a description of the developm ent of the first flexible neuroendoscope, a tool that has becom e integral to our work. Subsequent sections of the text describe the relevant anatomy, clinical indications, neuroendoscopic and m icroneurosurgical procedures, and special topics, such as com plications. The greatest weight is given to indications and procedures, and readers w ill find that the num erous chapters on these areas offer m uch guidance for better m atching patients to the appropriate procedure. Section II on intraventricular and basal cistern anatomy includes chapters that present in great detail the lateral and third ventricles, the cerebral aqueduct and fourth ventricle, and the basal cisterns. These neuroanatom ists bring to bear their considerable m icroneuroanatomy skills on the explication of regions of the brain. Their illustrations, cadaver studies, specim en slices, and intraoperative clinical im ages, as well as their detailed explanations of them , are an excellent review before a surgical procedure. Of the fourteen chapters in Section III on indications, six are on hydrocephalus alone and serve as a comprehensive overview of its variants. The extent of this coverage emphasizes the importance of this topic. Other topics in this section include tum ors, colloid cysts, hypothalam ic ham artom as, pineal region tum ors, intraventricular hem orrhage, arachnoid cysts, and ventriculoperitoneal shunt m alfunction. Section IV on neuroendoscopic procedures, and Section V on m icroneurosurgical procedures encompass nine and seven chapters, respectively. The chapters on neuroendoscopic procedures give in-depth overviews of procedures for dealing w ith hydrocephalus, such as the endoscopic third ventriculostomy, or for facilitating hydrocephalus treatm ent, such as aqueductoplasty, fenestration, and foram inoplasty. Perhaps m ost exciting from the standpoint of the recent technological advances of the past two decades and as a precursor to future advancem ents is the discussion of endoscope-assisted m icroneurosurgery in the exploration and biopsy of the basal cisterns, in m icrovascular decom pression, intra- and extra-axial brain tum ors and aneurysm s, and the shift toward the use of fluorescence for better visualization. The final section of the book, Section VI, deals w ith special topics from com plications to anesthesia, neuroendoscopy in developing countries, and the future of neuroendoscopy. The last chapter offers a glim pse of the future yet to com e as it exam ines recent and im m inent changes in the neurosurgeon’s toolkit, such as three-dim ensional endoscopy, hyperspectral im aging, confocal endom icroscopy, and exoscopes. Accom panying the chapters throughout the book are num erous intraoperative videos that showcase the anatomy and the neuroendoscopic approaches for various surgical procedures. Each chapter also concludes w ith a sum m ation of key points in the form of pearls that give a quick review of the m aterial covered. From its earliest beginnings w ith endoscopy m ore than a hundred and fift y years ago, neuroendoscopic surgery has becom e not only increasingly com plex but also increasingly m inim alistic. As I and other neurosurgeons began to realize that reducing surgical traum a and tissue m anipulation during procedures conveyed a better prognosis for our patients, we explored less invasive ways of accessing the target areas of the brain requiring treatm ent. Neuroendoscopic surgery now provides an excellent way to access critical regions of the brain w ith the least traum a possible. It stands at the vanguard of treatm ent for brain lesions, and the physicians w ho practice it are aided by an increasingly sophisticated arm am entarium that includes rigid-lens endoscopes; flexible fiberscopes; three-dim ensional, highdefinition endoscopes; and videoendoscopes. Doubtless, newer innovations, greater technological breakthroughs, and m ore beneficial clinical outcom es w ill com e to light even as Neuroendoscopic Surgery rolls off the press. Such is the very nature of our work as neurosurgeons—we constantly question the status quo, seek newer and better ways of perform ing procedures, and strive through continual learning to always deliver to our patients the best possible care for the m ost optim al outcom e

Neuroendoscopy: State-of-the-art, global subspecialty encompassed in multimedia volume

Honorable mention from the 2017 PROSE Awards HONORABLE MENTION for Textbook/Clinical Medicine!

The development and refinement of neuroendoscopy has been driven by the persistent desire of neurosurgeons to advance the field and offer less invasive, more efficacious options to patients. This remarkable multimedia book reflects the technological advances achieved in the last two decades in fiber optics, cold light, cameras, and endoscopic instrumentation. Written by an impressive Who's Who of international neurosurgeons, the outstanding text and videos reflect global contributions to neuroendoscopy.

Current indications for intracranial and intraventricular endoscopy are described in depth, through detailed chapters, stellar videos, professional animations, and exquisite illustrations. The authors share their clinical expertise on procedures ranging from endoscopic third ventriculostomy to transventricular approach of the fourth ventricle. Cover to cover, this book details the differences, alternatives, advantages, and limitations of the flexible neuroendoscope.

This hands-on learning tool will enable neurosurgeons to perform endoscopy of the ventricles and basal cisterns for exploratory purposes and conditions such as hydrocephalus, congenital aqueductal stenosis, tumors, hypothalamic hamartoma, arachnoid cysts, and neurocysticercosis. Additional topics include endoscopic-assisted microvascular decompression and aneurysm surgery, fluorescence, complications, anesthesia, utilization in developing countries, and future trends.

Key Features:

• Comprehensive multimedia reference with online access to 70 superb videos and animations
• More than 300 meticulously drawn illustrations
• Beautifully illustrated anatomical chapters that facilitate in-depth understanding of endoscopic anatomy
• An entire chapter devoted to flexible neuroendoscopy
• Indications, preoperative preparation, procedure description, intraoperative complications and their management ("risk and rescue: techniques), expert pearls, postoperative management, and outcomes

This volume is a must-have resource for neurosurgery and neurology residents, neurosurgeons, pediatric neurosurgeons, and all physicians involved in the care of patients with intracranial and intraventricular disease.

The Development And Refinement Of Neuroendoscopy Has Been Driven By The Persistent Desire Of Neurosurgeons To Advance The Field And Offer Less Invasive, More Efficacious Options To Patients. This Remarkable Multimedia Book Reflects The Technological Advances Achieved In The Last Two Decades In Fiber Optics, Cold Light, Cameras, And Endoscopic Instrumentation. Written By An Impressive Who’s Who Of International Neurosurgeons, The Outstanding Text And Videos Reflect Global Contributions To Neuroendoscopy. Current Indications For Intracranial And Intraventricular Endoscopy Are Described In Depth, Through Detailed Chapters, Stellar Videos, Professional Animations, And Exquisite Illustrations. The Authors Share Their Clinical Expertise On Procedures Ranging From Endoscopic Third Ventriculostomy To Transventricular Approach Of The Fourth Ventricle. Cover To Cover, This Book Details The Differences, Alternatives, Advantages, And Limitations Of The Flexible Neuroendoscope. This Hands-on Learning Tool Will Enable Neurosurgeons To Perform Endoscopy Of The Ventricles And Basal Cisterns For Exploratory Purposes And Conditions Such As Hydrocephalus, Congenital Aqueductal Stenosis, Tumors, Hypothalamic Hamartoma, Arachnoid Cysts, And Neurocysticercosis. Additional Topics Include Endoscopic-assisted Microvascular Decompression And Aneurysm Surgery, Fluorescence, Complications, Anesthesia, Utilization In Developing Countries, And Future Trends. Key Features: Comprehensive Multimedia Reference With Online Access To 50 Superb Videos More Than 300 Meticulously Drawn Illustrations Beautifully Illustrated Anatomical Chapters That Facilitate In-depth Understanding Of Endoscopic Anatomy An Entire Chapter Devoted To Flexible Neuroendoscopy Indications, Preoperative Preparation, Procedure Description, Intraoperative Complications And Their Management (risk And Rescue Techniques), Expert Pearls, Postoperative Management, And Outcomes This Volume Is A Must-have Resource For Neurosurgery And Neurology Residents, Neurosurgeons, Pediatric Neurosurgeons, And All Physicians Involved In The Care Of Patients With Intracranial And Intraventricular Disease. State-of-the-art, global subspecialty encompassed in multimedia volume Honorable mention from the 2017 PROSE Awards HONORABLE MENTION for Textbook/Clinical Medicine! The development and refinement of neuroendoscopy has been driven by the persistent desire of neurosurgeons to advance the field and offer less invasive, more efficacious options to patients. This remarkable multimedia book reflects the technological advances achieved in the last two decades in fiber optics, cold light, cameras, and endoscopic instrumentation. Written by an impressive Who's Who of international neurosurgeons, the outstanding text and videos reflect global contributions to neuroendoscopy. Current indications for intracranial and intraventricular endoscopy are described in depth, through detailed chapters, stellar videos, professional animations, and exquisite illustrations. The authors share their clinical expertise on procedures ranging from endoscopic third ventriculostomy to transventricular approach of the fourth ventricle. Cover to cover, this book details the differences, alternatives, advantages, and limitations of the flexible neuroendoscope. This hands-on learning tool will enable neurosurgeons to perform endoscopy of the ventricles and basal cisterns for exploratory purposes and conditions such as hydrocephalus, congenital aqueductal stenosis, tumors, hypothalamic hamartoma, arachnoid cysts, and neurocysticercosis. Additional topics include endoscopic-assisted microvascular decompression and aneurysm surgery, fluorescence, complications, anesthesia, utilization in developing countries, and future trends. Key This volume is a must-have resource for neurosurgery and neurology residents, neurosurgeons, pediatric neurosurgeons, and all physicians involved in the care of patients with intracranial and intraventricular disease. This hands-on learning tool will enable neurosurgeons to perform endoscopy of the ventricles and basal cisterns for exploratory purposes and conditions such as hydrocephalus, congenital aqueductal stenosis, tumors, hypothalamic hamartoma, arachnoid cysts, and neurocysticercosis. Additional topics include endoscopic-assisted microvascular decompression and aneurysm surgery, fluorescence, complications, anesthesia, utilization in developing countries, and future trends. Key Features: Comprehensive multimedia reference with online access to 70 superb videos and animations. More than 300 meticulously drawn illustrations. Beautifully illustrated anatomical chapters that facilitate in-depth understanding of endoscopic anatomy. An entire chapter devoted to flexible neuroendoscopy. Indications, preoperative preparation, procedure description, intraoperative complications and their management ("risk and rescue: techniques), expert pearls, postoperative management, and outcomes. -- Publisher