Cubre en profundidad las técnicas quirúrgicas para el manejo de los trastornos del plexo braquial.
Los Dres. Kevin Chung, Yan Lynda, y McGillicuddy John presentar un enfoque multidisciplinario para el tratamiento pediátrico de la lesión del plexo braquial y la rehabilitación, las consideraciones obstétricas, y otros temas de actualidad en el campo. Con acceso al texto completo y videos quirúrgicos en línea en expertconsult.com, tendremos la orientación dinámica, visual que se necesita para controlar las lesiones del plexo braquial.
Acceder a la línea de texto se pueden hacer búsquedas en www.expertconsult.com, junto con videos quirúrgicos que demuestra cómo llevar a cabo los procedimientos más importantes.
Ilustraciones en color, fotos y diagramas que ponen de relieve las estructuras anatómicas clave y las relaciones.
La extensión de este problema varía enormemente de unos países a otros, y también de unas generaciones a otras, lo que sugiere que se trata de una dolencia cultural, asociada a las costumbres de cada época y lugar.
Las diferentes actividades laborales, junto a otros condicionantes como el sobrepeso, provocan que la prevalencia del síndrome difiera de un país a otro, pero también que aumente en un mismo lugar, entre las generaciones más jóvenes, a medida que las costumbres se transforman. Así lo ha puesto de manifiesto un nuevo estudio que ha analizado la incidencia de este síndrome en Suecia y la ha comparado con la de EEUU.
En el país norteamericano, la presencia de este problema es mucho mayor a la de Suecia entre personas mayores, pero las diferencias se acortan o desaparecen entre las generaciones más jóvenes. “La incidencia en mujeres de menos de 50 años era mayor en Suecia, pero, en mujeres de 50 o mayores, la incidencia era mayor en EEUU”, revela el estudio, publicado en ‘Achives of Internal Medicine’.
Los resultados en hombres fueron distintos, ya que las mujeres son tres veces más propensas que los hombres a desarrollar este síndrome. Sin embargo, los datos son igualmente compatibles con la interpretación cultural del síndrome: entre varones menores de esa edad, la incidencia era similar en EEUU y Suecia; pero en los mayores, las cifras del país americano doblaban a las del nórdico.
Isam Atroshi, principal firmante del estudio desde el Hospital Hassleholm de Suecia, y sus colegas consideran que hasta un 15% de la población podría sufrir este síndrome, aunque muchos pacientes no son conscientes de ello. El problema se produce por compresión, habitualmente crónica, del nervio mediano, que abarca desde el antebrazo hasta la mano.
Varios estudios mostraron durante la pasada década la relación entre el uso prolongado del ratón del ordenador y el síndrome del túnel carpiano. La Unión Europea, por su parte, ha reconocido este trastorno como una enfermedad laboral, aunque depende de cada país incorporar esta condición a su legislación o no.
Since the highly praised first edition of Surgical Disorders of the Peripheral Nerves was published in 1998, greater understanding of the the molecular and cellular events which underlie the response of nerves to injury, regeneration and neuropathic pain has been achieved.
This second edition has been fully updated in line with new clinical knowledge, and also incorporates the extensive study of thousands of surgical case studies spanning repairs of the supraclavicular plexus in the adult, the birth lesion of the brachial plexus,compound nerve injury and iatrogenous injury.
Beginning with the fundamentals of the anatomy and function of the peripheral nervous system, and working its way through various types of injury, operative methods, the regeneration and recovery of nerves, surgical reconstruction, pain, and rehabilitation, this eloquently written work provides the reader with the solid understanding required to successfully perform surgery on the peripheral nervous system.
Dr Shelagh Smith, joined by Dr Ravi Knight, has rewritten the chapter Electrodiagnosis. Professor Tara Renton has written a new chapter on injuries to the trigeminal nerve in maxilla-facial and dental work. The drawings, by Mr Philip Wilson, are new. Most of the 700 illustrations are also new.
This thorough and authoritative look at the surgical treatment of the peripheral nerves is fully illustrated throughout with exquisite line diagrams and clear, instructive photographs.
About the Author
Rolfe Birch, M.Chir FRCP&S (Glas) FRCS (Edin) FRCS (Eng) by election, is a well known nerve repair specialist, and he teaches all levels of doctors in training. He is Professor in Neurological Orthopedic Surgery, University College London; Visiting Professor, Department of Academic Neurology, Imperial College London, and Honorary Orthopaedic Consultant, Hospital for Sick Children at Great Ormond Street, London. He also holds posts at The National Hospital for Nervous Diseases, Queen Square, London and at Raigmore Hospital in Inverness.
He is also involved in military medicine, as Honorary Orthopaedic Surgeon to the Royal Navy and Consultant in Charge, War Nerve Injuries Clinic at the Defence Medical Rehabilitation Centre, Headley Court, Leatherhead in Surrey.
From 1979 to 2008 he was Orthopaedic Surgeon to the Royal National Orthopaedic Hospital. In 1983 he was appointed the Head of Department of the Peripheral Nerve Injury Unit there and from 1984 to 2000 he was Co-Director of the Rehabilitation Unit.
From 1979 to 1991 he was also Orthopaedic Surgeon to St. Mary’s Hospital in London, and Consultant in Charge of the Accident and Emergency Department until 1984.
He is also involved in military medicine, as Honorary Orthopaedic Surgeon to the Royal Navy and Consultant in Charge, War Nerve Injuries Clinic at the Defence Medical Rehabilitation Centre, Headley Court, Leatherhead in Surrey.
From 1979 to 2008 he was Orthopaedic Surgeon to the Royal National Orthopaedic Hospital. In 1983 he was appointed the Head of Department of the Peripheral Nerve Injury Unit there and from 1984 to 2000 he was Co-Director of the Rehabilitation Unit.
From 1979 to 1991 he was also Orthopaedic Surgeon to St. Mary’s Hospital in London, and Consultant in Charge of the Accident and Emergency Department until 1984.
Radiologists, orthopedic and neurological surgeons present the different minimally invasive methods. Peripheral nerve problems and problems concerning differential diagnosis in special situations such as between radicular and peripheral nerve trunk lesions are discussed, pinpointing the significance of different diagnostic tools. Minimally invasive techniques, utilized nowadays to minimize bone demolition, scarring and risk of recurrence are analyzed. Microdiscectomy is compared with the results of intradiscal techniques, and new methods are discussed facing problems such as epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.
InVivo Therapeutics (OTCBB: NVIV), a company focused on the development of groundbreaking technologies for the treatment of spinal cord injuries (SCI), today announced that a poster highlighting data from a laboratory investigation of the company’s injectable hydrogel technology for local, controlled-release drug delivery, is being presented at the 2011 Annual Meeting of the American Association of Neurological Surgeons (AANS)/Central Nervous System (CNS) Section on Disorders of the Spine and Peripheral Nerves, which is being held March 9-12 in Phoenix, Arizona.
“An injectable thiol-acrylate poly(ethylene glycol) hydrogel for sustained release of methylprednisolone sodium succinate for treatment of spinal cord injury and in neurosurgical applications”
The laboratory investigation, titled “An injectable thiol-acrylate poly(ethylene glycol) hydrogel for sustained release of methylprednisolone sodium succinate for treatment of spinal cord injury and in neurosurgical applications,” was designed to evaluate the potential of the rationally designed hydrogel to overcome limitations associated with systemic administration of high-dose methylprednisolone (MP), a steroid that is commonly used in the treatment of SCI. Current limitations include increased risk of infection, delayed wound healing, pneumonia and sepsis.
“Biomaterials have the potential to enable more localized and controlled delivery of MP, reducing many of the safety risks associated with conventional delivery methods while exerting an anti-inflammatory effect directly on the site of injury,” said Eric J. Woodard, MD, Chief of Neurosurgery, New England Baptist Hospital, who co-authored the study and will be representing the poster at the meeting.
Dr. Woodard continued: “Our findings indicate that the injectable, polyethylene-glycol-based hydrogel used in the study is a potential candidate for local controlled release of MP in the intraparenchymal and peridural spaces of the spinal cord. Drug dosage for local administration could be individually tailored without affecting the release time-period or hydrogel volume. Its demonstration of syneresis may ensure that no pressure is exerted by the hydrogel upon equilibration to avoid compression of neural elements, making it a potentially useful candidate in neurosurgical applications.”
Along with its biocompatible polymer scaffold device, which the company plans to move into a clinical study in the second half of this year, InVivo is developing its novel hydrogel technology as a treatment for SCI. Both technologies focus on protection of the spinal cord and prevention of secondary injury, an approach which, unlike any currently available treatment, is designed to address the underlying pathology of a SCI.
About InVivo Therapeutics
InVivo Therapeutics Holdings Corp. is a Cambridge, MA medical device company focused on utilizing polymers as a platform technology to develop treatments to improve function in individuals paralyzed as a result of traumatic spinal cord injury. The company was founded in 2005 on the basis of proprietary technology co-invented by Robert Langer, ScD, Professor at Massachusetts Institute of Technology, and Joseph P. Vacanti, MD, who is affiliated with Massachusetts General Hospital in Boston.
No other book covers as extensively all aspects of peripheral nerve surgery. This includes the pathology and pathophysiology of compression neuropathies, traumatic nerve lesions and nerve tumours, and their treatment with various techniques. All body regions are described adequately. The second part of the book deals with palliative surgery for reconstruction of lost function. This includes a comprehensive array of muscle and tendon transfers, functional muscle transplantation and intramuscular neurotisation.
Product Details
* Original language: English
* Number of items: 1
* Binding: Paperback
* 190 pages
Editorial Reviews
Review
From the reviews:
“This dual-author book stretches to 190 A4 size pages and contains 359 high quality illustrations and operative photographs. It covers all the relevant surgical issues concerning peripheral nerve surgery. … a valuable text for many orthopaedic, reconstructive plastic and neurological surgeons. … The index … has been extremely well done and therefore the high quality contained within the text is also accessible. The book would be a valuable addition to all departmental libraries and … will be kept close at hand by many practising surgeons.” (P. J. Hamlyn, Acta Neurochirurgica, Vol. 147 (8), 2005)
From the Back Cover
No other book covers as extensively all aspects of peripheral nerve surgery. This includes the pathology and pathophysiology of compression neuropathies, traumatic nerve lesions and nerve tumours, and their treatment with various techniques. All body regions are described adquately. The second part of the book deals with palliative surgery for reconstruction of lost function. This includes a comprehensive array of muscle and tendon transfers, functional muscle transplantation and intramuscular neurotisation.
About the Author
Professsor Penkert: Assistant of Prof.Millesi, Department of Plastic and Reconstructive Surgery; Vienna-University. Chief Resident of Prof.Samii,Nordstadt Hospital Hannover.
PD Dr. Fansa: Medical Education in Germany and Canada; Lecture in Plastic and Reconstructive Surgery; Hexal-Award in 1999; well known for reserach and peripheral nerve basic science and surgery.
El servicio de Neurocirugía con el doctor García Cosamalón al frente, convertirá el año que viene al Hospital de León en un centro de referencia en cirugía de los nervios periféricos, intervención a la que se someten una media de cincuenta pacientes leoneses al año. El servicio termina hoy tres días de curso teórico práctico con la asistencia de los mejores especialistas de España, Italia y Brasil que ponen al día en las últimas técnicas a doce alumnos procedentes de todo el país y Portugal. El curso que desde hace cuatro años organiza el servicio de Neurocirugía de León se ha convertido en un referente y uno de los pocos que existen en el mundo para la formación de especialistas. «Nuestra idea es que a partir del año que viene el Hospital de León cuente con una unidad de cirugía de nervios periféricos y se amplíe la estructura del laboratorio, único en la Comunidad». El interés de los especialistas de León por esta patología ha trascendido las fronteras nacionales. Las lesiones de los nervios como consecuencia de los traumatismos son la mayoría de los casos que llegan a la mesa del quirófano, «actuamos siempre que se lesiona un nervio», es decir, en cualquier parte del cuerpo en la que se pierde la movilidad por la rotura de un nervio.
Entre los profesores del curso están el brasileño Mario Siqueira, presidente de la Federación Mundial de Neurocirugía en el capítulo de nervios periféricos, Eduardo Fernández, del Hospital Camelli de Roma y los especialistas del Hospital de León, José García Cosamalón, Javier Ur diales, Pablo Calvo y Javier Fernández, entre otros especialistas del país.
18th Mediterranean Meeting of Child Neurology, in conjunction with the 5th Fred J. Epstein International Symposium on New Horizons in Pediatric Neurology, Neurosurgery and Neurofibromatosis,
International symposia on acoustic neurinomas, amygdalahippocampectomy, pituitary tumors, craniovertebral and spinal fixation and arteriovenous malformations
Descripción: Organizing Committee
Fraunhofer Institute for Cell Therapy and Immunology
Department of Ischemia Research
Perlickstraße 1, 04103 Leipzig
E-Mail:Johannes Boltze
Normas de presentación de comunicaciones 1. Escribir a un espacio con tipo de letra Times New Roman o Arial tamaño 10, sin sobrepasar 450 palabras. 2. Escribir el título del resumen en mayúsculas. El nombre del autor (es) en minúsculas y negrita y el autor que lo presenta será el único que irá subrayado. La […]
Queridos Soci@s: La revista NEUROCIRUGÍA nació como publicación en 1.990 con el fin de dotar a la Sociedad Española de Neurocirugía (SENEC) de un órgano de expresión. Han trascurrido desde entonces dos décadas, y nuestra revista ha ido creciendo y madurando. Actualmente, con un factor de impacto de 0.366, es la única publicación de neurocirugía en lengua e […]
El Servicio de Neurocirugía del Hospital Universitario La Fe, en Valencia, ha realizado de forma pionera en España cuatro intervenciones en la enfermedad de Parkinson y otras alteraciones del movimiento mediante TC intraoperatoria. […]
Clinical neuroproteomics aims to advance our understanding of disease and injury affecting the central and peripheral nervous systems through the study of protein expression and the discovery of protein biomarkers to facilitate diagnosis and treatment. The general premise of the biomarker field is that in vivo factors present in either tissue or circulating […]
The March 2012 issue of Neurosurgery is now online and full-text access is available for print subscribers. Non-subscribers may access all article abstracts and the full-text of selected articles. March 2012 Table of Contents: THE REGISTRAR Introducing the Neurosurgery iPad Application Oyesiku, Nelson M. IN MEMORIAM In Memoriam… CNS Past-President, Christoph […]
Background: Endovascular embolization is a desirable treatment option for complex posterior circulation aneurysms, particularly recurrent aneurysms or those in difficult to access surgical locations.However, endovascular access is occasionally prohibited by proximal vertebral artery (VA) occlusion or vessel tortuosity.One strategy in such instances involves […]
Background: Somatosensory evoked potential (SSEP) monitoring is used during intracranial aneurysm surgery to track the effects of anesthesia, surgical manipulation, and temporary clipping. Objective: To present the outcomes of 663 consecutive patients (691 cases) treated surgically for intracranial aneurysms who underwent intraoperative SSEP monitoring, and […]
Background: The suppression of the growth hormone (GH) in an oral glucose tolerance test (OGTT) has been accepted as the most reliable parameter for determining remission of acromegaly. Objective: To evaluate the role of immediate postoperative GH level and 1-wk postoperative OGTT as early predictive tools of long-term surgical remission. Methods: One hundre […]
Background: For neuroepithelial tumors, the surgical goal is maximum resection with preservation of neurological function. This is contributed by intraoperative magnetic resonance imaging (iMRI) combined with multimodal navigation. Objective: We evaluated the contribution of DTI-based fiber tracking of language pathways with two different algorithms (tensor […]
Background: We describe our clinical experience with the use of ICG video angiography to delineate the locations of the cortical draining veins prior to dural opening in three cases of parasagittal lesions. With this technique, the veins are marked through the dura, and then the dura can be opened precisely to avoid cortical venous injury. […]
Additional episodes have been added to the Korean, English, Japanese, Spanish and Russian Neurosurgery International Podcasts on iTunes. Each podcast episode is the scientific abstract from a published article translated into a foreign language and read by a native speaker. Use iTunes to download new and existing podcasts in your preferred language. […]
Background: Reconstruction of the skull base is essential to prevent postoperative leakage of cerebrospinal fluid (CSF). However, a reliable method of reconstructing the middle cranial fossa via a subtemporal keyhole is not available. Objective: To determine whether less invasive reconstruction of the middle cranial fossa under endoscopic guidance using a pe […]
To the Editor, Recently, a trial was published regarding the safety and efficacy of epidural cortical stimulation (EpCS) for treatment-resistant depression.1 The authors mentioned that EpCS was “potentially efficacious” and added that the antidepressant effect was “profound” for “several patients.” In support of these claims, the authors noted that 4 patient […]
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