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Seven Cavernomas: Tenets and Techniques for Resection

Seven Cavernomas: Tenets and Techniques for Resection

9781684204946
856,80 zł
771,12 zł Zniżka 85,68 zł Brutto
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2025-12-17

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Opis

An incomparable collection of evidence-based cavernoma road trips through the cerebral terrain


Seven Cavernomas:: Tenets and Techniques for Resection is the fourth volume in a remarkable series by internationally renowned neurosurgeon Michael T. Lawton. As with the three prior volumes, Dr. Lawton leverages his vast expertise as a leading cerebrovascular neurosurgeon, sharing insights and knowledge gleaned from operating on over 1,400 cavernomas. Seven Cavernomas integrates quintessential clinical, anatomical, and microsurgical concepts into a comprehensive heuristic to position neurosurgeons to achieve the best patient outcomes with cavernoma microsurgical resection.


Section I details the 10 tenets of cavernoma resection, starting with a taxonomy for classification by location and surface presentation. Subsequent chapters describe brainstem and cerebral anatomy as well as dissection techniques in detail, covering the triangle concept, arterial landmarks, hotspots of brain eloquence, recurrence, patient selection, and neurosurgical cartography. Section II examines the seven types of cavernous malformations, with insightful pearls of wisdom for resection techniques. The closing chapter concludes with a discussion of the future role neurosurgery will play in understanding how the brain gives us our consciousness, emotion, memory, and intelligence.


Key Highlights


• Taxonomy of 7 cavernoma types and 35 subtypes guides the neurosurgeon to choose the optimal approaches, execute the operation skillfully, and maximize intraoperative performance


• Brainstem cavernous malformation cartography maps the special relationships among craniotomy, approach, anatomical triangles, safe entry zones, and arteries as vascular waypoints


• An impressive compendium of 65 surgical videos and 8 animations captures the action, progression, movement, and technical nuances that sculpt the art of neurosurgery


• A total of 700+ exquisitely rendered illustrations and clinical images delineate anatomical


components with stunning accuracy


 


This volume is an essential reference for every vascular neurosurgeon. The book demonstrates in meticulous detail how the art and science of map-making is a path to crystallizing the art and science of cavernoma resection. The taxonomy provides a consistent nomenclature for discussion while providing technical and navigational nuance, inspiring confidence, and empowering neurosurgeons to improve patient outcomes.

Szczegóły produktu
Georg Thieme
104136
9781684204946
9781684204946

Opis

Rok wydania
2025
Numer wydania
1
Oprawa
twarda
Liczba stron
452
Wymiary (mm)
215.90 x 279.40

    2. Section I The Tenets
    3. 1 Taxonomy
    4. 1.1 Classifying Surgical Pathology
    5. 1.2 Informing Surgical Strategy
    6. 1.3 Neuroanatomy
    7. 1.4 Neuroradiology
    8. 1.5 Neurology
    9. 1.6 Neurosurgery
    10. 1.7 Seven Cavernomas Framework
    11. 2 Subarachnoid Dissection

      2. 2.1 Seven Surgical Corridors
      3. 2.1.1 Cerebral Sulci
      4. 2.1.2 Sylvian Fissure
      5. 2.1.3 Interhemispheric Fissure
      6. 2.1.4 Ventricular System
      7. 2.1.5 Tentorial Fissure
      8. 2.1.6 Cerebellopontine Cistern
      9. 2.1.7 Cisterna Magna

    12. 2.2 Conclusion
    13. 3 Triangle Concept
    14. 3.1 The Triangle Concept
    15. 3.2 A System of Anatomical Triangles
    16. 3.3 Midbrain Triangles

      2. 3.3.1 Carotid-Oculomotor Triangle
      3. 3.3.2 Oculomotor-Tentorial Triangle
      4. 3.3.3 Supracerebellar-Supratrochlear and Supracerebellar-Infratrochlear Triangles
      5. 3.3.4 Infragalenic Triangle

    17. 3.4 Pontine Triangles

      2. 3.4.1 Posteromedial (Kawase) Triangle
      3. 3.4.2 Glossopharyngeal-Cochlear Triangle
      4. 3.4.3 Supra- and Infratrigeminal Triangles
      5. 3.4.4 Interlobular Triangle

    18. 3.5 Medullary Triangles

      2. 3.5.1 Vertebrobasilar Junctional Triangle
      3. 3.5.2 Subtonsillar Triangle
      4. 3.5.3 Vagoaccessory Triangle
      5. 3.5.4 Cerebellar Vallecular Triangle

    19. 3.6 Thalamic and Basal Ganglial Triangles

      2. 3.6.1 Supracarotid-Infrafrontal Triangle
      3. 3.6.2 Caudate-Thalamostriate Triangle
      4. 3.6.3 Septocaudate Triangle
      5. 3.6.4 Infragalenic Triangle

    20. 3.7 Cerebral and Cerebellar Triangles

      2. 3.7.1 Vallecular Triangle
      3. 3.7.2 Interlobular Triangle

    21. 3.8 Clinical Evidence
    22. 3.9 Conclusion
    23. 4 Arterial Landmarks
    24. 4.1 Rivers of the Brain
    25. 4.2 Middle Cerebral Arteries
    26. 4.3 Anterior Cerebral Arteries
    27. 4.4 Internal Carotid Artery
    28. 4.5 Posterior Cerebral Arteries
    29. 4.6 Superior Cerebellar Artery
    30. 4.7 Anterior Inferior Cerebellar Artery
    31. 4.8 Posterior Inferior Cerebellar Artery
    32. 4.9 Arterial Dissection Codes
    33. 5 Safe Entry Zones
    34. 5.1 From Inoperable to Operable
    35. 5.2 Clinical Evidence
    36. 5.3 The Safety of Safe Entry Zones
    37. 5.4 The 21 Brainstem Safe Entry Zones
    38. 5.5 Midbrain Safe Entry Zones

      2. 5.5.1 Interpeduncular Zone
      3. 5.5.2 Anterior Mesencephalic Zone
      4. 5.5.3 Lateral Mesencephalic Sulcus Zone
      5. 5.5.4 Intercollicular Zone
      6. 5.5.5 Supracollicular and Infracollicular Zones

    39. 5.6 Pontine Safe Entry Zones

      2. 5.6.1 Supratrigeminal and Infratrigeminal
      3. 5.6.2 Middle Cerebellar Peduncle or Lateral Pontine
      4. 5.6.3 Area Acustica
      5. 5.6.4 Median Sulcus (Pons)
      6. 5.6.5 Suprafacial Collicular
      7. 5.6.6 Superior Foveal
      8. 5.6.7 Pontomedullary Sulcus

    40. 5.7 Medullary Safe Entry Zones

      2. 5.7.1 Anterolateral Sulcus
      3. 5.7.2 Olive
      4. 5.7.3 Posterolateral Sulcus and Lateral Medullary
      5. 5.7.4 Median Sulcus (Medulla)
      6. 5.7.5 Infrafacial Collicular
      7. 5.7.6 Posterior Median Sulcus
      8. 5.7.7 Posterior Intermediate Sulcus

    41. 5.8 Accuracy of Preoperative MRI in Determining Surface Proximity
    42. 5.9 Neuronavigation, Hemosiderin Stain, and Neuromonitoring
    43. 5.10 Brainstem CM Taxonomy and Associated SEZs
    44. 6 Resection Technique
    45. 6.1 The Mulberry
    46. 6.2 Extracapsular Resection Technique
    47. 6.3 Intracapsular Resection Technique
    48. 6.4 Brain Transgression
    49. 6.5 Technical Overview of the Trans-MCP Approach
    50. 6.6 Superomedial Trajectory Beyond the SEZ: Superior Cerebellar Peduncle
    51. 6.7 Posteromedial Trajectory Beyond the SEZ: Pontine Tegmentum
    52. 6.8 Invisible Triangles
    53. 6.9 Orienteering Beyond
    54. 7 Eloquent Noneloquence
    55. 7.1 Ten Percent Myth
    56. 7.2 Eloquent Noneloquence
    57. 7.3 Clinical Evidence
    58. 7.4 Eloquent Cortex
    59. 7.5 Large-Scale Brain Networks
    60. 7.6 Seven Hotspots of Cerebral Eloquence
    61. 7.7 Expanding the Concept of Cerebral Eloquence
    62. 8 Residual and Recurrent Cavernous Malformations
    63. 8.1 Problem of Recurrence
    64. 8.2 Clinical Evidence
    65. 8.3 Detection
    66. 8.4 Surgical Blind Spots
    67. 8.5 Right-Angle Method
    68. 8.6 Fine Line
    69. 9 Patient Selection
    70. 9.1 Rationale for a Brainstem Cavernous Malformation Grading Scale
    71. 9.2 Lawton Brainstem CM Grading Scale
    72. 9.3 Elements of the Brainstem CM Grading System

      2. 9.3.1 Size
      3. 9.3.2 Crossing the Axial Midpoint
      4. 9.3.3 Developmental Venous Anomaly
      5. 9.3.4 Age
      6. 9.3.5 Hemorrhage

    73. 9.4 Validation of the Brainstem CM Grading System
    74. 9.5 Clinical Application
    75. 9.6 Giant Cavernomas
    76. 9.7 Hannegan’s Sign
    77. 10 Neurosurgical Cartography
    78. 10.1 Jackson Hole
    79. 10.2 Cartography
    80. 10.3 Maps as Metaphors for the Seven Cavernomas
    81. 10.4 Seven Cavernomas Maps
    82. 10.5 Maps for Safe Passage
    83. 10.6 Maps for Education
    84. 10.7 Maps for Exploration
    85. 10.8 The Metaphor
    86. Section II The Seven Cavernomas
    87. 11 Superficial Cerebral Cavernous Malformations
    88. 11.1 Introduction
    89. 11.2 Neuroanatomy of Superficial Cerebral Cavernous Malformation Subtypes

      2. 11.2.1 Convexity
      3. 11.2.2 Medial
      4. 11.2.3 Basal
      5. 11.2.4 Sylvian

    90. 11.3 Clinical Evidence
    91. 11.4 Resection Strategies for Superficial Cerebral Cavernous Malformations

      2. 11.4.1 Convexity Subtype
      3. 11.4.2 Medial Subtype
      4. 11.4.3 Basal Subtype
      5. 11.4.4 Sylvian Subtype

    92. 11.5 Superficial Cerebral Cavernous Malformations and Approach Selection
    93. 11.6 Approach Technique
    94. 11.7 Presenting Symptom
    95. 11.8 Clinical Syndromes
    96. 11.9 Conclusion
    97. 12 Basal Ganglia Cavernous Malformations
    98. 12.1 Introduction
    99. 12.2 Neuroanatomy of Three Basal Ganglia Cavernous Malformation Subtypes

      2. 12.2.1 Caudate
      3. 12.2.2 Putaminal
      4. 12.2.3 Pallidal

    100. 12.3 Clinical Evidence
    101. 12.4 Basal Ganglia Cavernous Malformation Subtypes

      2. 12.4.1 Caudate
      3. 12.4.2 Putaminal
      4. 12.4.3 Pallidal

    102. 12.5 Conclusion
    103. 13 Thalamic Cavernous Malformations
    104. 13.1 Introduction
    105. 13.2 Neuroanatomy of Thalamic Cavernous Malformation Subtypes

      2. 13.2.1 Anterior
      3. 13.2.2 Medial
      4. 13.2.3 Lateral
      5. 13.2.4 Choroidal
      6. 13.2.5 Pulvinar
      7. 13.2.6 Geniculate

    106. 13.3 Clinical Evidence
    107. 13.4 Resection Strategies for Thalamic Cavernous Malformation Subtypes

      2. 13.4.1 Anterior
      3. 13.4.2 Medial
      4. 13.4.3 Lateral
      5. 13.4.4 Choroidal
      6. 13.4.5 Pulvinar
      7. 13.4.6 Geniculate

    108. 13.5 Iterative Advances
    109. 13.6 Conclusion
    110. 14 Midbrain Cavernous Malformations
    111. 14.1 Introduction
    112. 14.2 Neuroanatomy of the Five Midbrain Cavernous Malformation Subtypes

      2. 14.2.1 Interpeduncular
      3. 14.2.2 Peduncular
      4. 14.2.3 Tegmental
      5. 14.2.4 Quadrigeminal
      6. 14.2.5 Periaqueductal

    113. 14.3 Clinical Evidence
    114. 14.4 Resection Strategies for Midbrain Cavernous Malformations

      2. 14.4.1 Interpeduncular
      3. 14.4.2 Peduncular
      4. 14.4.3 Tegmental
      5. 14.4.4 Quadrigeminal
      6. 14.4.5 Periaqueductal

    115. 14.5 Conclusion
    116. 15 Pontine Cavernous Malformations
    117. 15.1 Introduction
    118. 15.2 Neuroanatomy of the Six Pontine Cavernous Malformation Subtypes

      2. 15.2.1 Basilar
      3. 15.2.2 Peritrigeminal
      4. 15.2.3 Middle Peduncular
      5. 15.2.4 Inferior Peduncular
      6. 15.2.5 Rhomboid
      7. 15.2.6 Supraolivary

    119. 15.3 Clinical Evidence
    120. 15.4 Resection Strategies for Pontine Cavernous Malformations

      2. 15.4.1 Basilar Subtype
      3. 15.4.2 Peritrigeminal Subtype
      4. 15.4.3 Middle Peduncular Subtype
      5. 15.4.4 Inferior Peduncular Subtype
      6. 15.4.5 Rhomboid Subtype
      7. 15.4.6 Supraolivary Subtype

    121. 15.5 Signs and Syndromes
    122. 16 Medullary Cavernous Malformations
    123. 16.1 Introduction
    124. 16.2 Neuroanatomy of the Five Medullary Cavernous Malformation Subtypes

      2. 16.2.1 Pyramidal
      3. 16.2.2 Olivary
      4. 16.2.3 Cuneate
      5. 16.2.4 Gracile
      6. 16.2.5 Trigonal

    125. 16.3 Clinical Evidence
    126. 16.4 Resection Strategies for Medullary Cavernous Malformations

      2. 16.4.1 Pyramidal Subtype
      3. 16.4.2 Olivary Subtype
      4. 16.4.3 Cuneate Subtype
      5. 16.4.4 Gracile Subtype
      6. 16.4.5 Trigonal Subtype

    127. 16.5 Conclusion
    128. 17 Cerebellar Cavernous Malformations
    129. 17.1 Introduction
    130. 17.2 Neuroanatomy of the Six Cerebellar Cavernous Malformation Subtypes

      2. 17.2.1 Suboccipital
      3. 17.2.2 Tentorial
      4. 17.2.3 Petrosal
      5. 17.2.4 Vermian
      6. 17.2.5 Tonsillar
      7. 17.2.6 Deep Nuclear

    131. 17.3 Clinical Evidence
    132. 17.4 Resection Strategies for Cerebellar Cavernous Malformations

      2. 17.4.1 Suboccipital, Vermian, and Tonsillar
      3. 17.4.2 Tentorial
      4. 17.4.3 Petrosal
      5. 17.4.4 Deep Nuclear

    133. 17.5 Conclusion
    134. 18 Seven Cavernomas: Project Connectomunculus and the Mind
    135. 18.1 Seven Cavernomas Cartography
    136. 18.2 The Connectomunculus
    137. 18.3 The Mind
    138. 18.4 Gallery of Functional Networks
    139. 19 Suggested Readings
    140. Contributors
    141. Index
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