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For the first time, leading scholars in the field of neurosurgery have been assembled to discuss the heritage, current philosophical foundations and future currents of thought influencing the specialty. Philosophy of Neurological Surgery also includes fascinating, useful and original analysis of neurosurgery as an art, a science and a discipline of integral benefit to humanity. Included in Philosophy of Neurological Surgery: The founding philosophy of neurosurgery Modern neurosurgical philosophy Patient-centered neurosurgery Mind, consciousness and the neurosurgeon The philosophy of dying and death Neurological surgery and clinical science The neurosurgeon and health care policy (Distributed by Thieme for the American Association of Neurological Surgeons)
Author : H. August van Alphen Publisher : Springer Science & Business Media Page : 197 pages File Size : 37,26 MB Release : 2012-12-06 Category : Medical ISBN : 3709163870
This supplement of Acta Neurochirurgica contains the proceedings of the Ninth Convention of the Academia Eurasiana Neurochirurgica held in Chateau St. Gerlach, Houthem, The Netherlands, 29 July - 1 August 1998. During this convention a three-day symposium on Neurosurgery and Medical Ethics was held. In this time of tremendous technical advancement in medicine in general and neurosurgery in particular, we are liable to lose sight of the sick patient as a human being, and the odds are that he will be the object rather than the subject of our action in the near future. It is a purpose and a task of the Academia Eurasiana Neurochirurgica to recognize this thread and to pay attention to tradition, morality and ethics in neurological surgery. The theme of this convention and the subject of the symposium met this purpose as no other. In the scientific sessions during the first day, the moral backgrounds of medical ethics in the most important cultures and religions in east and west were elucidated by invited experts in this field. A mutual respectful understanding of each other's conception of and belief in ethical principles is a growing necessity in our multicultural societies in both continents. On the second day, the ethical aspects of different fields of neurological surgery were discussed by members of the Academia. In this context, also the internationally much-discussed and much-criticized regulations on euthanasia in The Netherlands were explained.
Good neurosurgical practice is based not only on evidence, skills, and modern equipment, but also on good values. This book is the first to discuss specifically the ethical issues that arise during the daily practice of neurosurgery. It is divided into three parts addressing patients’ rights, ethical issues relating to the working environment, and wider societal aspects such as dealings of neurosurgeons with the legal system, the media, and companies. The authors are well-established neurosurgeons who present the ethical problems that they have encountered during their careers and explain what they have learned in confronting these problems. In all, more than 50 neurosurgical cases drawn from real life are reported and discussed from an ethical point of view. This book will be especially informative for young neurosurgeons and will provide all who work in this very special field with a road map on how to avoid violations of medical ethics in neurosurgical practice.
Author : Albert L. Rhoton, Jr. Publisher : Oxford University Press, USA Page : 784 pages File Size : 39,3 MB Release : 2019-10-31 Category : Medical ISBN : 9780190098506
THE DEFINING WORK IN NEUROSURGERY, REISSUED FOR A NEW GENERATION OF TECHNICAL EXCELLENCE Cranial Anatomy and Surgical Approaches is the master work of the legendary neurosurgeon Albert L. Rhoton, Jr. -- a distillation of 40 years of work to improve safety, accuracy, and gentleness in the medical specialty the author helped shape. Newly reissued and featuring more than 2000 full-color illustrations, this definitive text on the microsurgical anatomy of the brain remains an essential tool for the education and enrichment of neurosurgeons at any career stage. It fulfils its author's hopes to make, in his words, the "delicate, fateful, and awesome" procedures of neurosurgery more gentle, accurate, and safe. Across three sections, Cranial Anatomy and Surgical Approaches details the safest approaches to brain surgery, including: � Micro-operative techniques and instrument selection � Microsurgical anatomy and approaches to the supratentorial area and anterior cranial base, including chapters on aneurysms, the lateral and third ventricles, cavernous sinus and sella. � Anatomy and approaches to the posterior cranial fossa and posterior cranial base, including chapters on the fourth ventricle, tentorial incisura, foramen magnum, temporal bone, and jugular foramen � Supra- and infratentorial areas, including chapters on the cerebrum and cerebellum and their arteries and veins
"An essential review for residents across neurological disciplines, the chapters are organized into groups of questions covering neurobiology, neuroanatomy, clinical neurology, neuropathology, neuroradiology, neurosurgery, and critical care. Written and edited by neurosurgery residents who have passed the boards, the book works as an effective stand-alone review book or used in conjunction with The Definitive Neurological Surgery Board Review. Featuring hundreds of high-quality figures as well as high-yield tables, this essential review book concludes with a 300-question multidisciplinary self-assessment examination."--BOOK JACKET.
A step-by-step guide to modern techniques of keyhole brain surgery Developed 20 years ago by leading innovators in the field, the keyhole concept of brain surgery has become an integral part of the practice of neurosurgery. This timely and comprehensive book covers the thinking, philosophy, and techniques of modern keyhole brain surgery, including a realistic assessment of its benefits and limitations. Written by expert practitioners and highlighted by vivid surgical illustrations and procedural videos, Principles and Practice of Keyhole Brain Surgery functions as an experienced mentor working side by side with neurosurgeons as they master the techniques. Special Features: Introduces the basic principles of the keyhole approach, including the practical, technical, and logistical aspects of planning procedures and operating through small openings Beautifully illustrated with nearly 900 endoscopic images, diagrams, surgical drawings, and operative photographs, many showing step-by-step procedures Details the pivotal role of the endoscope in keyhole brain surgery and its ability to provide multiple angles of visualization, including a useful catalog of clinical situations where the endoscope has proven most effective Demonstrates contemporary keyhole approaches (e.g. the eyebrow/sub-frontal approach) in procedures for supratentorial intra-axial brain tumors, tumors of the cribriform plate and orbit, parasellar masses, craniopharyngiomas, tumors of the middle fossa and cavernous sinus and many other conditions in the cranial base Offers more than 100 procedural videos on the Thieme's MediaCenter, narrated by the authors and aligned to chapters in the book for an unparalleled learning resource Providing all the information necessary to achieve surgical goals through well placed, smaller openings—with the added benefits of shorter procedures, fewer wound complications and better patient outcomes—Principles and Practice of Keyhole Brain Surgery is essential for every neurosurgeon in practice today.
“If you are at all curious about the brain or the surgeons who operate on it, Gray Matters is a must read and Dr. Theodore Schwartz is the perfect guide, a master brain surgeon and superbly talented writer. I have not read a better biography of our shared profession, and in Schwartz's talented hands, the most enigmatic 3 1/2 pounds of tissue in the known universe comes to light in remarkable and revelatory ways.” —Dr. Sanjay Gupta, CNN Chief Medical Correspondent, and New York Times and #1 Wall Street Journal bestselling author of Keep Sharp: Build a Better Brain at Any Age A popular biography of brain surgery, by one of its preeminent practitioners We’ve all heard the phrase “it’s not brain surgery.” But what exactly is brain surgery? It’s a profession that is barely a hundred years old and profoundly connects two human beings, but few know how it works, or its history. How did early neurosurgeons come to understand the human brain—an extraordinarily complex organ that controls everything we do, and yet at only three pounds is so fragile? And how did this incredibly challenging and lifesaving specialty emerge? In this warm, rigorous, and deeply insightful book, Dr. Theodore H. Schwartz explores what it’s like to hold the scalpel, wield the drill, extract a tumor, fix a bullet hole, and remove a blood clot—when every second can mean life or death. Drawing from the author’s own cases, plus media, sports, and government archives, this seminal work delves into all the brain-related topics that have long-consumed public curiosity, like what really happened to JFK, President Biden’s brain surgery, and the NFL’s management of CTE. Dr. Schwartz also surveys the field’s latest incredible advances and discusses the philosophical questions of the unity of the self and the existence of free will. A neurosurgeon as well as a professor of neurosurgery at Weill Cornell Medicine, one of the busiest and most highly ranked neurosurgery centers in the world, Dr. Schwartz tells this story like no one else could. Told through anecdote and clear explanation, this is the ultimate cultural and scientific history of a literally mind-blowing human endeavor, one that cuts to the core of who we are.
In reflecting upon my life as a neurosurgeon, perhaps the most salient feature is that period of history involved. Trained by men who studied under Harvey Cushing, considered the father of neurological surgery, we, as early third-generation neurosurgeons, were held to those rigid standards of academic achievement and physical endurance typical of that time. The reader first identifies with the young child who dreams of becoming a doctor, and then sets out on that long path. He then re-lives the experiences of the student of medicine, and later the rigorous demands placed upon the surgeon-in-training. During the later descriptions of the private practice of brain and spinal surgery, the book transitions into an educational experience. It presents to the reader a multitude of neurological disorders requiring surgical treatment, the relevant surgical anatomy and the operative techniques involved. Often interjected are the intangibles of surgical judgment and philosophy when confronting those in pain or critically ill. Of equal importance were the major scientific advancements which occurred during that period of medical history. No longer did we have to bore a hole in the skull, or inject noxious materials into the head or spinal canal to verify a diagnosis. Rather, we had been privileged to enjoy the development of such remarkable machines as the ultrasound, CAT, and MRI. Descriptions of these devices, among others, and their impact on medical practice should prove interesting to the inquisitive reader. After 21 years in practice, and probably at the height of my career as a surgeon, I contracted hepatitis B subsequent to an accidental needle puncture in the operating room. Forced to lay down the scalpel, I turned to my second childhood dream, cattle ranching, as an alternative vocation. This then becomes a secondary focus of the book. A medical colleague, after learning of my book, expressed an interest in learning the common denominator driving a man to both neurosurgery and ranching. One can summarize with the word, “counterpoise.” I had always strived to achieve a balance between the in-hospital, academic, precision-oriented work of the neurosurgeon and the outdoor, physically-demanding life of a rancher― consummating the total American dream. Analogous to surgery I have always enjoyed using my hands in the shop. Throughout the book sections have been devoted to various aspects of woodworking, and an effort not only to share my enthusiasm but also to expose underlying problems and pitfalls; challenges I have encountered in striving to become an artisan of fine furniture. The practice of medicine has undergone significant change during my lifetime. Not only have I witnessed a burgeoning, unsustainable increase in the cost of healthcare, but also major changes in the way in which medicine is being practiced in the new millennium. Having been a proud product of the “Lucky Few” generation, born between the years 1929 and 1945, I am rightfully able to compare today's practice of medicine with those of the latter half of the 20th century.