Brain Surgery
A Comprehensive and Practical Resource for Brain Surgery Patients, Their Families and Physicians
by
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CONTENTS Chapters 1. Why does one need to know about all of this, anyway? 2. About the brain 3. About brain surgeons 4. Types of brain disorders 5. Symptoms, signs and complications of brain disorders 6. Investigating brain disorders 7. Treatment options (e.g., open surgery, radiation, endovascular surgery) 8. What a patient should think about 9. What a surgeon may be thinking about 10. Informed consent 11. Preparing for open surgery 12. The open surgical procedure and early postoperative period 13. Drains, shunts, reservoirs, and needle biopsy with a head frame 14. The radiosurgical procedure and early postoperative period 15. The endovascular surgical procedure and early postoperative period 16. Wound issues 17. Issues concerning comatose and critically ill patients 18. Complications of treatment 19. Recurrent or persistent disease after treatment, and the need for follow-up 20. Recovery and rehabilitation 21. Four case histories (brain tumors, brain hemorrhage, brain trauma) 22. Neurosurgery: What’s on the horizon? 23. The brain disorder and surgery checklist 24. Online resources 25. Some frequently asked questions (FAQs) List of Figures 1. Coverings of the brain 2. CSF production and absorption 3. Brain surface 4. Main subdivisions of the brain 5. Lobes of the forebrain 6. Forebrain hemispheres and insular lobe 7. Corpus callosum and hindbrain 8. Circle of Willis 9. Neuron 10. Forebrain functions 11. Hindbrain functions 12. Space occupying lesion and mass effect 13. Herniation 14. Cerebral angiography 15. Pinion 16. Minimal head shave and frontotemporal and pterional craniotomy incisions 17. Suboccipital and retrosigmoid craniotomy incisions 18. Scalp flap turned, cranium exposed, burr holes being drilled 19. Bone flap removed and dura exposed 20. Dura opened and reflected, and brain surface exposed 21. Bone flap restored with titanium miniplates and screws 22. Keyhole or minimally invasive surgery: Neuroendoscopy 23. EVD placement 24. VP shunt placement 25. Gammaknife® head frame for accurate targeting 2
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About the Book
This book has been written and illustrated for brain surgery patients and their families, and for physicians and persons interested in learning more about the field of neurosurgery. It is uniquely comprehensive yet concise, and provides invaluable pearls gleaned from thousands of neurosurgery patients cared for by the author.
Learn about the basics of the brain, the many types of brain disorders and how they present, the ways in which brain disorders are investigated, treatment options, and step-by-step details of the investigations and procedures brain surgery patients frequently undergo, including open surgery or craniotomy, shunts, needle biopsy, radiosurgery, endovascular surgery, endoscopic or “keyhole” surgery, cerebral angiography, and more. Also learn about possible treatment-related complications, important details and tips regarding recovery and rehabilitation, the need for follow-up after treatment, matters concerning critically ill or comatose patients, and options for persons with recurrent or persistent disease. Discover what’s on the horizon for the field of neurosurgery, and read responses to questions frequently put to neurosurgeons by their patients.
Being diagnosed with a brain disorder and undergoing treatment are some of the most significant events a patient and his or her family will likely ever experience. This practical book is a must-read for such persons. The more one knows, the better equipped one will be to win the battle.
About the Author
Dr. Vini G. Khurana graduated with his medical and research degrees from the