By George I. Jallo, Karl Kothbauer, Gustavo Pradilla
In Controversies in Pediatric Neurosurgery, best clinicians from all over the world current concrete recommendation and frank remark on replacement recommendations for the remedy and administration of particular cranial and spinal problems. every one succinct, simply available bankruptcy addresses a distinct situation in a point/counterpoint structure that discusses the professionals and cons of a few of the remedies, together with surgical techniques and strategies. This hugely functional, balanced assurance equips readers to make well-informed offerings whilst picking the main applicable remedy modality for a selected diagnosis.
- Lessons Learned on the finish of every bankruptcy, during which the authors summarize the controversy with a number of viewpoints and thoroughly thought of techniques in line with released proof and their very own scientific event
- Incisive discussion on twenty sizzling subject matters within the box,
together with how one can deal with arachnoid cysts, craniosynostosis, tethered twine,
hydrocephalus, chiari malformations, epilepsy, aneurysms, and extra
- Clinical and private insights from overseas
participants at the variability of surgical education, adventure, and
on hand assets in several components of the area
- Guidance on how you can speak about treatment plans and
recommendations to sufferers and their households This booklet is key studying for
each clinician, resident, or fellow who wishes a company knowing of the
so much arguable concerns in pediatric neurosurgery that allows you to make the
top determination for the ideal therapy alternative for sufferers of their care.
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Extra info for Controversies in pediatric neurosurgery
Pediatric Neurosurgery, Surgery of the Developing Nervous System. 4rth ed. Philadelpia: WB Saunders; 2001:489–498 31. McDonald PJ, Rutka JT. Middle cranial fossa arachnoid cysts that come and go: report of two cases and review of the literature. Pediatr Neurosurg 1997;26(1):48–52 32. Rao G, Anderson RC, Feldstein NA, Brockmeyer DL. Expansion of arachnoid cysts in children: report of two cases and review of the literature. J Neurosurg 2005;102(3, Suppl):314–317 33. Artico M, Cervoni L, Salvati M, Fiorenza F, Caruso R.
Medical therapies for hydrocephalus are aimed at decreasing CSF production and involve the administration of diuretics. The most commonly used diuretics, acetazolamide and furosemide, have been used alone and in combination with variable efficacy. Acetazolamide blocks the formation of H+ and HCO3- from CO2 and H2O, which results in urinary bicarbonate excretion, and furosemide inhibits the Na–K–2Cl symporter in the thick ascending limb of the loop of Henle, both resulting in diuresis. Although their mechanisms of action differ, combination therapy results in a synergistic reduction of CSF production.
Numerous reports support the notion that these adjustable valves are effective in noninvasively treating syndromes of both over- and underdrainage. , very frequent MRI scans) is a major concern. qxd 20 2/9/10 2:32 PM Page 20 I Intracranial ♦ Antibiotic-Impregnated Catheters Gustavo Pradilla, Daniel M. Sciubba, and George I. Jallo Hydrocephalus constitutes one of the most prevalent clinical entities requiring neurosurgical treatment. 59–62 The purpose of this article is to familiarize the readers with the clinical nuances of hydrocephalus treatment, to describe the pathophysiology of shunt-related infections, to discuss the principles of sustained drug delivery applied to antibioticcoated catheters, and to present clinical data that evaluate its safety and efficacy.