Cerebrospinal Fluid Disorders by Conor Mallucci, Spyros Sgouros

By Conor Mallucci, Spyros Sgouros

Addressing the distance within the literature among pediatric medication and geriatric drugs, Cerebrospinal Fluid issues examines the issues of the cerebrospinal fluid (CSF) pathways from start to outdated age, exploring and dealing with the ensuing results of such issues on either the mind and backbone through the adjustments in improvement. This booklet is written via greater than 50 worldwide specialists in neurology and similar disciplines, and gives the best diagnostic and administration instructions for treating sufferers with CSF issues. Highlights of Cerebrospinal Fluid problems contain: ?COMPREHENSIVE content material— that info CSF problems and their results at the mind and backbone in any respect developmental levels ?KEY UPDATES—up-to-date details and up to date advancements you could make the most of on your perform ?CLEAR association— every one part is split into history details, affliction dialogue, surgical facets, controversies and social concerns, which supplies you easy access to crucial details had to effectively diagnose and deal with sufferers with CSF issues ?MULTIDISCIPLINARY CONTENT—written through clinicians representing a number of specialties, this publication comes in handy for not just neurologists, but in addition similar specialties desirous about treating CSF issues, together with neurosurgery, pediatrics, common drugs and normal perform, ophthalmology, radiology, and emergency drugs ?EXPERT sufferer communique TIPS—learn the way to top convey info on your sufferers and their caregivers on hugely delicate matters, corresponding to substitute remedies, quality-of-life concerns, medico-legal points, and extra assets ?OVER four hundred ILLUSTRATIONS— train you the way to use key advancements on your hospital.

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A. No subject or disease entity is more fundamental to a pediatric neurosurgical practice than hydrocephalus and its treatment. In 1929, the founder of our Department of Neurosurgery at the Albert Einstein College of Medicine, Leo Davidoff, MD, offered his views on dealing with hydrocephalus: Hardly any other pathologic condition has been accorded more determined attention on the part of the medical profession with the aim of finding a cure for it than has hydrocephalus. And in hardly a single other condition have cures been so illusive or so often wrecked on purely mechanical obstacles.

71. Henry-Feugeas MC, Idy-Peretti I, et al. Origin of subarachnoid cerebrospinal fluid pulsations: a phase-contrast MR analysis. Magn Reson Imaging 2000; 18(4):387–395. 72. Levy LM. MR imaging of cerebrospinal fluid flow and spinal cord motion in neurologic disorders of the spine. Magn Reson Imaging Clin N Am 1999; 7(3): 573–587. 73. , et al. Flow dynamics of cerebrospinal fluid: assessment with phasecontrast velocity MR imaging performed with retrospective cardiac gating. Radiology 1992; 183(2): 395–405.

Oribasius did make an interesting technical suggestion, namely, that the surgeon should always place the lance behind the hairline so as not to leave a visible scar (10,11). The classification of hydrocephalus and related views on the surgical treatment of it, like those discussed above, have remained a dominant theme in the literature until recent times. An inadequate understanding of CSF physiology and the risk of surgical infection and meningitis secondary to contaminated surgical instruments lead one to understand why the outcomes of surgery on hydrocephalus were almost invariably lethal.

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