Neurosurgery for Spasticity (PDF)
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The book, in its second edition, is devoted to the neurosurgical management of spasticity and focal dystonia. Starting with a chapter on the anatomical and physiological bases of spasticity and a short history of its neurosurgical treatment, it describes the neurosurgical methods currently available. As management differs between adults and children, the book is also structured accordingly, including evaluation, decision-making, Intrathecal Baclofen therapy (ITB), Botulinum toxin therapy and Surgery. The large spectrum of scales for assessing hypertonia, spasticity, dystonia, contracture and joint/bone deformities, as well as the scoring systems for quantifying functional abilities are critically reviewed. Beyond ITB, the neurosurgical options covered include the microsurgical procedures focusing on the peripheral nerves, dorsal roots, Dorsal Root Entry Zone and spinal cord, and their intra-operative monitoring.
In this second edition, the orthopedic surgical interventions available will take a large place, either as alternative solutions , or even better as important complements after spasticity be solved by the neurosurgical treatments.
Based on surgical experience collected with more than a thousand and eight-hundred patients, the book gathers the most important aspects of our present understanding, presented using a practical, educational approach. It stresses the importance of a multidisciplinary approach, including neurologists, pediatricians and rehabilitation specialists. Close collaborations with other surgical disciplines like orthopedic surgery and neuro-urology are outlined.
Manon Duraffourg, MD, is a french board-certified neurosurgeon with a diploma in Stereotactic and Functional Neurosurgery. She is developing neuro-orthopedic surgery as an integral part of the management of the spasticity disorders. She has completed a Fellowship in the Neuroorthopedic Department of the Raymond Poincaré Hospital (in Garches, headed by Dr Denormandie) and participates in the Auvergne-Rhône-Alpes regional multidisciplinary team dealing with spasticity. She is also interested in peripheral nerve surgery and pain surgery. She has performed academic and clinical research in the field of pudendal nerve pain, on the occasion of her M.D thesis.
George Georgoulis is a certified Neurosurgeon working at the General Hospital of Athens "G.Gennimatas", Department of Neurosurgery. He joined a fellowship program for Neurosurgery of Spasticity directed by Professor Sindou at Hôpital Neurologique "Pierre Wertheimer" Lyon, University of Lyon 1. He participates on the multidisciplinary team for Cerebral Palsy Children at the University of Athens. He is invited lecturer in several (pediatric) meetings, in particular the European Society of Pediatric Neurosurgery. His publications are cited in prestigious neurosurgical and neurological journals. Among general neurosurgery, his topics of interest are microsurgery for spasticity, intraventricular neuroendoscopy and intracranial meningiomas.
- Autoren: Marc Sindou , Manon Duraffourg , George Georgoulis
- 2022, 2nd ed. 2022, 359 Seiten, Englisch
- Verlag: Springer International Publishing
- ISBN-10: 3030927172
- ISBN-13: 9783030927172
- Erscheinungsdatum: 29.06.2022
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- Größe: 23 MB
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