| Description |
1 online resource (293 p.) |
| Series |
Advances and Technical Standards in Neurosurgery ; v.47 |
|
Advances and technical standards in neurosurgery ; v. 47.
|
| Contents |
Intro -- Preface -- Contents -- Gastrulation and Split Cord Malformation -- Definition -- Nomenclature -- Epidemiology -- Pathology -- Aetiology -- Embryology: Germinal Phase -- Embryology: Gastrulation -- Dysraphism and Embryology -- Split Cord Malformation and Embryology -- Split Cord Malformation and Experimental Evidence -- Signs and Symptoms -- Associated Conditions -- Neuroimaging -- Management -- Surgery for Type 1 SCM -- Surgery for Type 2 SCM -- Complications -- Prognosis -- Conclusion -- References -- Fetal Surgery for Myelomeningocele: Neurosurgical Perspectives |
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Introduction and Experimental Background -- Clinical Studies -- Neurosurgery Perspectives -- Hydrocephalus -- Chiari II Malformation -- Motor Function -- Anatomical Level -- MMC Sac vs No Sac -- Gestational Age at the Time of Fetal Repair -- Bladder Function -- Cognitive Function -- Complications at the Myelomeningocele Repair Site -- Problems of Wound Healing -- Inclusion Cysts -- Re-tethering of Spinal Cord -- Selection Criteria for Fetal Surgery -- Operative Technique: Standard Open Fetal Repair of MMC -- Abdominal Opening -- Hysterotomy -- Fetal Monitoring -- Standard Open Repair |
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Skin Patch Repair -- Alternative Techniques -- Fetoscopic Repair (FSBAR) -- Mini-Hysterotomy -- Future Perspectives -- References -- A New Surgical Paradigm for Postnatal Repair of Open Neural Tube Defects Using Intraoperative Neurophysiology Monitoring -- Primary Neurulation Defect -- Disadvantages of Traditional Repair of Open Neural Tube Defects -- Advantages of the New Paradigm for Repair of Open Neural Tube Defects -- Patient Series -- Intraoperative Neurophysiological Monitoring (IONM) -- Surgical Technique -- Intraoperative Surgical and IONM Findings |
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First Illustrative Case: Terminal Lumbar Non-functional Placode (Case #2 in Table 1) -- Second Illustrative Case: Preservation of Segmental Lumbar Placode with L5 Functional Level (Case #8 in Table 1) -- Histopathology of the Resected Placode -- Neurological, Urological and Imaging Follow-Up -- Discussion -- Conclusion -- References -- Focal Spinal Nondisjunctional Disorders: Including a Discussion on the Embryogenesis of Cranial Focal Nondisjunctional Lesions -- Introduction -- Embryogenetic Mechanisms of Focal Nondisjunctional Disorders -- Normal Primary Neurulation |
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On the Caudal End of the Primary Neural Tube -- Relevant Features in the Rostral End of Primary Neural Tube -- Faults in Embryogenesis in Focal Nondisjunctional Disorders -- Molecular Mechanisms of Focal Nondisjunctional Malformations -- Embryogenetic Mechanisms of the Subtypes of Focal Spinal Nondisjunctional Disorders -- Embryogenetic Mechanisms of Cranial Focal Nondisjunctional Disorders -- Pathological Anatomy and Clinical Manifestations of FSND -- Pure CSDST -- Pathological Anatomy -- Clinical Manifestations -- Pure LDM -- Pathological Anatomy -- Clinical Manifestations -- Cutaneous Markers |
| Summary |
This book includes detailed discussions of the latest science in the embryogenesis of spinal dysraphic malformations, and a well-illustrated guide to their surgical repair. In addition to covering the actual malformations, and because, with the probable exception of prenatal closure of the open neural tube defect, all surgical repairs of other dysraphic malformations require sophisticated intraoperative neurophysiological monitoring (IONM), an in-depth chapter is devoted to the physics, physiology, techniques, parameters and patterns of electrophysiological responses in representative dysraphic lesions. As the evaluation of bladder function is crucial for the assessment of the pre-operative clinical status and long-term outcome of the patient with spinal dysraphism, an entire chapter is devoted to the neurophysiology of micturition, the symptoms of neuropathic bladder, and to the explanation of the complexities of proper urodynamics. The book will be an invaluable tool for paediatric neurosurgical consultants interested in spinal dysraphism and for fellows and other trainees in this discipline |
| Notes |
Neurourological Findings |
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Online resource; title from PDF title page (SpringerLink, viewed September 12, 2023) |
| Subject |
Spine -- Abnormalities.
|
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Spine -- Abnormalities -- Surgery
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Spine -- Abnormalities.
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Spine -- Abnormalities -- Surgery.
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| Form |
Electronic book
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| Author |
Pang, Dachling.
|
|
Wang, Kyu-Chang
|
| ISBN |
9783031349812 |
|
3031349814 |
|
