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Book Cover

Title Brain and spine surgery in the elderly / Moncef Berhouma, Pierre Krolak-Salmon, editors
Published Cham, Switzerland : Springer, 2017


Description 1 online resource
Contents Part 1. Generalities. 1. Rapid growth in the elderly population of the world / Louis G. Pol -- 2. A brief physiology of the aging / Moncef Berhouma -- 3. Neurological assessment and neurocognitive evaluation of the elderly / Pierre Krolak-Salmon -- Part 2. Neuroanesthesia and critical care. 4. Neurosurgical anesthesia for the elderly: Is age really just a number? / David A. Wyler, Elizabeth M. Gabrielli, W. Andrew Kofke -- 5. Perioperative neurotoxicity in the elderly; / Elizabeth M. Gabrielli, Roderic G. Eckenhoff -- 6. Central nervous system infections in the elderly / Rodrigo Hasbun, Allan R. Tunkel -- Part 3. Intracranial tumors. 7. Intracranial meningiomas in the elderly / David B. Schul, Chochlidakis Nikos, Chirstianto B. Lumento -- 8. Brain gliomas in the elderly / Cristina Izquierdo Gracia, Francois Ducray -- 9. Pituitary adenomas / Paolo Cappabianca, Chiara Caggiano, Domenico Solari, Karol Migliorati, Waleed A. Azab, Elia Guadagno, Marialaura del Basso de Caro, Emmanuel Jouanneau, Luigi M. Cavallo -- 10. Vestibular schwannoma surgery in the elderly / Philip Y. Sun, Marina L. Castner, Kathryn M. van Abel, Colin L.W. Driscoll, Michael J. Link -- 11. Management of primary CNS lymphoma in elderly patients / Andreas F. Hottinger, Bianca Moura, Francesco Grandoni, Rita de Micheli -- 12. Management of brain metastases: Distinctive features in the elderly / Moncef Berhouma -- Part 4. Spinal diseases. 13. Degenerative spine disease / Christian Ewald, Albrecht Waschke -- 14. Spinal injuries of the elderly / Christopher D. Witiw, Laureen D. Hachem, Michael G. Fehlings -- 15. Extradural vertebral tumors in the elderly / Ryan J. Filler, Timothy T. Roberts, Edward C. Benzel -- 16. Intramedullary spinal cord tumors / Rajiv R. Iyer, George I. Jallo -- 17. Intradural extramedullary spoinal tumors / Owoicho Adogwa, Richard G. Fessler -- 18. Spinal infections / Hideki Nagashima -- Part 5. Head injury. 19. Traumatic brain injury in the elderly / Verena Röckelein, Michael Buchfelder, Andrea Kleindienst -- 20. Chronic subdural haematoma in the elderly / Ellie Edlmann, Peter J. Hutchinson, Angelos G. Kolias -- Part 6. Neurovascular. 21. Subarachnoid hemorrhage in the elderly / Mats Ryttlefors, Per Enblad -- 22. Spontaneous intracerebral hemorrhage in the elderly / Moncef Berhouma, Timothée Jacquesson, Emmanuel Jouanneau -- 23. Swollen middle cerebral artery stroke in the elderly / Desmond A. Briown, Eelco F.M. Wijdicks -- Part 7. Miscellaneous. 24. Trigeminal neuralgia in the elderly / Jonathan Cohen, Hossein Mousavi, Raymond F. Sekula Jr. -- 25. Hydrocephalus in the elderly: Diagnosis of idiopathic normal / Albert M. Isaacs, Mark G. Hamilton, Michael A. Williams -- 26. Hydrocephalus in the elderly: Surgical management of idiopathic normal pressure hydrocephalus / Albert M. Isaacs, Michael A. Williams, Mark G. Hamilton -- 27. Ethics in neurosurgery for the elderly / Farshad Nassiri, Mark Bernstein -- Appendix -- Index
Foreword; Geriatric Neurosurgery: A€New Dimension of€Modernity; Preface; About the Editor; Acknowledgments; Contents; Contributors; Part I: Generalities ; 1: Rapid Growth in€the€Elderly Population of€the€World; 1.1 Introduction; 1.2 Changes in€the€Age Structure; 1.3 Trends in€Aging; References; 2: A Brief Physiology of€the€Aging; 2.1 Introduction; 2.2 The Aging Brain; 2.2.1 Structural Changes; 2.2.2 Functional Changes; 2.3 The Aging Spine; References; 3: Neurological Assessment and€Neurocognitive Evaluation of€the€Elderly; 3.1 "Somatic" Neurological Examination
3.1.1 Gait and€Coordination3.1.2 Muscle Strength, Tone, and€Bulk; 3.1.3 Sensory Function; 3.1.4 Cranial Nerves; 3.2 Cognitive Assessment; 3.2.1 Complaint; 3.2.2 Tracking Tests; 3.2.3 Cognitive Function Declining with€Aging; References; Part II: Neuroanesthesia and€Critical Care; 4: Neurosurgical Anesthesia for€the€Elderly: Is Age Really Just a€Number?; 4.1 Introduction; 4.2 Frailty; 4.3 Physiologic Reserve by Organ System; 4.3.1 Central Nervous System Reserve; Cognitive Reserve; Cerebrovascular Reserve; 4.3.2 Cardiovascular Reserve; 4.3.3 Pulmonary Reserve
4.3.4 Hepatic, Renal, and€Nutritional Reserve4.3.5 Hematologic Issues; 4.3.6 Musculoskeletal and€Airway Changes; 4.3.7 Endocrine Reserve; 4.3.8 Preoperative Anesthetic Planning; 4.3.9 Anesthesia for€Supratentorial Craniotomy; 4.3.10 Intraoperative Neuromonitoring (IONM); 4.3.11 Anesthesia for€Transsphenoidal Surgery (TSS); 4.3.12 Awake Techniques and€Local Anesthetics; 4.3.13 Anesthesia for€Skull Base Surgery; 4.3.14 Anesthesia for€Spine Surgery; 4.3.15 Anesthesia for€Carotid Artery Surgery; 4.3.16 Anesthesia for€Decompressive Surgery
4.3.17 Anesthesia in€the€Interventional Radiology Suite4.3.18 Postoperative Pain; References; 5: Perioperative Neurotoxicity in€the€Elderly; 5.1 Introduction; 5.2 Terminology; 5.2.1 Postoperative Delirium; 5.2.2 Postoperative Cognitive Dysfunction; 5.3 The Susceptible Elderly Brain; 5.4 Preclinical Research; 5.4.1 Anesthesia; 5.4.2 Surgery; 5.4.3 Age; 5.4.4 Disease Genes; 5.5 Clinical Research; 5.6 Biomarkers; 5.6.1 Blood and€CSF Biomarkers; 5.6.2 Neuroimaging Biomarkers; 5.6.3 Genetic Biomarkers; 5.7 Mitigating the€Risk of€Postoperative Cognitive Dysfunction
5.7.1 Neuroprotection5.7.2 Anesthetic Depth; 5.7.3 Choice of€Anesthetic; 5.8 Summary; References; 6: Central Nervous System Infections in€the€Elderly; 6.1 Introduction; 6.2 Community-Acquired Meningitis; 6.3 Bacterial Meningitis; 6.3.1 Community-Acquired Bacterial Meningitis; 6.3.2 Healthcare-Associated Meningitis and€Ventriculitis; 6.4 Clinical Features; 6.5 Diagnosis; 6.6 Management; 6.7 Encephalitis; 6.7.1 Epidemiology and€Etiology; Herpes Viruses; Arboviruses; 6.8 Diagnosis; References; Part III: Intracranial Tumors
Summary This unique and richly illustrated volume presents the state of the art in the comprehensive management of major neurosurgical diseases in the elderly (aged 65 and over). It explores all of the common neurosurgical pathologies affecting elderly patients, and emphasizes the paramount importance of tailored management strategies for quality of life. It highlights updated techniques for anaesthesia and critical care, as well as minimally invasive neurosurgical methods intended for this specific group of patients. Radiosurgery treatment is also discussed, in particular for brain tumours. In western societies, the proportion of elderly citizens has nearly reached 20%, and shows no signs of slowing down. The management of neurosurgical conditions in this particular population requires specific multidisciplinary strategies. To address this situation, a team of internationally respected contributors accurately describe degenerative and traumatic spinal diseases, which account for the majority of admissions among the elderly, as well as brain tumours and intracranial haemorrhages, aspects that are raising new ethical issues. The book mainly addresses the needs of neurosurgeons and geriatric neurologists, but also neuro-oncologists and neuro-anaesthesists working with elderly patients, as well as students in these disciplines
Notes Includes index
Bibliography Includes bibliographical references and index
Notes Online resource; title from PDF title page (SpringerLink, viewed March 9, 2017)
Subject Nervous system -- Surgery.
Older people -- Surgery.
Older people.
Brain -- surgery
Brain Injuries -- surgery
Neurosurgical Procedures -- methods
Spinal Cord Injuries -- surgery
Spinal Injuries -- surgery
Neurosurgical Procedures
Aged, 80 and over
MEDICAL -- Surgery -- General.
Older people.
Nervous system -- Surgery.
Older people -- Surgery.
Form Electronic book
Author Berhouma, Moncef, editor.
Krolak-Salmon, Pierre, editor.
ISBN 9783319402321