New Book: Migraine Surgery

Migraine Surgery

Migraine Surgery

List Price: $170.00

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Product Details

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Director of Functional Neurosurgery and Neuromodulation

Dr. Mammis joined the Neurological Institute of New Jersey in 2013.  He is a graduate of Columbia University College of Physicians and Surgeons, and entered neurosurgery residency training at the New Jersey Medical School and University Hospital.  During his training, he spent a year obtaining advanced training in Functional and Restorative Neurosurgery at North Shore Long Island Jewish Hospital.

Specializing in the surgical treatment of movement disorders, pain syndromes, spasticity, and general neurosurgical pathology, Dr. Mammis directs the Center for Neuromodulation, is the surgical director of the Comprehensive Pain Center, and is part of the Comprehensive Spine Center at the Neurological Institute of New Jersey.  In addition, Dr. Mammis has been a very active researcher and has published numerous articles relating to the treatment of Parkinson’s Disease, movement disorders, and Pain Syndromes.

  • Published on: 2014-10-20
  • Original language: English
  • Binding: Hardcover
  • 206 pages

Today: 2014 CNS Annual Meeting

October 18 — October 22

Boston, MA, USA

More Information

Endoscopic Endonasal and Keyhole Approaches to the Skull Base – Part 2 Endoscopic Endonasal Skull Base Surgery (Cadaver Course)

19 October 2014 – 8:00am to 4:00pm

Simulation Based Neurosurgical Training
19 October 2014 – 8:00am to 4:00pm

So You’re Finally a Neurosurgeon…Now What?
19 October 2014 – 8:00am to 4:00pm

Neuro-vation – CME not offered for this course
19 October 2014 – 8:00am to 4:00pm

My Worst Spinal Complication: What I Learned
19 October 2014 – 8:00am to 11:30am

Surgical Management of Tumors in Eloquent Regions
19 October 2014 – 8:00am to 11:30am

Implementing Quality Improvement in Neurosurgery: Raising Quality, Lowering Cost, and Maximizing Compensation
19 October 2014 – 8:00am to 11:30am

Building a Neurosciences Program
19 October 2014 – 8:00am to 11:30am

Integration of Wisdom and Pearls into the Advanced Practice Provider’s Practice
19 October 2014 – 8:00am to 11:30am

2014 CPT Coding Update
19 October 2014 – 12:30pm to 4:00pm

Negotiation Tactics from the Experts – Getting the Best Deal (Hospital Negotiations)
19 October 2014 – 12:30pm to 4:00pm

Information Technology, the Internet and Social Media Marketing to Enhance your Neurosurgery Practice
19 October 2014 – 12:30pm to 4:00pm

Cranial Neurosurgery: Complication Avoidance and Management
19 October 2014 – 12:30pm to 4:00pm

Trauma Update: Traumatic Brain Injury
19 October 2014 – 12:30pm to 4:00pm

Choice Abstracts: A Cross Section – Spanning the Spectrum of Neurosurgery
19 October 2014 – 1:30pm to 4:00pm

General Scientific Session I
19 October 2014 – 4:15pm to 6:40pm

Return to Play
19 October 2014 – 4:37pm to 4:49pm

From Kona to Kilimanjaro” A Metaphor for Neurosurgery
19 October 2014 – 4:49pm to 5:04pm

Chronic Traumatic Encephalopathy – Is this Real?
19 October 2014 – 5:27pm to 5:42pm

New Book: Neurocritical Care Monitoring

Neurocritical Care Monitoring

By Chad Miller, Michel Torbey

Neurocritical Care Monitoring

List Price:$95.00
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I commend the editors for their careful perspective on the current state of neuromonitoring. The individual chapters provide excellent overviews of specific neuromonitoring tools and paradigms.”

From the Foreword by J. Claude Hemphill III, MD, MAS, FNCS

While damage resulting from a primary injury to the brain or spine may be unavoidable, harm from secondary processes that cause further deterioration is not. This practical, clinical resource describes the latest strategies for monitoring the brain after acute injury. With a focus on individualization of treatment, the book examines the role of various monitoring techniques in limiting disability and potentiating patient recovery during the acute phase of brain injury. International experts in diagnosis and treatment of secondary injury explain in detail the current utilization, benefits, nuances, and risks for each commercially available monitoring device as well as approaches vital to the care of brain and spine injured patients. They cover foundational strategies for neuromonitoring implementation and analysis, including proper catheter placement, duration of monitoring, and treatment thresholds that indicate the need for clinical intervention. The book also addresses multimodality monitoring and common programmatic challenges, and offers guidance on how to set up a successful multimodal monitoring protocol in the ICU. Also included is a chapter on the key role of nurses in neuromonitoring and effective bedside training for troubleshooting and proper execution of treatment protocols. Numerous illustrations provide further illumination.

Key Features:

Presents state-of-the-art neuromonitoring techniques and clinical protocols for assessment and treatment

Emphasizes practical implementation for successful patient outcomes

Written by international experts at the forefront of neurocritical care monitoring

Provides a framework for practitioners who wish to individualize patient care with an emphasis upon the needs of the critically ill brain

Discusses the key role of nurses in neuromonitoring and effective bedside training for management and troubleshooting of devices


Product Details

  • Published on: 2014-10-10
  • Original language: English
  • 184 pages

Editorial Reviews

Review
“I commend the editors for their careful perspective on the current state of neuromonitoring. The individual chapters provide excellent overviews of specific neuromonitoring tools and paradigms.” – From the Foreword by J. Claude Hemphill III, MD, MAS, FNCS (2014-05-08) –Hemphill III, MD, MAS, FNCS

About the Author

Chad M. Miller, MD, is Associate Professor of Neurology and Neurosurgery, Wexner Medical Center, Ohio State University, Columbus, OH

Michel T. Torbey, MD, MPH, FAHA, FCCM, Professor of Neurology and Neurosurgery and Director, Division of Cerebrovascular Diseases and Neurocritical Care, Wexner Medical Center, Ohio State University, Columbus, OH

UpToDate:Outcome in idiopathic normal pressure hydrocephalus

To date, there is no standard outcome assessment scale for shunt treatment.

In designing such scale, the relative weight of each of the common presentations of the condition from the patient’s or his/her carer’s point of view should be taken into consideration.

Clinical improvement of patients with iNPH can be sustained for 5-7 years in some patients, even if shunt revision surgery is needed multiple times. With earlier diagnosis and treatment and the increasing lifespan of the ageing population, the need for long-term follow-up after shunt surgery may be greater than it was in the past. Monitoring, identification and treatment of shunt obstruction is a key management principle 1).

Gait and Incontinence

Postoperative improvement of Gait and Urinary incontinence is obtained at an early stage 2) 3). In contrast, Dementia tends to improve gradually from after the third postoperative month. The family satisfaction increases as the symptom of Dementia improve. The satisfaction of the medical personnel tends to remain high after the first postoperative month 4).

Independent predictors

Independent predictors of improvement are the presence of gait impairment as the dominant symptom and shorter duration of symptoms 5).

Caregiver Burden

Shunt operations reduced the caregiver burden of iNPH patients 6)7).

Thirty-seven patients (median age 70 years, range 50-89 years) with Idiopathic normal pressure hydrocephalus were evaluated before and 6 months after surgery. Symptoms and signs were assessed by the iNPH scale, activities of daily living (ADL) with the Functional Independence Measure (FIM) and Assessment of Motor and Process Skills (AMPS), autonomy and participation with Impact on Participation and Autonomy (IPA), and caregiver burden with the Caregiver Burden Scale (CBS). HRQOL was evaluated with the EQ-5D (EuroQol Group-5 Dimension health survey).

Twenty-four patients (65%) improved clinically (iNPH scale score) and 31 (86%) improved their HRQOL after surgery, almost to the same level as found in the normal population. The patients became more independent in physical and cognition, and participation and autonomy improved. The caregiver burden was decreased among caregivers to male patients but remained unchanged on the overall group level. After shunt surgery, patients with iNPH showed improvement in most aspects of social life, they became more independent, and their quality of life returned to nearly normal 8).

1) Pujari S, Kharkar S, Metellus P, Shuck J, Williams MA, Rigamonti D. Normal pressure hydrocephalus: long-term outcome after shunt surgery. J Neurol Neurosurg Psychiatry. 2008 Nov;79(11):1282-6. doi: 10.1136/jnnp.2007.123620. Epub 2008 Mar 20. PubMed PMID: 18356257.
2) Savolainen S, Hurskainen H, Paljärvi L, Alafuzoff I, Vapalahti M: Five-year outcome of normal pressure hydrocephalus with or without a shunt: predictive value of the clinical signs, neuropsychological evaluation and infusion test. Acta Neurochir (Wien) 144:515–523, 2002
3) , 4) Takeuchi T, Goto H, Izaki K, Tamura S, Sasanuma Z, Maeno K, Kikuchi Y, Tomii M, Koizumi Z, Watanabe Z, Numazawa S, Ito Y, Ohara H, Kowada M, Watanabe K. Postoperative patterns of improvement of symptoms and degrees of satisfaction in families of patients after operations for definite idiopathic normal pressure hydrocephalus: a long-term follow-up study]. No Shinkei Geka. 2007 Aug;35(8):773-9. Japanese. PubMed PMID: 17695775.
5) McGirt MJ, Woodworth G, Coon AL, Thomas G, Williams MA, Rigamonti D. Diagnosis, treatment, and analysis of long-term outcomes in idiopathic normal-pressure hydrocephalus. Neurosurgery. 2005 Oct;57(4):699-705; discussion 699-705. PubMed PMID: 16239882.
6) Kazui H, Mori E, Hashimoto M, Ishikawa M, Hirono N, Takeda M. Effect of shunt operation on idiopathic normal pressure hydrocephalus patients in reducing caregiver burden: evidence from SINPHONI. Dement Geriatr Cogn Disord. 2011;31(5):363-70. doi: 10.1159/000328625. Epub 2011 May 27. PubMed PMID: 21625136.
7) , 8) Petersen J, Hellström P, Wikkelsø C, Lundgren-Nilsson A. Improvement in social function and health-related quality of life after shunt surgery for idiopathic normal-pressure hydrocephalus. J Neurosurg. 2014 Oct;121(4):776-84. doi:10.3171/2014.6.JNS132003. Epub 2014 Jul 18. PubMed PMID: 25036194.

El Hospital Quirón San Camilo (Madrid) inaugura su nueva Unidad Multidisciplinar de Neurocirugía

La presidenta de Grupo Hospitalario Quirón, Pilar Muro, y el doctor don Manuel José de la Torre Gutiérrez, han presentado la nueva área que albergará la Unidad Multidisciplinar de Neurocirugía de Hospital Quirón San Camilo, un servicio especializado en el diagnóstico y tratamiento de patología de la columna vertebral.

Esta nueva unidad, que cuenta con la “última tecnología”, estrena un espacio de 650 metros cuadrados en el que se encuentra una Unidad de Rehabilitación y una Unidad del Dolor, así como nuevas zonas para citación, nueve consultas con zonas de exploración y cuatro salas de espera.

Todo ello equipado de acuerdo a los criterios de excelencia y comodidad que requiere un servicio de estas características. La inversión total en obras y equipamiento de esta nueva unidad ha ascendido a 3.100.000 euros.

Se trata, además, de la única unidad en España que contará con dos equipos de imagen intraoperatoria ‘O-Arm’ con capacidad de funcionamiento simultáneo. Aplicables a intervenciones de columna y cráneo, los aparatos tienen integrado el modelo más avanzado de neuronavegador que existe en el mercado, de forma que la navegación se produce en tiempo real y no es necesario realizar un estudio previo.

Al acto de inauguración han asistido el Alto Comisionado para la Marca España, Carlos Espinosa de los Monteros; el subdirector general de Ordenación Profesional del Ministerio de Sanidad, Juan Antonio López Blanco; el gerente de Madrid Salud, Antonio Prieto; y la alcaldesa de Pozuelo de Alarcón, Paloma Adrados.

“GRAN APORTACIÓN” AL ÁMBITO INTERNACIONAL

La presentación de la Unidad Multidisciplinar de Neurocirugía ha contado asimismo con la intervención de los doctores Daniel J. Rosentha ui Pietr Suchomel. Ambos han destacado la “gran aportación” de esta nueva unidad al ámbito internacional de la neurocirugía.

“La Unidad es un reto al que se enfrenta mi equipo de gabinete de Neurociencias desde la responsabilidad que supone ofrecer a un gran número de pacientes la tecnología y la eficacia profesional mejor que existe en el mundo, y hacerlo desde España, de la mano de un gran grupo de salud”, ha aseverado De la Torre.

Por su parte, Espinosa de los Monteros ha agradecido el esfuerzo de Grupo Hospitalario Quirón por convertirse en líder en Europa en su sector, así como al doctor Manuel de la Torre y su equipo, por su trabajo para ser considerados un referente mundial en su actividad.

Finalmente, Muro ha destacado la decidida apuesta del grupo en la Comunidad de Madrid, en cuyos tres centros (Hospital Quirón San Camilo, Hospital Quirón San José y Hospital Universitario Quirón Madrid) se ha puesto en marcha un “ambicioso” plan de inversiones en obras y equipamiento, así como un “único” modelo de atención que ofrece una “insuperable oferta sanitaria”.