Full Description
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.
Contents
FOREWORD.- PREFACE: Epistemology, rationale and demographics of geriatric neurosurgery.- PART 1 - NEUROLOGICAL ASSESSMENT OF THE ELDERLY - Chapter 1. Physiology of the ageing nervous system.- Chapter 2. Neurological assessment and neurocognitive evaluation of the elderly.- PART 2 - NEUROANESTHESIA AND CRITICAL CARE - Chapter 3. Neuroanesthesia of the elderly.- Chapter 4. Perioperative neurotoxicity in the elderly.- PART 3 - INTRACRANIAL TUMORS - Chapter 5. Intracranial meningiomas.- Chapter 6. Brain gliomas.- Chapter 7. Pituitary adenomas.- Chapter 8. Vestibular schwannomas.- Chapter 9. Brain metastases.- Chapter 10. CNS Lymphoma.- PART 4 - SPINAL PATHOLOGIES - Chapter 11. Degenerative cervical spine.- Chapter 12. Degenerative lumbar spine.- Chapter 13. Spinal injuries of the elderly.- Chapter 14. Vertebral tumors of the elderly.- Chapter 15. Intramedullary spinal cord tumors.- Chapter 16. Intradural extramedullary spinal tumors.- Chapter 17. Spinal infections.- PART 5 - HEAD INJURY - Chapter 18. Traumatic brain injury in the elderly.- Chapter 19. Chronic subdural hematoma.- PART 6 - NEUROVASCULAR - Chapter 20. Subarachnoid hemorrhage in the elderly.- Chapter 21. Intracerebral and intraventricular hemorrhage.- Chapter 22. Malignant pseudo-tumoral stroke.- PART 7 - HYDROCEPHALUS IN THE ELDERLY.- PART 8 - TRIGEMINAL NEURALGIA.- PART 9 - ETHICAL ISSUES IN NEUROSURGICAL ELDERLY PATIENTS.- APPENDIX
