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Schmidek and Sweet has been an indispensable reference for neurosurgery training and practice for nearly 50 years, and the 7th Edition of Operative Neurosurgical Techniques continues this tradition of excellence. A new editorial board led by editor-in-chief Dr. Alfredo Quinones-Hinojosa, along with more than 330 internationally acclaimed contributors, ensures that readers stay fully up to date with rapid changes in the field. New chapters, surgical videos, and quick-reference features throughout make this edition a must-have resource for expert procedural guidance for today’s practitioners.

  • Discusses indications, operative techniques, complications, and results for nearly every routine and specialized procedure for brain, spinal, and peripheral nerve problems in adult patients.  

  • Covers the latest techniques and knowledge in deep brain stimulation for epilepsy, movement disorders, dystonia, and psychiatric disorders; surgical management of blast injuries; invasive electrophysiology in functional neurosurgery; and interventional management of cerebral aneurysms and arterio-venous malformations. 

  • Includes new chapters on bypass techniques in vascular disease, previously coiled aneurysms, CSF diversion procedures, surgical management of posterior fossa cystic and membranous obstruction, laser-ablation techniques, and brain stem tumors. 

  • Explores hot topics such as wide-awake surgery and ventriculo-peritoneal, ventriculoatrial and ventriculo-pleural shunts. 

  • Provides detailed visual guidance with more than 1,600 full-color illustrations and 50 procedural videos. 

  • Contains quick-reference boxes with surgical pearls and complications. 

1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Dedication - p. iii 6. In Memoriam - p. v 7. About The Author/Editor - p. vii 8. Video and Content Associate Editor - p. viii 9. Section Editors - p. ix 10. Contributors - p. xi 11. Preface - p. xxxix 12. Videos - p. xlvii 13. Videos - p. xlvii 14. 6th Edition Video Library - p. l 15. Chapter 1. Ensuring Patient Safety in Surgery: First Do No Harm and Applying a Systems-Engineering Approach - p. 1 16. Chapter 2. Surgical Navigation With Intraoperative Imaging: Special Operating Room Concepts - p. 14 17. Surgical Management of Brain and Skull Base Tumors - p. 23.e3 18. Part One. Intra-Axial Tumors - p. 23.e3 19. CHAPTER 3. Diffusion Tensor Imaging and Functional Tractography - p. 27 20. Chapter 4. Intraoperative Neurophysiology: A Tool to Prevent and/or Document Intraoperative Injury to the Nervous System - p. 34 21. Chapter 5. Cortical and Subcortical Brain Mapping - p. 50 22. Chapter 6. Chemotherapy for Brain Tumors - p. 64 23. Chapter 7. Current Surgical Management of High-Grade Gliomas: New and Recurrent - p. 76 24. Chapter 8. Low(er) Grade Gliomas: Surgical Treatment - p. 85 25. Chapter 9. Management of Primary Central Nervous System Lymphoma - p. 98 26. Chapter 10. Cerebellar Tumors in Adults - p. 104 27. Chapter 11. Surgical Management of Cerebral Metastases - p. 114 28. Part Two. Sellar and Parasellar Lesions - p. 130.e4 29. Chapter 12. Endoscopic Endonasal Approach to Sellar, Parasellar, and Suprasellar Surgery - p. 131 30. Chapter 13. Endoscopic Endonasal Approach to Lateral Cavernous Sinus Lesions - p. 140 31. Chapter 14. Medical Management of Hormone-Secreting Pituitary Tumors - p. 148 32. Chapter 15. Endoscopic Endonasal Pituitary and Skull Base Surgery - p. 164 33. Chapter 16. Transcranial Surgery for Pituitary Macroadenomas - p. 182 34. Chapter 17. The Endoscopic Endonasal Approach for Craniopharyngiomas - p. 194 35. Part Three. Intraventricular Tumors & Deep-Seated Lesions - p. 202.e2 36. Chapter 18. Minimally Invasive Surgeries for Deep-Seated Brain Lesions - p. 203 37. Chapter 19. Surgical Approaches to Lateral and Third Ventricular Tumors - p. 209 38. Chapter 20. Transcallosal and Endoscopic Approach to Intraventricular Brain Tumors - p. 218 39. Chapter 21. Management of Pineal Region Tumors - p. 226 40. Chapter 22. Management of Tumors of the Fourth Ventricle - p. 239 41. Part Four. Extra-Axial and Posterior Tumors - p. 265.e4 42. Chapter 23. Surgical Management of Parasagittal and Convexity Meningiomas - p. 267 43. Chapter 24. Surgical Approach to Falcine Meningiomas - p. 278 44. Chapter 25. Surgical Management of Midline Anterior Skull Base Meningiomas - p. 287 45. Chapter 26. Supraorbital Approach Variants for Intracranial Tumors - p. 301 46. Chapter 27. Surgical Management of Sphenoid Wing Meningiomas - p. 309 47. Chapter 28. Surgical Management of Cavernous Lesions - p. 318 48. Chapter 29. Surgical Management of Lesions of the Clivus - p. 327 49. Chapter 30. Surgical Management of Posterior Fossa Meningiomas - p. 347 50. Chapter 31. Surgical Management of Tumors of the Foramen Magnum - p. 355 51. Chapter 32.1. Multimodal Treatment of Orbital Tumors - p. 370 52. Chapter 33. Surgical Management of Parasellar Meningiomas - p. 386 53. Chapter 34. The OZ Chapter: Original OZ, Modified for Parietal, Modified for Frontal, Cosmetic Results of the OZ - p. 391 54. Part Five. Cerebellopontine and Angle Tumors - p. 395.e1 55. Chapter 35. Suboccipital Retrosigmoid Surgical Approach for Vestibular Schwannoma (Acoustic Neuroma) - p. 397 56. Chapter 36. Translabyrinthine and Transtemporal Approaches to Posterior Cranial Fossa Lesions - p. 408 57. Chapter 37. Hearing Prosthetics: Surgical Techniques - p. 428 58. Vascular Diseases - p. 435.e2 59. Part One. Open Treatment - p. 435.e2 60. Chapter 38. Bypass Techniques - p. 439 61. Chapter 39. Previously Coiled Aneurysms - p. 449 62. Chapter 40. Surgical Management of Extracranial Carotid Artery Disease - p. 457 63. Chapter 41. Management of Dissections of the Carotid and Vertebral Arteries - p. 471 64. Chapter 42. Management of Unruptured Intracranial Aneurysms - p. 478 65. Chapter 43. Surgical Management of Intracerebral Hemorrhage - p. 493 66. Chapter 44. Surgical Management of Cerebellar Stroke—Hemorrhage and Infarction - p. 506 67. Chapter 45. Surgical Treatment of Moyamoya Disease in Adults - p. 513 68. Chapter 46. Surgical Treatment of Paraclinoid Aneurysms - p. 527 69. Chapter 47. Surgical Management of Posterior Communicating, Anterior Choroidal, and Carotid Bifurcation Aneurysms - p. 545 70. Chapter 48. Surgical Management of Anterior Communicating and Anterior Cerebral Artery Aneurysms - p. 555 71. Chapter 49. Surgical Management of Aneurysms of the Middle Cerebral Artery - p. 570 72. Chapter 50. Surgical Management of Terminal Basilar and Posterior Cerebral Artery Aneurysms - p. 583 73. Chapter 51. Surgical Management of Midbasilar and Lower Basilar Aneurysms - p. 593 74. Chapter 52. Surgical Management of Aneurysms of the Vertebral and Posterior Inferior Cerebellar Artery Complex - p. 602 75. Chapter 53. Far-Lateral Approach for Vertebral and Posterior Inferior Cerebellar Artery Aneurysms - p. 616 76. Chapter 54. Surgical Management of Cranial Dural Arteriovenous Fistulas - p. 627 77. Chapter 55. Surgical Management of Cavernous Malformations of the Nervous System - p. 648 78. Chapter 56. Surgical Management of Brainstem and Cerebellar Arteriovenous Malformations - p. 667 79. Chapter 57. Surgical Management of Cerebral Arteriovenous Malformations - p. 674 80. Chapter 58. Endovascular Management of Intracranial Aneurysms - p. 693 81. Part Two. Endovascular Treatment - p. 702.e3 82. Chapter 59. Endovascular Treatment of Stroke - p. 703 83. Chapter 60. Endovascular Treatment of Cerebral Arteriovenous Malformations - p. 714 84. Chapter 61. Endovascular Treatment of Intracranial Occlusive Disease - p. 723 85. Chapter 62. Endovascular Treatment of Extracranial Occlusive Disease - p. 734 86. Chapter 63. Embolization of Tumors: Brain, Head, Neck, and Spine - p. 739 87. Chapter 64. Endovascular Management of Dural Arteriovenous Fistulas - p. 755 88. Chapter 65. Endovascular Management of Spinal Vascular Malformations - p. 767 89. Chapter 66. Endovascular Treatment of Head and Neck Bleeding - p. 784 90. Chapter 67. Imaging Evaluation and Endovascular Treatment of Vasospasm - p. 796 91. Section Three. Operative Techniques in Pediatric Neurosurgery - p. 805.e2 92. Chapter 68. Posterior Fossa Tumors in the Pediatric Population: Multidisciplinary Management - p. 809 93. Chapter 69. Supratentorial Tumors in the Pediatric Population: Multidisciplinary Management - p. 820 94. Chapter 70. Pediatric Brain Stem Tumors - p. 842 95. Chapter 71. Mapping, Disconnection, and Resective Surgery in Pediatric Epilepsy - p. 849 96. CHAPTER 72. Surgical Decision-Making and Treatment Options for Chiari Malformations in Children - p. 861 97. Chapter 73. Fetal Surgery for Open Neural Tube Defects - p. 868 98. Chapter 74. Surgical Management of Spinal Dysraphism - p. 872 99. Chapter 75. Revascularization Techniques in Pediatric Cerebrovascular Disorders - p. 902 100. Chapter 76. Management of Pediatric Severe Traumatic Brain Injury - p. 911 101. Chapter 77. Selective Dorsal Rhizotomy Surgery for the Treatment of Pediatric Spastic Cerebral Palsy - p. 925 102. Chapter 78. Instrumentation and Stabilization of the Pediatric Spine: Technical Nuances and Age-Specific Considerations - p. 931 103. Chapter 79. Methods of Cranial Vault Reconstruction for Craniosynostosis - p. 940 104. Chapter 80. Cerebrospinal Fluid Diversion Procedures in the Pediatric Population - p. 964 105. Section Four. Abnormalities of Cerebrospinal Fluid Dynamics - p. 981.e3 106. Chapter 81. Surgical Management of Hydrocephalus in the Adult - p. 985 107. Chapter 82. Cerebrospinal Fluid Diversion Procedures: Ventriculo-Atrial, Ventriculo-Peritoneal, Ventriculo-Pleural, and Lumbo-Peritoneal Shunts - p. 993 108. Chapter 83. Endoscopic Third Ventriculostomy, Cerebral Aqueductoplasty, and Septum Pellucidotomy - p. 1000 109. Chapter 84. Surgical Management of Cysts: Intraventricular Cysts, Intraventricular Septations, and Extraventricular Arachnoid Cysts - p. 1011 110. Chapter 85. Management of Shunt Infections - p. 1020 111. Chapter 86. Management of Cerebrospinal Fluid Leaks - p. 1024 112. Chapter 87. A Multidisciplinary Treatment Approach for Idiopathic Intracranial Hypertension - p. 1037 113. Section Five. Stereotactic Radiosurgery - p. 1043.e2 114. Chapter 88. Radiosurgery for Metastatic Brain Tumors - p. 1047 115. Chapter 89. Stereotactic Radiosurgery for Trigeminal Neuralgia - p. 1055 116. Chapter 90. Stereotactic Body Radiotherapy for Spinal Metastases - p. 1062 117. Chapter 91. Stereotactic Radiosurgery for Pituitary Adenomas - p. 1071 118. Chapter 92. Stereotactic Radiosurgery for Cavernous Sinus Tumors - p. 1077 119. Chapter 93. Radiation Treatments in the Management of Craniopharyngiomas - p. 1084 120. Chapter 94. Vestibular Schwannomas: The Role of Stereotactic Radiosurgery - p. 1091 121. Chapter 95. Stereotactic Radiosurgery Meningiomas - p. 1100 122. Chapter 96. Radiosurgery for Arteriovenous Malformations - p. 1125 123. Chapter 97. Radiosurgery for Functional Disorders and Epilepsy - p. 1134 124. Functional Neurosurgery - p. 1147.e5 125. Part One. Surgical Management of Medically Intractable Epilepsy - p. 1147.e5 126. Chapter 98. Laser Interstitial Thermal Therapy for Epilepsy - p. 1151 127. Chapter 99. Multidisciplinary Presurgical Evaluation for Epilepsy Surgery - p. 1160 128. Chapter 100. Temporal Lobe Operations in Intractable Epilepsy - p. 1173 129. Chapter 101. Surgical Management of Extratemporal Lobe Epilepsy - p. 1183 130. Chapter 102. Multilobar Resection and Hemispherectomy in Epilepsy Surgery - p. 1192 131. Chapter 103. Corpus Callosotomy: Indications and Techniques - p. 1210 132. Chapter 104. Extratemporal Epilepsy and Neuromodulation - p. 1215 133. Part Two. Surgical Management of Psychiatric and Movement Disorders - p. 1222.e2 134. Chapter 105. Implantation of Deep Brain Stimulation Electrodes Under General Anesthesia for Parkinson Disease and Essential Tremor - p. 1223 135. Chapter 106. Cervical Dystonia and Spasmodic Torticollis: Indications and Techniques - p. 1229 136. Chapter 107. Novel Targets and Techniques in Deep Brain Stimulation for Movement Disorders - p. 1236 137. Chapter 108. Molecular Therapies for Movement Disorders - p. 1244 138. Chapter 109. Lesion Procedures for Psychiatric Disorders - p. 1253 139. Chapter 110. Deep Brain Stimulation for Intractable Psychiatric Illness - p. 1262 140. Chapter 111. Brain-Computer Interfacing: Prospects and Technical Aspects of Functional Cranial Implants - p. 1272 141. Chapter 112. Thoracoscopic Sympathectomy for Hyperhidrosis - p. 1283 142. Chapter 113. Surgery for Intractable Spasticity - p. 1288 143. Part Three. Surgical Management of Intractable Pain - p. 1305.e1 144. Chapter 114. Retrogasserian Glycerol Rhizolysis in Trigeminal Neuralgia - p. 1307 145. Chapter 115. Percutaneous Stereotactic Rhizotomy in the Treatment of Intractable Facial Pain - p. 1323 146. Chapter 116. Neurovascular Decompression in Cranial Nerves V, VII, IX, and X - p. 1333 147. Chapter 117. Deep Brain Stimulation for Chronic Pain - p. 1344 148. Chapter 118. Mesencephalic Tractotomy and Anterolateral Cordotomy for Intractable Pain - p. 1348 149. Chapter 119. Spinal Cord Stimulation for Chronic Pain - p. 1359 150. Chapter 120. Spinal Cord Stimulation and Intraspinal Infusions for Pain - p. 1378 151. Section Seven. Trauma - p. 1389.e2 152. Chapter 121. Surgical Management of Severe Closed Head Injury in Adults - p. 1391 153. Epidemiology - p. 1391 154. Classification Schemes for Traumatic Brain Injury - p. 1394 155. Biomechanics of Traumatic Brain Injury - p. 1396 156. Neuropathology of Traumatic Brain Injury - p. 1397 157. Traumatic Intracranial Hemorrhages - p. 1398 158. Diffuse Axonal Injury: Basic Concepts - p. 1400 159. Neuroradiologic Diagnostic Methods in Traumatic Brain Injury - p. 1401 160. Non-Radiologic Diagnostic Methods in Traumatic Brain Injury - p. 1402 161. Intracranial Pressure Monitoring: Indications and Methods - p. 1403 162. Surgical Treatment of Traumatic Brain Injury - p. 1403 163. Acute Epidural Hematomas - p. 1407 164. Acute Subdural Hematomas - p. 1409 165. Traumatic Parenchymal Lesions - p. 1411 166. Posterior Fossa Hematomas - p. 1414 167. Decompressive Craniectomy - p. 1415 168. Prognosis of Severe Head Injury - p. 1416 169. Neuroscience of Traumatic Brain Injury: Structural and Functional Properties of Brain Tissue Determining the Mechanisms of Traumatic Brain Injury - p. 1418 170. Chapter 122. Perioperative Management of Severe Traumatic Brain Injury in Adults - p. 1419 171. Chapter 123. Decompressive Craniectomy for Traumatic Brain Injury - p. 1438 172. Chapter 124. Management of Skull Base Trauma - p. 1445 173. Chapter 125. Surgical Management of Chronic Subdural Hematoma in Adults - p. 1458 174. Chapter 126. Principles of Neuroplastic Surgery: Management of Scalp Defects and Neurocranial Reconstruction - p. 1465 175. Chapter 127. Management of Penetrating and Blast Injuries of the Nervous System - p. 1478 176. Section Eight. Surgical Management of Nervous System Infections - p. 1496.e6 177. Chapter 128. Management of Suppurative Intracranial and After Craniotomy Infections - p. 1499 178. Chapter 129. Spinal Infections: Vertebral Osteomyelitis and Spinal Epidural Abscess - p. 1512 179. Chapter 130. Neurosurgical Management of HIV-Related Focal Brain Lesions - p. 1521 180. Chapter 131. Management of Neurocysticercosis - p. 1534 181. Chapter 132. Management of Tuberculous and Fungal Infections of the Nervous System - p. 1547 182. Management of Tuberculous Infections of the Nervous System - p. 1547 183. Tuberculomas - p. 1553 184. Medical Treatment - p. 1557 185. Tuberculous Spinal Arachnoiditis - p. 1562 186. Management of Fungal Infections of the Central Nervous System - p. 1563 187. Historical Perspective - p. 1563 188. Classification and Epidemiology - p. 1563 189. Routes of Dissemination - p. 1564 190. Host Susceptibility and Fungal Virulence - p. 1564 191. Pathogenesis - p. 1565 192. Pseudomycetes Causing Infections of the Nervous System - p. 1569 193. Septate Hyphae Causing Infections of the Nervous System - p. 1576 194. Nonseptate Hyphae Causing Infections of the Nervous System (Phycomycosis, Zygomycosis, Mucormycosis) - p. 1582 195. Management of Central Nervous System Fungal Infections - p. 1584 196. Management of Clinical Syndromes Caused Due to Central Nervous System Fungal Infections - p. 1585 197. Surgical Management238 - p. 1586 198. Antifungal Chemotherapy - p. 1587 199. Summary - p. 1589 200. Neurosurgical Management of Spinal Disorders - p. 1591.e10 201. Part One. Degenerative Spine Disorder - p. 1591.e10 202. Chapter 133. Treatment Evolution in Management of Cervical Disc Disease - p. 1595 203. Chapter 134. Anterior Cervical Foraminotomy (Jho Procedure): Microscopic or Endoscopic - p. 1605 204. Chapter 135. Anterior Approaches for Multilevel Cervical Spondylosis - p. 1618 205. Chapter 136. Minimally Invasive Posterior Cervical Foraminotomy and Microdiscectomy - p. 1631 206. Chapter 137. Disc Replacement Technologies in the Cervical and Lumbar Spine - p. 1638 207. Chapter 138. Management of Cervical Spondylotic Myelopathy - p. 1650 208. Chapter 139. Cervical Laminoplasty: Indications and Techniques - p. 1664 209. Chapter 140. Circumferential Cervical Spinal Fusion - p. 1672 210. Chapter 141. Surgical Techniques in the Management of Thoracic Disc Herniations - p. 1681 211. Chapter 142. Video-Assisted Thoracoscopic Discectomy: Indications and Techniques - p. 1691 212. Chapter 143. Posterior and Posterior Lateral Techniques for Thoracic Disc Herniations - p. 1700 213. Chapter 144. Anterior and Lateral Approaches for Thoracic Discectomy: Endoscopic and Mini-Open Techniques - p. 1705 214. Chapter 145. Lumbar Microdiscectomy: Indications and Techniques - p. 1717 215. Chapter 146. Minimally Invasive Lumbar Discectomy: Indications and Techniques - p. 1730 216. Chapter 147. Management of Far Lateral Lumbar Disc Herniations - p. 1735 217. Chapter 148. Lumbar Spinal Arthroplasty: Clinical Experiences of Motion Preservation - p. 1747 218. Chapter 149. Management of Degenerative Lumbar Stenosis and Spondylolisthesis - p. 1757 219. Chapter 150. Posterior Lumbar Fusion by Open Technique: Indications and Techniques - p. 1765 220. Chapter 151. Percutaneous Placement of Lumbar Pedicle Screws: Indications and Techniques - p. 1788 221. Chapter 152. Dynamic Stabilization of the Lumbar Spine: Indications and Techniques - p. 1795 222. Chapter 153. Posterior Lumbar Interbody Fusion - p. 1804 223. Chapter 154. Transforaminal Lumbar Interbody Fusion: Indications and Techniques - p. 1809 224. Chapter 155. Minimally Invasive Transforaminal Lumbar Interbody Fusion - p. 1813 225. Chapter 156. Anterior Lumbar Interbody Fusion: Indications and Techniques - p. 1828 226. Chapter 157. Lateral Transpsoas and Anteropsoas Interbody Fusion Indications and Techniques - p. 1835 227. Chapter 158. Vertebroplasty and Kyphoplasty - p. 1847 228. Part Two. Spine Trauma - p. 1858.e2 229. Chapter 159. Management of Injuries of the Cervical Spine and Spinal Cord - p. 1859 230. Chapter 160. Transoral Approaches to the Cervical Spine - p. 1868 231. Chapter 161. Atlantoaxial Instability and Stabilization - p. 1877 232. Chapter 162. Stabilization of the Subaxial Cervical Spine - p. 1887 233. Chapter 163. Thoracolumbar Anterolateral and Posterior Stabilization - p. 1901 234. Chapter 164. Management of Sacral Fractures - p. 1910 235. Chapter 165. Management of Penetrating Injuries to the Spine - p. 1925 236. Part Three. Congenital and Developmental Spinal Abnormalities - p. 1934.e2 237. Chapter 166. Craniovertebral Abnormalities and Their Neurosurgical Management - p. 1935 238. Chapter 167. Management of Chiari Malformations and Syringomyelia - p. 1953 239. Chapter 168. Management of Occult Spinal Dysraphism in Adults - p. 1963 240. CHAPTER 169. Neurologic Problems of the Spine in Achondroplasia - p. 1973 241. Part Four. Spinal Deformity - p. 1982.e2 242. Chapter 170. Management of Degenerative Scoliosis - p. 1983 243. CHAPTER 171. Cervical Spinal Deformity - p. 1994 244. Chapter 172. Adult Thoracic and Lumbar Deformity - p. 2004 245. Part Five. Spine Tumors and Infections - p. 2014.e2 246. Chapter 173. Surgical Management of Intramedullary Spinal Cord Tumors in Adults - p. 2015 247. Chapter 174. Surgical Management of Intradural Extramedullary Tumors - p. 2031 248. Chapter 175. Management of Spinal Cord Tumors and Arteriovenous Malformations - p. 2038 249. Chapter 176. Management of Cauda Equina Tumors - p. 2055 250. Chapter 177. Management of Primary Malignant Tumors of the Osseous Spine - p. 2064 251. Chapter 178. Surgical Approaches to the Cervicothoracic Junction - p. 2072 252. Chapter 179. Surgery for Metastatic Spine Disease - p. 2087 253. Chapter 180. Surgical Resection of Sacral Tumors - p. 2097 254. Part Six. Specific Complications of Spine Surgery - p. 2112.e2 255. Chapter 181. Surgical Management of Cerebrospinal Fluid Leakage After Spinal Surgery - p. 2113 256. Section Ten. Surgical Management of the Peripheral Nervous System - p. 2118.e1 257. Chapter 182. Peripheral Nerve Injury - p. 2121 258. Chapter 183. Imaging for Peripheral Nerve Disorders - p. 2131 259. Chapter 184. Management of Adult Brachial Plexus Injuries - p. 2139 260. Chapter 185. Nerve Transfers: Indications and Techniques - p. 2152 261. Chapter 186. Management of Median Nerve Compression - p. 2163 262. Chapter 187. Management of Ulnar Nerve Compression - p. 2176 263. Chapter 188. Management of Entrapment Neuropathies - p. 2187 264. Chapter 189. Nerve Sheath Tumors Involving the Spine - p. 2196 265. Chapter 190. Peripheral Nerve Tumors of the Extremities - p. 2205 266. Chapter 191. Management of Cranial Nerve Injuries - p. 2215 267. Chapter 192. Management of Thoracic Outlet Syndrome - p. 2225 268. Chapter 193. Nerve Reconstruction in Brachial Plexus Birth Injuries - p. 2235 269. Chapter 194. Robotics in Neurosurgery: Applications, Techniques, and Clinical Benefits - p. 2249 270. Index - p. I1

Descripcion
Descripción

Schmidek and Sweet has been an indispensable reference for neurosurgery training and practice for nearly 50 years, and the 7th Edition of Operative Neurosurgical Techniques continues this tradition of excellence. A new editorial board led by editor-in-chief Dr. Alfredo Quinones-Hinojosa, along with more than 330 internationally acclaimed contributors, ensures that readers stay fully up to date with rapid changes in the field. New chapters, surgical videos, and quick-reference features throughout make this edition a must-have resource for expert procedural guidance for today’s practitioners.

  • Discusses indications, operative techniques, complications, and results for nearly every routine and specialized procedure for brain, spinal, and peripheral nerve problems in adult patients.  

  • Covers the latest techniques and knowledge in deep brain stimulation for epilepsy, movement disorders, dystonia, and psychiatric disorders; surgical management of blast injuries; invasive electrophysiology in functional neurosurgery; and interventional management of cerebral aneurysms and arterio-venous malformations. 

  • Includes new chapters on bypass techniques in vascular disease, previously coiled aneurysms, CSF diversion procedures, surgical management of posterior fossa cystic and membranous obstruction, laser-ablation techniques, and brain stem tumors. 

  • Explores hot topics such as wide-awake surgery and ventriculo-peritoneal, ventriculoatrial and ventriculo-pleural shunts. 

  • Provides detailed visual guidance with more than 1,600 full-color illustrations and 50 procedural videos. 

  • Contains quick-reference boxes with surgical pearls and complications. 

1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Dedication - p. iii 6. In Memoriam - p. v 7. About The Author/Editor - p. vii 8. Video and Content Associate Editor - p. viii 9. Section Editors - p. ix 10. Contributors - p. xi 11. Preface - p. xxxix 12. Videos - p. xlvii 13. Videos - p. xlvii 14. 6th Edition Video Library - p. l 15. Chapter 1. Ensuring Patient Safety in Surgery: First Do No Harm and Applying a Systems-Engineering Approach - p. 1 16. Chapter 2. Surgical Navigation With Intraoperative Imaging: Special Operating Room Concepts - p. 14 17. Surgical Management of Brain and Skull Base Tumors - p. 23.e3 18. Part One. Intra-Axial Tumors - p. 23.e3 19. CHAPTER 3. Diffusion Tensor Imaging and Functional Tractography - p. 27 20. Chapter 4. Intraoperative Neurophysiology: A Tool to Prevent and/or Document Intraoperative Injury to the Nervous System - p. 34 21. Chapter 5. Cortical and Subcortical Brain Mapping - p. 50 22. Chapter 6. Chemotherapy for Brain Tumors - p. 64 23. Chapter 7. Current Surgical Management of High-Grade Gliomas: New and Recurrent - p. 76 24. Chapter 8. Low(er) Grade Gliomas: Surgical Treatment - p. 85 25. Chapter 9. Management of Primary Central Nervous System Lymphoma - p. 98 26. Chapter 10. Cerebellar Tumors in Adults - p. 104 27. Chapter 11. Surgical Management of Cerebral Metastases - p. 114 28. Part Two. Sellar and Parasellar Lesions - p. 130.e4 29. Chapter 12. Endoscopic Endonasal Approach to Sellar, Parasellar, and Suprasellar Surgery - p. 131 30. Chapter 13. Endoscopic Endonasal Approach to Lateral Cavernous Sinus Lesions - p. 140 31. Chapter 14. Medical Management of Hormone-Secreting Pituitary Tumors - p. 148 32. Chapter 15. Endoscopic Endonasal Pituitary and Skull Base Surgery - p. 164 33. Chapter 16. Transcranial Surgery for Pituitary Macroadenomas - p. 182 34. Chapter 17. The Endoscopic Endonasal Approach for Craniopharyngiomas - p. 194 35. Part Three. Intraventricular Tumors & Deep-Seated Lesions - p. 202.e2 36. Chapter 18. Minimally Invasive Surgeries for Deep-Seated Brain Lesions - p. 203 37. Chapter 19. Surgical Approaches to Lateral and Third Ventricular Tumors - p. 209 38. Chapter 20. Transcallosal and Endoscopic Approach to Intraventricular Brain Tumors - p. 218 39. Chapter 21. Management of Pineal Region Tumors - p. 226 40. Chapter 22. Management of Tumors of the Fourth Ventricle - p. 239 41. Part Four. Extra-Axial and Posterior Tumors - p. 265.e4 42. Chapter 23. Surgical Management of Parasagittal and Convexity Meningiomas - p. 267 43. Chapter 24. Surgical Approach to Falcine Meningiomas - p. 278 44. Chapter 25. Surgical Management of Midline Anterior Skull Base Meningiomas - p. 287 45. Chapter 26. Supraorbital Approach Variants for Intracranial Tumors - p. 301 46. Chapter 27. Surgical Management of Sphenoid Wing Meningiomas - p. 309 47. Chapter 28. Surgical Management of Cavernous Lesions - p. 318 48. Chapter 29. Surgical Management of Lesions of the Clivus - p. 327 49. Chapter 30. Surgical Management of Posterior Fossa Meningiomas - p. 347 50. Chapter 31. Surgical Management of Tumors of the Foramen Magnum - p. 355 51. Chapter 32.1. Multimodal Treatment of Orbital Tumors - p. 370 52. Chapter 33. Surgical Management of Parasellar Meningiomas - p. 386 53. Chapter 34. The OZ Chapter: Original OZ, Modified for Parietal, Modified for Frontal, Cosmetic Results of the OZ - p. 391 54. Part Five. Cerebellopontine and Angle Tumors - p. 395.e1 55. Chapter 35. Suboccipital Retrosigmoid Surgical Approach for Vestibular Schwannoma (Acoustic Neuroma) - p. 397 56. Chapter 36. Translabyrinthine and Transtemporal Approaches to Posterior Cranial Fossa Lesions - p. 408 57. Chapter 37. Hearing Prosthetics: Surgical Techniques - p. 428 58. Vascular Diseases - p. 435.e2 59. Part One. Open Treatment - p. 435.e2 60. Chapter 38. Bypass Techniques - p. 439 61. Chapter 39. Previously Coiled Aneurysms - p. 449 62. Chapter 40. Surgical Management of Extracranial Carotid Artery Disease - p. 457 63. Chapter 41. Management of Dissections of the Carotid and Vertebral Arteries - p. 471 64. Chapter 42. Management of Unruptured Intracranial Aneurysms - p. 478 65. Chapter 43. Surgical Management of Intracerebral Hemorrhage - p. 493 66. Chapter 44. Surgical Management of Cerebellar Stroke—Hemorrhage and Infarction - p. 506 67. Chapter 45. Surgical Treatment of Moyamoya Disease in Adults - p. 513 68. Chapter 46. Surgical Treatment of Paraclinoid Aneurysms - p. 527 69. Chapter 47. Surgical Management of Posterior Communicating, Anterior Choroidal, and Carotid Bifurcation Aneurysms - p. 545 70. Chapter 48. Surgical Management of Anterior Communicating and Anterior Cerebral Artery Aneurysms - p. 555 71. Chapter 49. Surgical Management of Aneurysms of the Middle Cerebral Artery - p. 570 72. Chapter 50. Surgical Management of Terminal Basilar and Posterior Cerebral Artery Aneurysms - p. 583 73. Chapter 51. Surgical Management of Midbasilar and Lower Basilar Aneurysms - p. 593 74. Chapter 52. Surgical Management of Aneurysms of the Vertebral and Posterior Inferior Cerebellar Artery Complex - p. 602 75. Chapter 53. Far-Lateral Approach for Vertebral and Posterior Inferior Cerebellar Artery Aneurysms - p. 616 76. Chapter 54. Surgical Management of Cranial Dural Arteriovenous Fistulas - p. 627 77. Chapter 55. Surgical Management of Cavernous Malformations of the Nervous System - p. 648 78. Chapter 56. Surgical Management of Brainstem and Cerebellar Arteriovenous Malformations - p. 667 79. Chapter 57. Surgical Management of Cerebral Arteriovenous Malformations - p. 674 80. Chapter 58. Endovascular Management of Intracranial Aneurysms - p. 693 81. Part Two. Endovascular Treatment - p. 702.e3 82. Chapter 59. Endovascular Treatment of Stroke - p. 703 83. Chapter 60. Endovascular Treatment of Cerebral Arteriovenous Malformations - p. 714 84. Chapter 61. Endovascular Treatment of Intracranial Occlusive Disease - p. 723 85. Chapter 62. Endovascular Treatment of Extracranial Occlusive Disease - p. 734 86. Chapter 63. Embolization of Tumors: Brain, Head, Neck, and Spine - p. 739 87. Chapter 64. Endovascular Management of Dural Arteriovenous Fistulas - p. 755 88. Chapter 65. Endovascular Management of Spinal Vascular Malformations - p. 767 89. Chapter 66. Endovascular Treatment of Head and Neck Bleeding - p. 784 90. Chapter 67. Imaging Evaluation and Endovascular Treatment of Vasospasm - p. 796 91. Section Three. Operative Techniques in Pediatric Neurosurgery - p. 805.e2 92. Chapter 68. Posterior Fossa Tumors in the Pediatric Population: Multidisciplinary Management - p. 809 93. Chapter 69. Supratentorial Tumors in the Pediatric Population: Multidisciplinary Management - p. 820 94. Chapter 70. Pediatric Brain Stem Tumors - p. 842 95. Chapter 71. Mapping, Disconnection, and Resective Surgery in Pediatric Epilepsy - p. 849 96. CHAPTER 72. Surgical Decision-Making and Treatment Options for Chiari Malformations in Children - p. 861 97. Chapter 73. Fetal Surgery for Open Neural Tube Defects - p. 868 98. Chapter 74. Surgical Management of Spinal Dysraphism - p. 872 99. Chapter 75. Revascularization Techniques in Pediatric Cerebrovascular Disorders - p. 902 100. Chapter 76. Management of Pediatric Severe Traumatic Brain Injury - p. 911 101. Chapter 77. Selective Dorsal Rhizotomy Surgery for the Treatment of Pediatric Spastic Cerebral Palsy - p. 925 102. Chapter 78. Instrumentation and Stabilization of the Pediatric Spine: Technical Nuances and Age-Specific Considerations - p. 931 103. Chapter 79. Methods of Cranial Vault Reconstruction for Craniosynostosis - p. 940 104. Chapter 80. Cerebrospinal Fluid Diversion Procedures in the Pediatric Population - p. 964 105. Section Four. Abnormalities of Cerebrospinal Fluid Dynamics - p. 981.e3 106. Chapter 81. Surgical Management of Hydrocephalus in the Adult - p. 985 107. Chapter 82. Cerebrospinal Fluid Diversion Procedures: Ventriculo-Atrial, Ventriculo-Peritoneal, Ventriculo-Pleural, and Lumbo-Peritoneal Shunts - p. 993 108. Chapter 83. Endoscopic Third Ventriculostomy, Cerebral Aqueductoplasty, and Septum Pellucidotomy - p. 1000 109. Chapter 84. Surgical Management of Cysts: Intraventricular Cysts, Intraventricular Septations, and Extraventricular Arachnoid Cysts - p. 1011 110. Chapter 85. Management of Shunt Infections - p. 1020 111. Chapter 86. Management of Cerebrospinal Fluid Leaks - p. 1024 112. Chapter 87. A Multidisciplinary Treatment Approach for Idiopathic Intracranial Hypertension - p. 1037 113. Section Five. Stereotactic Radiosurgery - p. 1043.e2 114. Chapter 88. Radiosurgery for Metastatic Brain Tumors - p. 1047 115. Chapter 89. Stereotactic Radiosurgery for Trigeminal Neuralgia - p. 1055 116. Chapter 90. Stereotactic Body Radiotherapy for Spinal Metastases - p. 1062 117. Chapter 91. Stereotactic Radiosurgery for Pituitary Adenomas - p. 1071 118. Chapter 92. Stereotactic Radiosurgery for Cavernous Sinus Tumors - p. 1077 119. Chapter 93. Radiation Treatments in the Management of Craniopharyngiomas - p. 1084 120. Chapter 94. Vestibular Schwannomas: The Role of Stereotactic Radiosurgery - p. 1091 121. Chapter 95. Stereotactic Radiosurgery Meningiomas - p. 1100 122. Chapter 96. Radiosurgery for Arteriovenous Malformations - p. 1125 123. Chapter 97. Radiosurgery for Functional Disorders and Epilepsy - p. 1134 124. Functional Neurosurgery - p. 1147.e5 125. Part One. Surgical Management of Medically Intractable Epilepsy - p. 1147.e5 126. Chapter 98. Laser Interstitial Thermal Therapy for Epilepsy - p. 1151 127. Chapter 99. Multidisciplinary Presurgical Evaluation for Epilepsy Surgery - p. 1160 128. Chapter 100. Temporal Lobe Operations in Intractable Epilepsy - p. 1173 129. Chapter 101. Surgical Management of Extratemporal Lobe Epilepsy - p. 1183 130. Chapter 102. Multilobar Resection and Hemispherectomy in Epilepsy Surgery - p. 1192 131. Chapter 103. Corpus Callosotomy: Indications and Techniques - p. 1210 132. Chapter 104. Extratemporal Epilepsy and Neuromodulation - p. 1215 133. Part Two. Surgical Management of Psychiatric and Movement Disorders - p. 1222.e2 134. Chapter 105. Implantation of Deep Brain Stimulation Electrodes Under General Anesthesia for Parkinson Disease and Essential Tremor - p. 1223 135. Chapter 106. Cervical Dystonia and Spasmodic Torticollis: Indications and Techniques - p. 1229 136. Chapter 107. Novel Targets and Techniques in Deep Brain Stimulation for Movement Disorders - p. 1236 137. Chapter 108. Molecular Therapies for Movement Disorders - p. 1244 138. Chapter 109. Lesion Procedures for Psychiatric Disorders - p. 1253 139. Chapter 110. Deep Brain Stimulation for Intractable Psychiatric Illness - p. 1262 140. Chapter 111. Brain-Computer Interfacing: Prospects and Technical Aspects of Functional Cranial Implants - p. 1272 141. Chapter 112. Thoracoscopic Sympathectomy for Hyperhidrosis - p. 1283 142. Chapter 113. Surgery for Intractable Spasticity - p. 1288 143. Part Three. Surgical Management of Intractable Pain - p. 1305.e1 144. Chapter 114. Retrogasserian Glycerol Rhizolysis in Trigeminal Neuralgia - p. 1307 145. Chapter 115. Percutaneous Stereotactic Rhizotomy in the Treatment of Intractable Facial Pain - p. 1323 146. Chapter 116. Neurovascular Decompression in Cranial Nerves V, VII, IX, and X - p. 1333 147. Chapter 117. Deep Brain Stimulation for Chronic Pain - p. 1344 148. Chapter 118. Mesencephalic Tractotomy and Anterolateral Cordotomy for Intractable Pain - p. 1348 149. Chapter 119. Spinal Cord Stimulation for Chronic Pain - p. 1359 150. Chapter 120. Spinal Cord Stimulation and Intraspinal Infusions for Pain - p. 1378 151. Section Seven. Trauma - p. 1389.e2 152. Chapter 121. Surgical Management of Severe Closed Head Injury in Adults - p. 1391 153. Epidemiology - p. 1391 154. Classification Schemes for Traumatic Brain Injury - p. 1394 155. Biomechanics of Traumatic Brain Injury - p. 1396 156. Neuropathology of Traumatic Brain Injury - p. 1397 157. Traumatic Intracranial Hemorrhages - p. 1398 158. Diffuse Axonal Injury: Basic Concepts - p. 1400 159. Neuroradiologic Diagnostic Methods in Traumatic Brain Injury - p. 1401 160. Non-Radiologic Diagnostic Methods in Traumatic Brain Injury - p. 1402 161. Intracranial Pressure Monitoring: Indications and Methods - p. 1403 162. Surgical Treatment of Traumatic Brain Injury - p. 1403 163. Acute Epidural Hematomas - p. 1407 164. Acute Subdural Hematomas - p. 1409 165. Traumatic Parenchymal Lesions - p. 1411 166. Posterior Fossa Hematomas - p. 1414 167. Decompressive Craniectomy - p. 1415 168. Prognosis of Severe Head Injury - p. 1416 169. Neuroscience of Traumatic Brain Injury: Structural and Functional Properties of Brain Tissue Determining the Mechanisms of Traumatic Brain Injury - p. 1418 170. Chapter 122. Perioperative Management of Severe Traumatic Brain Injury in Adults - p. 1419 171. Chapter 123. Decompressive Craniectomy for Traumatic Brain Injury - p. 1438 172. Chapter 124. Management of Skull Base Trauma - p. 1445 173. Chapter 125. Surgical Management of Chronic Subdural Hematoma in Adults - p. 1458 174. Chapter 126. Principles of Neuroplastic Surgery: Management of Scalp Defects and Neurocranial Reconstruction - p. 1465 175. Chapter 127. Management of Penetrating and Blast Injuries of the Nervous System - p. 1478 176. Section Eight. Surgical Management of Nervous System Infections - p. 1496.e6 177. Chapter 128. Management of Suppurative Intracranial and After Craniotomy Infections - p. 1499 178. Chapter 129. Spinal Infections: Vertebral Osteomyelitis and Spinal Epidural Abscess - p. 1512 179. Chapter 130. Neurosurgical Management of HIV-Related Focal Brain Lesions - p. 1521 180. Chapter 131. Management of Neurocysticercosis - p. 1534 181. Chapter 132. Management of Tuberculous and Fungal Infections of the Nervous System - p. 1547 182. Management of Tuberculous Infections of the Nervous System - p. 1547 183. Tuberculomas - p. 1553 184. Medical Treatment - p. 1557 185. Tuberculous Spinal Arachnoiditis - p. 1562 186. Management of Fungal Infections of the Central Nervous System - p. 1563 187. Historical Perspective - p. 1563 188. Classification and Epidemiology - p. 1563 189. Routes of Dissemination - p. 1564 190. Host Susceptibility and Fungal Virulence - p. 1564 191. Pathogenesis - p. 1565 192. Pseudomycetes Causing Infections of the Nervous System - p. 1569 193. Septate Hyphae Causing Infections of the Nervous System - p. 1576 194. Nonseptate Hyphae Causing Infections of the Nervous System (Phycomycosis, Zygomycosis, Mucormycosis) - p. 1582 195. Management of Central Nervous System Fungal Infections - p. 1584 196. Management of Clinical Syndromes Caused Due to Central Nervous System Fungal Infections - p. 1585 197. Surgical Management238 - p. 1586 198. Antifungal Chemotherapy - p. 1587 199. Summary - p. 1589 200. Neurosurgical Management of Spinal Disorders - p. 1591.e10 201. Part One. Degenerative Spine Disorder - p. 1591.e10 202. Chapter 133. Treatment Evolution in Management of Cervical Disc Disease - p. 1595 203. Chapter 134. Anterior Cervical Foraminotomy (Jho Procedure): Microscopic or Endoscopic - p. 1605 204. Chapter 135. Anterior Approaches for Multilevel Cervical Spondylosis - p. 1618 205. Chapter 136. Minimally Invasive Posterior Cervical Foraminotomy and Microdiscectomy - p. 1631 206. Chapter 137. Disc Replacement Technologies in the Cervical and Lumbar Spine - p. 1638 207. Chapter 138. Management of Cervical Spondylotic Myelopathy - p. 1650 208. Chapter 139. Cervical Laminoplasty: Indications and Techniques - p. 1664 209. Chapter 140. Circumferential Cervical Spinal Fusion - p. 1672 210. Chapter 141. Surgical Techniques in the Management of Thoracic Disc Herniations - p. 1681 211. Chapter 142. Video-Assisted Thoracoscopic Discectomy: Indications and Techniques - p. 1691 212. Chapter 143. Posterior and Posterior Lateral Techniques for Thoracic Disc Herniations - p. 1700 213. Chapter 144. Anterior and Lateral Approaches for Thoracic Discectomy: Endoscopic and Mini-Open Techniques - p. 1705 214. Chapter 145. Lumbar Microdiscectomy: Indications and Techniques - p. 1717 215. Chapter 146. Minimally Invasive Lumbar Discectomy: Indications and Techniques - p. 1730 216. Chapter 147. Management of Far Lateral Lumbar Disc Herniations - p. 1735 217. Chapter 148. Lumbar Spinal Arthroplasty: Clinical Experiences of Motion Preservation - p. 1747 218. Chapter 149. Management of Degenerative Lumbar Stenosis and Spondylolisthesis - p. 1757 219. Chapter 150. Posterior Lumbar Fusion by Open Technique: Indications and Techniques - p. 1765 220. Chapter 151. Percutaneous Placement of Lumbar Pedicle Screws: Indications and Techniques - p. 1788 221. Chapter 152. Dynamic Stabilization of the Lumbar Spine: Indications and Techniques - p. 1795 222. Chapter 153. Posterior Lumbar Interbody Fusion - p. 1804 223. Chapter 154. Transforaminal Lumbar Interbody Fusion: Indications and Techniques - p. 1809 224. Chapter 155. Minimally Invasive Transforaminal Lumbar Interbody Fusion - p. 1813 225. Chapter 156. Anterior Lumbar Interbody Fusion: Indications and Techniques - p. 1828 226. Chapter 157. Lateral Transpsoas and Anteropsoas Interbody Fusion Indications and Techniques - p. 1835 227. Chapter 158. Vertebroplasty and Kyphoplasty - p. 1847 228. Part Two. Spine Trauma - p. 1858.e2 229. Chapter 159. Management of Injuries of the Cervical Spine and Spinal Cord - p. 1859 230. Chapter 160. Transoral Approaches to the Cervical Spine - p. 1868 231. Chapter 161. Atlantoaxial Instability and Stabilization - p. 1877 232. Chapter 162. Stabilization of the Subaxial Cervical Spine - p. 1887 233. Chapter 163. Thoracolumbar Anterolateral and Posterior Stabilization - p. 1901 234. Chapter 164. Management of Sacral Fractures - p. 1910 235. Chapter 165. Management of Penetrating Injuries to the Spine - p. 1925 236. Part Three. Congenital and Developmental Spinal Abnormalities - p. 1934.e2 237. Chapter 166. Craniovertebral Abnormalities and Their Neurosurgical Management - p. 1935 238. Chapter 167. Management of Chiari Malformations and Syringomyelia - p. 1953 239. Chapter 168. Management of Occult Spinal Dysraphism in Adults - p. 1963 240. CHAPTER 169. Neurologic Problems of the Spine in Achondroplasia - p. 1973 241. Part Four. Spinal Deformity - p. 1982.e2 242. Chapter 170. Management of Degenerative Scoliosis - p. 1983 243. CHAPTER 171. Cervical Spinal Deformity - p. 1994 244. Chapter 172. Adult Thoracic and Lumbar Deformity - p. 2004 245. Part Five. Spine Tumors and Infections - p. 2014.e2 246. Chapter 173. Surgical Management of Intramedullary Spinal Cord Tumors in Adults - p. 2015 247. Chapter 174. Surgical Management of Intradural Extramedullary Tumors - p. 2031 248. Chapter 175. Management of Spinal Cord Tumors and Arteriovenous Malformations - p. 2038 249. Chapter 176. Management of Cauda Equina Tumors - p. 2055 250. Chapter 177. Management of Primary Malignant Tumors of the Osseous Spine - p. 2064 251. Chapter 178. Surgical Approaches to the Cervicothoracic Junction - p. 2072 252. Chapter 179. Surgery for Metastatic Spine Disease - p. 2087 253. Chapter 180. Surgical Resection of Sacral Tumors - p. 2097 254. Part Six. Specific Complications of Spine Surgery - p. 2112.e2 255. Chapter 181. Surgical Management of Cerebrospinal Fluid Leakage After Spinal Surgery - p. 2113 256. Section Ten. Surgical Management of the Peripheral Nervous System - p. 2118.e1 257. Chapter 182. Peripheral Nerve Injury - p. 2121 258. Chapter 183. Imaging for Peripheral Nerve Disorders - p. 2131 259. Chapter 184. Management of Adult Brachial Plexus Injuries - p. 2139 260. Chapter 185. Nerve Transfers: Indications and Techniques - p. 2152 261. Chapter 186. Management of Median Nerve Compression - p. 2163 262. Chapter 187. Management of Ulnar Nerve Compression - p. 2176 263. Chapter 188. Management of Entrapment Neuropathies - p. 2187 264. Chapter 189. Nerve Sheath Tumors Involving the Spine - p. 2196 265. Chapter 190. Peripheral Nerve Tumors of the Extremities - p. 2205 266. Chapter 191. Management of Cranial Nerve Injuries - p. 2215 267. Chapter 192. Management of Thoracic Outlet Syndrome - p. 2225 268. Chapter 193. Nerve Reconstruction in Brachial Plexus Birth Injuries - p. 2235 269. Chapter 194. Robotics in Neurosurgery: Applications, Techniques, and Clinical Benefits - p. 2249 270. Index - p. I1

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