Focusing on both the patient's perspective and the neurosurgeon's concerns, Intracranial Arteriovenous Malformations: Essentials for Patients and Practitioners, edited by leading experts Drs. Philip E. Stieg, Alexander A. Khalessi, and Michael L. J. Apuzzo, starts with an up-to-date approach to the matter of doctor-patient communication and moves on to the highly technical details of AVM treatment options. The first section covers communication with patients (who may well want to read it themselves); the second section is directed to neurosurgeons and other specialists caring for patients with intracranial AVMs, including those in emergency medicine, obstetrics, anesthesia, and intensive care. It offers a highly sophisticated but readable approach to the contemporary treatment of these challenging lesions.
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Provides expert guidance on diagnosis, histopathology, natural history, anatomy, imaging, and treatment options and their risks and benefits-all with the goal of helping patients make informed decisions about the optimal management choices for their own individual cases.�
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Facilitates articulate, data-driven discussion and regarding the clinical diagnosis and surgical procedures involved in treating AVMs.�
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Addresses specific, difficult issues that arise during the treatment of AVMs, offering real-world advice to neurosurgeons and other care providers.�
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Includes key pearls in every chapter, as well as stunning anatomical illustrations throughout.�
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An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.�
Table of Contents
i. Acknowledgementsii. Preface
iii. Foreword
1���� Anatomy and Histology of Intracranial AVMs
2���� Pathology and Genetics
3���� Radiographic Anatomy: CT/MRI/Angiography and Risks
4���� Molecular Biology
4���� MRI Neurovascular Evaluation: Blood Flow, Perfusion, Diffusion, and Susceptibility
5���� Natural History of Intracranial AVMs
6���� Aneurysms Associated with Intracranial AVMs
7���� Hemodynamic Factors: Vascular Steal and Breakthrough Bleeding
8���� Classification Systems
9���� Seizures and Intracranial AVMs
10�� Decision Analysis for Asymptomatic Lesions
11�� Decision Analysis for Symptomatic Lesions
12�� Decision Analysis for Associated Aneurysms
13�� Surgical Principles: Techniques, Goals, and Outcomes
14�� Radiosurgery Principals for AVM Management: Techniques, Goals, and Outcomes
15�� Principles of Neuroendovascular Management of AVMs: Goals, Timing, Techniques, and Outcomes
16�� Multimodal/Combined Therapy: Goals and Outcomes
17�� Palliation Versus Observation: Nonresectable AVMs
18�� Conservative Management ("Observation�) of Intracranial AVMs
19�� Grading Systems and Surgical Risks
20�� Risks of Endovascular Treatment of iAVMs
21�� Risks of Combined Therapies
22�� Risks of Radiosurgery
23�� Emergency Management of Ruptured Intracranial Arteriovenous Malformations
24�� Medical Comorbidities in Elective Surgery
25�� Anesthetic Management of Intracranial AVMs
26�� Management of Perioperative Complications During iAVM Treatment
27�� Intracranial AVMs and the Neurointensivist
28�� Obstetric Considerations in AVM Management
29� �Preoperative, Intraoperative, and Postoperative Imaging
30�� Giant Intracranial AVMs
31�� Treatment of Eloquent Cortex AVMs
32�� Brain Stem and Posterior Fossa AVM's
33�� Corpus Collosal and Peri-Ventricular AVM's
34�� AVMs of the Sylvian Fissure
35�� Pediatric AVMs
36�� Residual AVMs
37�� Intraoperative AVM Rupture
38�� The Value of a Registry
39�� Imaging Predictors for Rupture
40�� Radiosurgical Innovations
41�� Molecular Biology and Novel Treatments of Intracranial Arteriovenous Malformations
42�� Surgical Innovations
iv. index and other frontmatter
Authors
Philip E. Stieg Chair, Neurological Surgery, NewYork-Presbyterian/Weill Cornell Medical Center, Professor of Neurosurgery, Weill Cornell Medical College, New York, New York. Dr. Philip Stieg is a world-renowned neurosurgeon with expertise in cerebrovascular disorders and skull base surgery. He is the chairman and founder of the Weill Cornell Medicine Brain and Spine Center, the leading neuroscience patient care center in New York City. In 2010 Dr. Stieg launched the Weill Cornell Surgical Innovations Lab, the first global multimedia neurosurgical teaching facility in the world. Dr. Stieg is a widely published author and internationally known lecturer, and is routinely named by Castle Connolly Medical as one of the nation's Top Doctors. Dr. Stieg is frequently featured in the media for his expertise and commentary on breaking news in healthcare, and he was the creator and host of the successful NPR radio show "How to Save Your Life.� He is a past president of the Brain Tumor Foundation and the New York board of the American Heart Association. He is also a past Chairman of the Congress of Neurological Surgeons (AANS/CNS) and former President of the Society of University Neurosurgeons in addition to serving as an advisor to the Defense Department on brain injury. Dr. Stieg's new podcast, This Is Your Brain, provides engaging conversations with experts and patients about how the brain works, what can go wrong, and how to meet the challenges of brain disorders. Alexander Khalessi Chair, Neurological Surgery, UC San Diego Health, Professor of Surgery, Radiology and Neurosciences, UC San Diego School of Medicine, San Diego, California. Alexander A. Khalessi, MD, MBA, is a board-certified neurosurgeon who specializes in cranial and endovascular surgery. He is chair of the Department of Neurosurgery and professor of Surgery, Radiology and Neurosciences. He provides both open surgical and catheter-based approaches to complex neurosurgical problems, including brain tumors, aneurysms, arteriovenous malformations (AVM) and carotid disease. His vascular training informs his surgical approach to complex tumors in the brain. Michael L. J. Apuzzo Adjunct Professor of Neurological Surgery, Weill Cornell Medical College, New York, New York, and Distinguished Adjunct Professor, Department of Neurosurgery, Yale School of Medicine, New Haven, Connecticut. Michael L.J. Apuzzo, MDAdjunct Professor of Neurological Surgery, Weill Cornell Medical College
Distinguished Adjunct Professor, Department of Neurosurgery, Yale School of Medicine
