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.
Table of Content
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
About the author
Moncef Berhouma MD, MSc is a consultant neurosurgeon at the University Hospital of Lyon (France). He is an associate professor of neurosurgery and surgical instructor at the European association of neurosurgical societies (EANS). He holds a Master of science in philosophy of neuroscience. He performed his research fellowship in the skull base surgery laboratory at Ohio University in USA (2011). He is the author of more than 50 scientific papers in peer-reviewed journals, more than 7 book chapters and 2 books. His main interests are minimally-invasive skull base surgery and geriatric neurosurgery.
Pierre Krolak-Salmon, MD, Ph D is a neurologist and geriatrician at the University Hospital of Lyon (France), Director of Clinical Research Memory Centre of Lyon and of the Clinical Research Centre “Elderly, Brain and Frailty”, head of the Social Cognition and Cognitive Disorders research group at Neuroscience Center of Lyon. He completed his Neurosciences Master in 1999 and his Ph D on brain dynamics of facial emotional expression recognition in 2004. He also studied at the Welcome Trust in London, UK and Johns Hopkins Hospital in Baltimore, USA. He currently has an active teaching role at the University Claude Bernard in Lyon, in the fields of geriatrics, neurology, neuroscience and neuropsychology. His main areas of research interest include biomarkers (CSF and neuroimaging) and predictors of autonomy loss in dementia; social cognition and emotion recognition; clinical neurology and geriatrics.
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