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Cerebrospinal Fluid Disorders

2009 Edition, December 23, 2009

Complete Document

Detail Summary

Active, Most Current

Additional Comments:
ISBN: 978-0-8247-2833-5
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Product Details:

  • Revision: 2009 Edition, December 23, 2009
  • Published Date: December 23, 2009
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 592
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


When asked what my interests are and in what age group I practice, I often reply that my interests lie in "hydrocephalus and CSF disorders from the fetus to old age."

ndeed it is hard to separate or "cut off" one's interest when a child enters adulthood still carrying these conditions, and equally, it is hard to understand how one can "limit" one's interest or "expertise" to just the brain or spine when clearly the cerebrospinal fluid dynamically affects both the compartments. The dilemma and debate continues as to whether we as neurosurgeons should limit our practice to diseases affecting children (and call ourselves pediatric neurosurgeons) or adults, but if there were ever a condition warranting a disease-specific approach as opposed to "age" specific, then it is those diseases that affect the dynamics of the cerebrospinal fluid.

This book has been conceived therefore to cover the gap in the literature on CSF disorders in a comprehensive text, which addresses the issues of disorders of the CSF pathways from birth until old age as well as to explore and manage the effects of such disorders on the brain and spine.

As neurosurgeons and health professionals, we continue to subspecialize into predominantly pediatric and adult sectors, and, in the case of neurosurgery, into those with predominantly cranial or spinal interests. In addition, healthcare delivery to children and adults often divides and segregates the two at times with poor provision to bridge the gap between the two. The result is disjointed knowledge and pockets of expertise in a variety of these areas with no unifying text to address these divisions. The losers are often the patients, stuck between the disciplines of pediatric care and adult-delivered services with little clarity on who the "experts" are to pick up their case.

In creating this book, we attempt not only to cover the understanding, diagnosis, and management of the common conditions, such as hydrocephalus, syringomyelia, and idiopathic intracranial hypertension across all ages, but also to create a reference useful to neurosurgeons and related specialties, such as neurology, pediatrics, general medicine and practice, ophthalmology, radiology, and emergency medicine, alike. We hope that the text will also provide a useful reference to nursing professionals, caregivers, and advisory bodies, as well as incorporating the patient's perspective.

With the advent of the Internet and patients' access to information, we felt it vital to create a book that will provide a reference for health professionals as well as the patients and families that we treat. Many of the conditions we treat are carried for life, and patients and families need considerable support in building up their own knowledge of their condition.We hope this text will help to guide them in attaining the understanding and support that they need.

This book is divided into four distinct sections that will be useful to different readers from many disciplines. We have invited a panel of international experts recognized in their field to share their knowledge with us. In addition to the conventional author-led chapters, you will also find "boxes" included within a chapter but written by different authors, designed to give brief updates on the literature or specific techniques and also to give different viewpoints on the subject.

The first section serves as a background to CSF disorders and diseases including the pathophysiology of the CSF pathways; a fascinating chapter on the history of the treatment of CSF pathways by Dr Jim Goodrich, including many figures from his private collection not available or seen by the general public; and chapters covering neuropsychology, imaging, and antenatal screening.

The second section focuses on disease specific discussion of all disorders that affect the brain and the spine in all ages, thus including not only the usual causes of hydrocephalus in children and adults but also conditions often missed out in books on hydrocephalus such as idiopathic intracranial hypertension, Chiari malformation, and syringomyelia.

The third section concentrates on the treatment techniques that unify all these conditions, necessary to any surgeon declaring an interest in the management of them. In particular, the focus is on the evidence and literature for the techniques and choices we need to make.

In the final section, we thought it appropriate to address topics not necessarily addressed in such texts or those of particular interest. Thus, you will see interesting chapters on fetal surgery, ethical considerations in managing CSF disorders, the management of hydrocephalus in the developing world, and the most importantly, a chapter on the patients perspective.

Finally, we would like to acknowledge and remember Dr Patrick Hanlo and Dr Tony Hockley, authors of two of the chapters, who died suddenly before the completion of this book, and hence they did not have the chance to see their work come to fruition. Dr Hockley's sudden death earlier this year has touched especially both of us, as he trained both of us in our early careers setting us on our paths. He in particular was a strong supporter of the idea behind the book, as he had recognized that these conditions, although often starting in childhood, often affect the patient and the family throughout the whole lifetime and had devoted his career in treating these patients with due compassion, care, and attention to detail so that they can enjoy a long and healthy quality of life.

The color printing of the illustrations in this book was made possible with the generous unconditional sponsorship from the following companies: Aesculap AG; BBraun Aesculap UK; Christoph Miethke GmbH und Co. KG; and Vamvas Medical Greece.