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sakas damianos e. (curatore); simpson brian (curatore); krames elliot s. (curatore) - operative neuromodulation

Operative Neuromodulation Volume 1: Functional Neuroprosthetic Surgery. An Introduction

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Lingua: Inglese
Pubblicazione: 10/2010
Edizione: Softcover reprint of hardcover 1st ed. 2007


Neuromodulation is a rapidly evolving multidisciplinary biomedical and biotechnological field. The two volumes present the state-of-the-art in established and emerging applications for pain, spasticity, movement disorders, bladder and bowel dysfunction, cardiovascular disease, epilepsy, psychiatric illness, impairment of hearing and vision, and computational neuromodulation. Experts describe the neural networks involved and the appropriate surgical approaches, provide clinical guidelines, technical descriptions of implanted devices, proposals for refinements and personal views on future prospects of the field. The immense therapeutic potential is highlighted which arises from the close collaboration of biomedical scientists and biotechnological engineers in this area and signifies the transition from the conventional "resective" surgery to functional neuroprosthetic surgery (Vol. I) and neural networks surgery (Vol. II) which uses neuro-engineering to improve impaired neural function.

Volume I describes techniques and procedures applied in internal contact with non-neural tissues surrounding the nervous system (dura or cerebrospinal fluid), as in the case of epidural stimulation for pain, etc. or intrathecal drug application for the treatment of spasticity and pain. There is also a special section on non-invasive functional neuroprosthetic systems, which are usually applied by transcutaneous contact with the nervous system.


An introduction.- An introduction to operative neuromodulation and functional neuroprosthetics, the new frontiers of clinical neuroscience and biotechnology.- Electricity in the treatment of nervous system disease.- The current range of neuromodulatory devices and related technologies.- Spain.- Management of chronic severe pain: spinal neuromodulatory and neuroablative approaches.- Intrathecal opioids for intractable pain syndromes.- Management of chronic back and leg pain by intrathecal drug delivery.- Drug-enhanced spinal stimulation for pain: a new strategy.- Neurosurgical pain therapy with epidural spinal cord stimulation (SCS).- Spinal cord stimulation for failed back surgery syndrome and other disorders.- Spinal cord stimulation for the treatment of chronic non-malignant pain.- Dual electrode spinal cord stimulation in chronic leg and back pain.- Factors affecting spinal cord stimulation outcome in chronic benign pain with suggestions to improve success rate.- Hardware failures in spinal cord stimulation (SCS) for chronic benign pain of spinal origin.- Minimally invasive placement of epidural plate electrodes under local anaesthesia in spinal cord stimulation.- Implantation of surgical electrodes for spinal cord stimulation: classical midline laminotomy technique versus minimal invasive unilateral technique combined with spinal anaesthesia.- Peripheral nerve stimulation for the treatment of neuropathic craniofacial pain.- Stimulation of the occipital nerve for the treatment of migraine: current state and future prospects.- Occipital neurostimulation for treatment of intractable headache syndromes.- Spasticity and related disorders.- The phenomenon of spasticity: a pathophysiological and clinical introduction to neuromodulation therapies.- Intrathecal baclofen in current neuromodulatory practice: established indications and emerging applications.- Intrathecal baclofen therapy: indications, pharmacology, surgical implant, and efficacy.- Intrathecal baclofen in the treatment of spasticity.- Intrathecal baclofen therapy in patients with severe spasticity.- Intrathecal antispastic drug application with implantable pumps: results of a 10 year follow-up study.- Intrathecal baclofen for the treatment of spasticity.- Management of spasticity in multiple sclerosis by intrathecal baclofen.- Surgical management of spasticity of cerebral origin in children.- Efficacy of intrathecal baclofen delivery in the management of severe spasticity in upper motor neuron syndrome.- Intrathecal baclofen in the treatment of spasticity, dystonia and vegetative disorders.- Intrathecal baclofen in the management of post-stroke hypertonia: current applications and future directions.- Intrathecal baclofen in the treatment of post-stroke central pain, dystonia, and persistent vegetative state.- Neurophysiological basis and clinical applications of the H-reflex as an adjunct for evaluating response to intrathecal baclofen for spasticity.- The importance of neurorehabilitation to the outcome of neuromodulation in spasticity.- Cardiovascular, cerebrovascular and respiratory disorders.- Epidural spinal cord stimulation in lower limb ischemia.- Spinal cord stimulation in the treatment of chronic critical limb ischemia.- Cervical spinal cord stimulation in cerebral ischemia.- Spinal cord stimulation in the treatment of post-stroke patients: current state and future directions.- Neurostimulation for refractory angina pectoris.- Diaphragm pacing with a spinal cord stimulator: current state and future directions.- Neuroprostheses for management of dysphagia resulting from cerebrovascular disorders.- Bladder, bowel, and sexual disorders.- Management and rehabilitation of neuropathic bladder in patients with spinal cord lesion.- Sacral neuromodulation as a functional treatment of bladder overactivity.- Dorsal rhizotomy combined with anterior sacral root stimulation for neurogenic bladder.- Surgical therapy of neurogenic detrusor overactivity (hyperreflexia) in paraplegic patients by sacral deafferentation and implant driven micturition by sacral anterior root stimulation: methods, indications, results, complications, and future prospects.- Sacral neuromodulation in the treatment of defecation disorders.- Sacral nerve stimulation for fecal disorders: evolution, current status, and future directions.- Neurally augmented sexual function.- Neuromodulatory approaches to chronic pelvic pain and coccygodynia.- Functional electrical stimulation.- Neuromodulation by functional electrical stimulation (FES) of limb paralysis after stroke.- Neuromodulation of effects of upper limb motor function and shoulder range of motion by functional electric stimulation (FES).- Neuromodulation of lower limb monoparesis: functional electrical therapy of walking.- FES cycling.- Reconstruction of upper limb motor function using functional electrical stimulation (FES).- Neuroprostheses.- Neural prostheses in clinical practice: biomedical microsystems in neurological rehabilitation.- Neuroprosthetics of the upper extremity — clinical application in spinal cord injury and challenges for the future.- Neural prostheses and biomedical microsystems in neurological rehabilitation.- Restoration of neurological functions by neuroprosthetic technologies: future prospects and trends towards micro-, nano-, and biohybrid systems.- Emerging applications.- The role of spinal cord stimulation in the management of patients with brain tumors.- Dorsal column stimulation for persistent vegetative state.- Relationship between intrathecal baclofen and the central nervous system.- Robot-aided rehabilitation of neural function in the upper extremities.- Experimental therapies for chronic pain.

Altre Informazioni



Condizione: Nuovo
Collana: Acta Neurochirurgica Supplement
Dimensioni: 277 x 210 mm Ø 1221 gr
Formato: Brossura
Illustration Notes:X, 486 p. 11 illus. in color.
Pagine Arabe: 486
Pagine Romane: x

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