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.
FOREWORDMichael APUZZO - University of Southern California (USA) PREFACEEpistemology and rationale of geriatric neurosurgeryMoncef BERHOUMA - Lyon University Hospital (France) PART 1 - NEUROLOGICAL ASSESSMENT OF THE ELDERLYChapter 1. Physiology of the ageing nervous systemMoncef BERHOUMA - Lyon University Hospital (France)Chapter 2. Neurological assessment and neurocognitive evaluation of the elderlyPierre KROLAK-SALMON - Lyon University Hospital (France) PART 2 - NEUROANESTHESIA AND CRITICAL CAREChapter 3. Neuroanesthesia of the elderlyAndrew William KOFKE - University of Pennsylvania (USA)Chapter 4. Perioperative neurotoxicity in the elderlyRoderic ECKENHOFF - University of Pennsylvania (USA) PART 3 - INTRACRANIAL TUMORSChapter 5. Intracranial meningiomasDavid SCHUL - University of Munich (Germany)Chapter 6. Brain gliomasFrancois DUCRAY - University of Lyon (France)Chapter 7. Pituitary adenomasPaolo CAPPABIANCA - University of Naples (Italy)Chapter 8. Vestibular schwannomasMichael LINK - Mayo Clinic, Minnesota (USA)Chapter 9. Brain metastasesMoncef BERHOUMA - Lyon University Hospital (France)Chapter 10. CNS LymphomaAndreas HOTTINGER - University of Lausanne (Switzerland) PART 4 - SPINAL PATHOLOGIESChapter 11. Degenerative cervical spineChristian EWALD - University of Jena (Germany)Chapter 12. Degenerative lumbar spineChristian EWALD - University of Jena (Germany)Chapter 13. Spinal injuries of the elderlyMichael FEHLINGS - University of Toronto (Canada)Chapter 14. Vertebral tumors of the elderlyEdward BENZEL - Cleveland Clinic (USA)Chapter 15. Intramedullary spinal cord tumorsGeorge JALLO - University of Baltimore (USA)Chapter 16. Intradural extramedullary spinal tumorsRichard FESSLER - University of Chicago (USA)Chapter 17. Spinal infectionsHideki NAGASHIMA - University of Tottori (Japan) PART 5 - HEAD INJURYChapter 18. Traumatic brain injury in the elderlyAndrea KLEINDIENST- University of Erlangen (Germany)Chapter 19. Chronic subdural hematomaAngelos KOLIAS - University of Cambridge (UK) PART 6 - NEUROVASCULARChapter 20. Subarachnoid hemorrhage in the elderlyMats RYTTLEFORS - University of Uppsala (Sweden)Chapter 21. Intracerebral and intraventricular hemorrhageMats RYTTLEFORS - University of Uppsala (Sweden)Chapter 22. Malignant pseudo-tumoral strokeEelco WIJDICKS - Mayo Clinic, Minnesota (USA) PART 7 - HYDROCEPHALUS IN THE ELDERLYMichael A. WILLIAMS - University of Washington (USA) PART 8 - TRIGEMINAL NEURALGIARaymond SEKULA - University of Pittsburgh (USA) PART 9 - ETHICAL ISSUES IN NEUROSURGICAL ELDERLY PATIENTS Marc BERNSTEIN - University of Toronto (Canada) APPENDIX