The quintessential guide providing a one-stop roadmap to a neurosurgical career!
Neurological surgery is a complex, highly selective specialty. For medical students and residents, navigating a huge
array of neurosurgical information can be overwhelming. Neurosurgery Fundamentals by Nitin Agarwal is a portable
reference enabling swift assimilation of neurosurgical care essentials. The book starts with a roadmap to a career in
neurosurgery. It concludes with Advice from the Masters, featuring invaluable resources and insights from prominent
neurosurgeons.
Comprehensive technical overviews are provided on the neurological exam, neuroanatomy, neuroradiology,
neurocritical care, traumatic brain and spinal cord injury, degenerative and deformity spine, neurovascular surgery,
neurosurgical oncology, pediatric neurosurgery, functional neurosurgery, stereotactic radiosurgery, neurological
infectious diseases, and interdisciplinary care. Socioeconomic topics include training, licensure, credentialing, and
advocacy.
Key Features
• Fundamental diseases, tests, and operative approaches are summarized.
• Top Hits feature the most salient questions, aiding in retention of knowledge.
• High-yield resources are highlighted to augment reader identification.
• Neurosurgical Pearls offer advice from the masters relevant to each chapter.
• High-quality illustrations, photographs, and radiographs enrich understanding.
Aspiring neurosurgical providers will benefit from the easy-to-digest wealth of information in this concise, yet
comprehensive guide.
This book includes complimentary access to a digital copy on https://medone.thieme.com.
1 Roadmap to a Career in Neurosurgery
1.1 Introduction
1.2 Applications
1.3 Profiles
2 History of Neurological Surgery
2.1 Introduction
2.2 The Pri-Cushing Era
2.3 The Cushing Era
2.4 Spinal Neurosurgery
2.5 Instrumentation
3 Neurological Examination
3.1 Introduction
3.2 Mental Status
3.3 Cranial Nerves
3.4 Motor Examination
3.5 Reflex Examination
3.6 Sensory Examination
3.7 Gait and Coordination
3.8 Special Tests
3.9 Top Hits
4 Neuroanatomy
4.1 Introduction
4.2 Bones of the Skull
4.3 Cerebrum
4.4 Brainstem
4.5 Cisterns
4.6 Spinal Cord
4.7 Vertebral Column
4.8 Vascular Anatomy
4.9 Top Hits
5 Neuroradiology for the Neurosurgeon
5.1 Introduction
5.2 Computed Tomography
5.3 Magnetic Resonance
5.4 Clinical Scenarios
5.5 Top Hits
6 Operating Room
6.1 Introduction
6.2 Operating Room
6.3 Cranial Postioning
6.4 Spinal Positioning
6.5 Positioning-Related Complications
6.6 Cerebral Relaxation
6.7 Bedside Procedures
6.8 Cranial Approaches
6.9 Spinal Approaches
6.10 Pediatric
6.11 Functional
6.12 Top Hits
7 Neurocritical Care
7.1 Introduction
7.2 Respiratory Physiology
7.3 Shock
7.4 Fluid and Electrolytes
7.5 Cerebral Metabolism and Perfusion
7.6 Hematology and Coagulation
7.7 Top Hits
8 Traumatic Brain Injury
8.1 Introduction
8.2 Classification of Head Injury
8.3 Monitoring
8.4 ICP Treatment
8.5 Anticoagulation
8.6 Penetrating Trauma
8.7 Top Hits
9 Spinal Trauma
9.1 Introduction
9.2 Examination
9.3 Imaging
9.4 Shock
9.5 Steroids
9.6 Immobilization
9.7 Spinal Cord Syndromes
9.8 Spinal Column Model
9.9 Cervical Spine
9.10 Cervical Injuries
9.11 C₁ Fractures
9.12 Additional Principles for Cervical Trauma
9.13 Thoracic Injuries
9.14 Thoracolumbar and Lumbar Spine Injuries
9.15 Sacral Fractures
9.16 Top Hits
10 Spine
10.1 Introduction
10.2 Cervical Spine Degenerative Disease
10.3 Degenerative Cervical Myelopathy
10.4 Thoracic Spine Degenerative Disease
10.5 Lubar Back Pain
10.6 Spinal Neoplasms
10.7 Spinal Vascular Disorders
10.8 Spinal Deformity
10.9 Inflammatory Spondyloarthropathies
10.10 Spinal Infections
10.11 Cauda Equina Syndrome
10.12 Othe Spinal Syndromes
10.13 Top His
11 Pain
11.1 Pathway Anatomy
11.2 Major Types of Pain
11.3 Craniofacial Pain Syndromes
11.4 Procedures for Pain
11.5 Top Hits
12 Cerebrovascular
12.1 Stroke
12.2 Subarachnoid Hemorrhage
12.3 Aneurysms
12.4 Vascular Malformations
12.5 Top Hits
13 Neurosurgical Oncology
13.1 Lymphomas and Hematopoietic Tumors
13.2 Mesenchymal Tumors
13.3 Neuroepithelial Brain Tumors
13.4 Ependymoma and Subependymoma
13.5 Pineal Region Tumors
13.6 Embryonal/PNETs
13.7 Tumors of Cranial and Paraspinal Nerves
13.8 Sellar Tumors
13.9 Cysts and Tumor-Like Lesions
13.10 Top Hits
14 Pediatric Neurosurgery
14.1 Examination
14.2 Developmental Anomalies
14.3 Pediatric Tumors
14.4 Pediatric Trauma
14.5 Top Hits
15 Movement Disorders and Epilepsy
15.1 Movement Disorders
15.2 Epilepsy
15.3 Top Hits
16 Stereotactic Radiosurgery
16.1 Introduction
16.2 Radiation Background
16.3 Types of Radiation
16.4 Main SRS Modalities
16.5 Dosing
16.6 Occupational Exposure
16.7 Adverse Reactions
16.8 Indications
16.9 Treatment Procedure
16.10 Clinical Outcomes
16.11 Radiation-Induced Changes
16.12 Vaculopathy
16.13 Cranial Nerve Deficits
16.14 Radiation-Induced Tumors
16.15 Future Directions
16.16 Top Hits
17 Neurological Infectious Diseases
17.1 Introduction
17.2 Microbiological Diagnosis
17.3 Flavivirus-Mediated Neurological Disease
17.4 Meningococcal Disease
17.5 Neurocysticercosis
17.6 Primary Amoebic Meningoencephalitis
17.7 Postsurgical Infections
17.8 Additional Neurological Infections
17.9 Empiric Treatment
17.10 Big Data
17.11 Top His
18 Interdisciplinary Care
18.1 Neurology
18.2 Neuroanesthesia
18.3 Neuro-Ophthalmology
18.4 Neurotology
18.5 Top Hits
19 Socioeconomics in Neurosurgery
19.1 Training
19.2 Patient Care
19.3 Medical Economics
19.4 Personal Finance
19.5 Job Satisfaction
20 Advice from the Masters
20.1 Introduction
20.2 Additional Reading
20.3 Conferences
20.4 Grants and Awards
20.5 Journals
20.6 Leadership
20.7 Board Review
20.8 The Masters