Essential Neurosurgery

Designed as an introduction to neurosurgery, this book concentrates on the more common neurosurgical problems and only briefly mentions rare entities. Emphasis is placed upon the neurological principles, pathological basis and relevant investigations that form the basis of the diagnosis.

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Clinical neurosurgery requires an understanding of the art of neurology, and the principles of the neurosciences, particularly neuropathology and neurophysiology. In the past the mystique of neurosurgery has inadvertently prevented both medical trainees and physicians from a proper appreciation of even basic neurosurgery and subsequently has created a rather nihilistic view of neurosurgical illnesses. The improvements in medical technology have markedly improved the accuracy of the diagnosis, the efficacy of neurosurgical treatment, and the range of diseases that can be diagnosed and treated. In particular, the exciting advances in neuroradiology have simplified the diagnostic process and made neurosurgery more accessible. This book is intended as an introduction to neurosurgery. It is hoped that it will be useful for physicians in training, neurosurgical trainees and medical students. The book is not intended to be an exhaustive coverage of neurosurgery but rather concentrates on the more common neurosurgical problems and mentions only briefly rare entities.
The neurological principles, pathological basis and relevant investigations that form the basis of the diagnosis are emphasised. The neurosurgical management is outlined, but the surgical techniques are mentioned only briefly, sufficiently so that the reader will understand the postoperative problems likely to be encountered in the management of the patient. Modern neurosurgery has evolved principally from North American and European practices and frequently there are significant differences in the philosophical approach in the management of clinical problems. The author has in general described his own practice, which hopefully utilises the best of both systems. The references have been chosen for their general coverage of the topics, ease of access, historical interest and, in some cases because they will provide thought provoking alternatives that give a different perspective to the subject.