Handbook of Pain Surgery

Concise handbook on the surgical management of pain by internationally acclaimed neurosurgeon

Functional neurosurgery has experienced unprecedented capabilities because of technological advances in neuroimaging, basic sciences, and increasingly sophisticated therapeutic interfaces. Intractable pain syndromes are among the most prevalent conditions, yet represent one of the most challenging areas of neurosurgery. Handbook of Pain Surgery, edited by esteemed functional neurosurgeon Kim J. Burchiel, explores the science and art of treating patients with intractable pain. The succinct text and videos provide a compact, reader-friendly guide on this unique neurosurgical subspecialty.

Ten chapters on craniofacial pain encompass standard and newer approaches for the treatment of trigeminal neuralgia, including microvascular decompression, rhizotomy, neurectomy, stereotactic neurosurgery, percutaneous radiofrequency, percutaneous retrogasserian glycerol rhizolysis, and p ercutaneous balloon compression. Other sections detail spinal cord and peripheral nerve stimulation techniques, nonsurgical approaches, and destructive procedures such as dorsal rhizotomy and dorsal root ganglionectomy, CT-guided-cordotomy, and midline myelotomy.

Key Highlights

- The use of spinal cord stimulation in the management of failed back surgery syndrome
- The pros and cons of nerve surgery for peripheral neuropathic pain
- An overview on intrathecal analgesic therapies including patient selection and implant techniques
- Innovative treatments for intractable pain such as dorsal root entry zone (DREZ) lesioning
- More than 130 superb color illustrations by Andy Rekito elucidate pain syndromes and procedures
- Videos posted in the Thieme MediaCenter provide further guidance on select surgical techniques

Highly portable and affordable, this book is an ideal reference for hospitals rou

Inhaltsverzeichnis:

I Pain Medicine
1 Approach to the Patient with Chronic Pain
2 Management of Pain by Anesthetic Techniques
II Pain Surgery Techniques and Procedures
A Spinal Cord Stimulation
3 Spinal Cord Stimulation: Patient Selection
4 Spinal Cord Stimulation: Equipment and Implantation Techniques
B Peripheral Nerve Stimulation
5 Peripheral Nerve Stimulation
6 Occipital Nerve Stimulation
7 Trigeminal Neurostimulation for Neuropathic Facial Pain
C Intrathecal Therapy
8 An Overview of the Rational Use of Intrathecal Analgesic Therapies
9 Intrathecal Drug Administration: Patient Selection and Implant Technique
D Procedures for Craniofacial Pain
10 Surgical Options for Facial Pain
11 Microvascular Decompression for Trigeminal Neuralgia
12 Trigeminal Rhizotomy
13 Trigeminal Neurectomy
14 Stereotactic Radiosurgery for Trigeminal Neuralgia
15 Percutaneous Radiofrequency Trigeminal Gangliolysis for Trigeminal Neuralgia
16 Percutaneous Re trogasserian Glycerol Rhizolysis
17 Percutaneous Balloon Compression for Trigeminal Neuralgia
18 Intracranial Procedures for Nontrigeminal Neuralgias
19 Percutaneous Computed Tomography Guided Trigeminal Tractotomy and Nucleotomy
E Destructive Procedures
20 Overview of Destructive Neurosurgicla Procedures
21 Facet Blocks and Denervations
22 Dorsal Rhizotomy and Dorsal Root Ganglionectomy
23 Percutaneous Computed Tomography Guided Cordotomy for Pain
24 Midline Myelotomy and the Interruption of the Postsynaptic Dorsal Column Pain Pathway for the Treatment of Visceral Pain
25 Dorsal Root Entry Zone Lesions