Table Of Content

Praise for Video Atlas of Neurosurgery: Contemporary Tumor and Skull Base Surgery “The Video Atlas of Neurosurgery couples outstand- “The Video Atlas of Neurosurgery is an exciting new ing graphics and animation with intraoperative publishing and educational venture. This monu- video to bring to life operative neurosurgical pro- mental effort has used a systematic, case-oriented cedures in a way that dramatically enhances approach to describe a large number of neurosur- understanding. I anticipate that this will substan- gical procedures. They include both relatively tially improve replicability of best intraoperative common operations, and some that are infrequent, neurosurgical technique. I particularly enjoyed but offer important nuances and “pearls” that are the pearls embedded throughout the learning generally applicable to many of our operative pro- materials. I can easily recommend this as a tool cedures. The cases are well described, the instruc- for those seeking to improve their surgical tive illustrations, often animated, are clear and repertoire.” explicit. They show not only the normal anatomy, but the deformation and displacement of normal Bob S. Carter, MD, PhD Chair, Department of Neurosurgery structures. Approaches are clearly defined, and Professor of Surgery and Neuroscience avoidance of complications is emphasized, as is UC San Diego Health System UC San Diego School of Medicine the use of a variety of intraoperative adjuncts.” San Diego, CA, USA “The narrated videos are clear and satisfying, even though they are two dimensional. They offer step- “The text and videos I was able to observe provide by-step lessons in elegant techniques that produce up-to-date, concise, and highly helpful informa- successful surgical outcomes.” tion about operative techniques and indications. The step-by-step instructions should provide “One can only imagine the prodigious amount of trainees and practitioners with highly useful infor- work involved in producing this educational trea- mation that they can apply to their practice. The sure chest. Credit is due to the authors and to the ability to read text but also to correlate this with publishers for creating this appealing and useful narrated videos is very instructive and educa- Atlas.” tional and can only lead the reader to useful Edward R. Laws, Jr., MD, FACS learning.” Professor of Neurosurgery, Harvard Medical School Brigham & Women’s Hospital E. Antonio Chiocca, MD, PhD Boston, MA, USA Harvey W. Cushing Professor of Neurosurgery, Neurosurgery, Harvard Medical School Chairman, Neurosurgery, Brigham & Women’s Hospital Co-Director, Institute for the Neurosciences, Brigham & Women’s Hospital Surgical Director, Center for Neuro-Oncology, Dana-Farber Cancer Institute Boston, MA, USA “Thank you for sharing these videos and chapters. “In this video textbook, Dr. Q does a spectacular I think this will be an invaluable resource for neu- job presenting complex neurosurgical procedures rosurgeons of all stages of training and practice. in a simple and easily understood format. The The surgical procedures are illustrated with exqui- operative videos, images and narration are superb site artwork that beautifully depicts the anatomy and filled with valuable and hard won priceless and techniques. The concise text makes the chap- pearls borne of Dr. Q’s immense clinical experi- ters easy to read and to the point. The pearls are an ence and wise judgement. This masterpiece will excellent summary of Dr Quiñones’s years of no doubt become an instant classic and required experience and wisdom. I am proud to have reading and watching not only for neurosurgical played a role in the training of this extraordinary trainees but also well-established surgeons who neurosurgeon and happy that he has devoted so wish to pick up a few tricks from a master much of his time and energy to produce such an technician.” insightful and exciting collection.” Theodore H. Schwartz, MD, FACS Professor of Neurosurgery, Otolaryngology and Neuroscience Michael T. Lawton, MD David and Ursel Barnes Professor of Minimally Invasive Neurosurgery Professor and Vice-Chairman, Neurological Surgery Director, Anterior Skull Base and Pituitary Surgery, Epilepsy Research Professor, Anesthesia and Perioperative Care Laboratory Chief of Vascular Neurosurgery Weill Cornell Medical College Tong-Po Kan Endowed Chair New York Presbyterian Hospital Director, Center for Cerebrovascular Research New York, NY, USA University of California – San Francisco San Francisco, CA, USA “I just previewed this video atlas, and I think it “In this video atlas, Dr. Quiñones has developed is excellent. The print chapters are very well- an extraordinary work showing the most up-to- organized, and the videos are clear and easy to date techniques to treat brain and skull base understand. This will undoubtedly be a very tumors. In a condensed and easy-to-read, he indi- useful neurosurgical atlas for future neurosurgical cates the many steps and surgical strategies as trainees. Congratulations on this tour de force!” well as clinical pearls and tips for each procedure. Videos are pristine and without any doubt will Linda Liau, MD Professor, Department of Neurosurgery become a source of consultation for neurosur- Director, Brain Tumor Program geons in-training as well as experienced ones UCLA School of Medicine Los Angeles, CA, USA wishing to be brought up to date. We again want to thank Dr. Q for his unremitting effort to spread his knowledge and to provide us with this tool “The Video Atlas of Neurosurgery is a masterwork that will help reach our professional goal: to better companion for the general neurosurgeon and neu- help our patients.” rosurgical oncologist. The meticulous attention to Claudio G. Yampolsky, MD operative detail and insightful surgical pearls will Chairman, Department of Neurosurgery certainly not disappoint the audience, from junior Chairman, Neurooncology Hospital Italiano resident to senior attending.” Buenos Aires, Argentina Nader Sanai, MD Director, Division of Neurosurgical Oncology Director, Barrow Brain Tumor Research Center Barrow Neurological Institute Phoenix, AZ, USA “Dr. Quiñones and his team have put together an “I am amazed that complex neurosurgical proce- amazing collection of didactic videos. Especially dures have been illustrated in a very simple and designed for young neurosurgeons, this is a must- clean manner. It shows the surgeon’s expertise read for all of those treating intracranial tumors.” and experience and how wonderful a teacher he is.” Feres Chaddad, MD, PhD Professor of Cerebrovascular Surgery Anupam Jindal, MCh, MBBS Federal University of São Paulo – UNIFESP Consultant Neurosurgeon São Paulo, Brazil Mayo Healthcare Mohali, Punjab, India “The Video Atlas of Neurosurgery: Contemporary “In the Video Atlas of Neurosurgery, the authors Tumor and Skull Base Surgery is a cutting-edge have compiled a beautiful potpourri of neurosur- masterpiece. This innovative product which gical operative videos encompassing the broad was created by Dr. Alfredo Quiñones-Hinojosa spectrum of the neurosurgical approaches. The will make a tremendous contribution to the devel- approaches are sagaciously chosen to cover the opment of neurosurgery. It will make it much most important surgical nuances in operative neu- easier for residents and fellows to learn the key rosurgery from the traditional pterional approach points of a procedure. Moreover, it could play an to the recently developed and enhanced endo- important role to neurosurgeons-in-training scopic endonasal approaches to the skull base. around the world.” The videos are supplied by succinct text descriptions that provide the reader with pearls for Lei Ting, MD, PhD Professor and Chairman patient selection, technique, complication avoid- Department of Neurosurgery ance and practical anatomical knowledge. Virtu- Tongji Hospital Tongji Medical College ally, all the information provided falls into the Huazhong University of Science & Technology category of ‘must know’ for the contemporary Wuhan, P. R. China neurosurgeon who specializes in the field of skull base, tumor, and cerebrovascular surgery. One can hardly find any important neurosurgical nuance missed. This book excellently bridges the basics of neurosurgical planning and the most del- icate technical points and is a valuable asset to every neurosurgeon’s library.” Ali Tayebi Meybodi, MD University of California San Francisco San Francisco, California, USA “I am certain that this will be a major contribution “This dynamic and innovative video atlas will for neurosurgeons-in-training who would like to surely be a benchmark for neurosurgical educa- optimize their knowledge in the field of surgical tion from a translational perspective of knowl- neuro-oncology. I congratulate the authors for this edge. It applies state-of-the-art operating strategies fantastic and unique Video Atlas!” with support in the scientific literature and at an appropriate level of evidence, which makes this Hugues Duffau, MD, PhD Professor and Chairman, Department of Neurosurgery atlas a core publication for the formation of the Gui de Chauliac Hospital, Montpellier University Medical Center neurosurgeon.” Director of the Team “Brain plasticity, Human stem cells and Glial tumors” National Institute for Health and Medical Research (INSERM) Rodrigo Ramos-Zúñiga, MD, PhD Institute for Neurosciences of Montpellier Chairman of Neurosciences Department Montpellier, France University of Guadalajara Guadalajara, México “This is the most concise, graphical and compre- “Nevertheless, it must be clarified that the ease hensible resource about procedures such as awake with which the handling of gliomas in eloquent craniotomy I have ever seen. This is the best step- areas and the excellent results achieved with by-step surgical approach guide for both novel awake craniotomy by Dr. Quiñones-Hinojosa’s and experienced neurosurgeons.” group, is the result of many years of hard and dedicated labor. Even though the clearness and deft- Josep Gonzalez, MD, PhD Director of the Residency Program Hospital Clinic Barcelona ness with which the theme is exposed in this work Neurosurgical Oncology and Spine Unit may stimulate in the reader the desire to carry out Hospital Clinic i Provincial Barcelona Barcelona, Spain these procedures immediately, the truth is that they are of great complexity, requiring a long time “All at once, the reader knows about key aspects of training, a complex technological environment of this topic: when to indicate this procedure, and highly specialized human resources. In order which patients are the most eligible to get better to be able to begin undertaking these surgeries results, which are the contraindications to carry it with safety, it is mandatory to search for assess- out, what is the required infrastructure to perform ment coming from centers dedicated to these it and, perhaps most importantly, the necessity of topics, such as the one shown in this chapter.” having a multidisciplinary team. The clinical Gerardo Guinto Balanzar, MD examples are very demonstrative by showing how Department of Neurological Surgery experts handle such cases. The video linked to the Hospital de Especialidades Centro Medico Nacional Siglo XXI Mexico City, Mexico written information is a very useful complement. Surgeries are masterfully undertaken and neatly “The structure of the Video Atlas, combining the and didactically presented, in a way that provides reading of the theoretical part with the corre- a great deal of information in a very short time. sponding visualization of surgical videos, allows The clarity, with which the theme is shown, eases for knowledge acquisition and consolidation in a the comprehension for both the resident in train- pleasant and systemic way, making it a high-value ing and the young neurosurgeon, but it also pro- pedagogical tool.” vides tips and tricks of high value, even for the expert.” “Moreover, their detailed and didactic description of the essential steps related to this kind of surgery, “Information obtained by this means may be used in my opinion, highly contributes to the training as a fast and practical reference. The sole fact of of countless young neurosurgeons all around the reading the Pearls Summary that appears at the world.” end of the chapter, and carefully watching the Armando Manuel Tavares de Rocha, MD video, will be enough to obtain compact, but Department of Neurosurgery detailed information, which will serve as a very Hospital Center and University of Coimbra good help when facing similar cases.” Coimbra, Portugal “Excellent literary work with an iconography and “Neurosurgeons-in-training as well as those who superlative videography. I highly recommend it need to brush up on these techniques will find this for all the scientific world of neuroscience and an important and extremely useful contribution.” medicine” Andres M. Lozano, MD, PhD, FRCSC, FRSC, FCAHS Professor and Chairman, Dan Family Chair in Neurosurgery Ariel Chari, MD RR Tasker Chair in Functional Neurosurgery Head and Neck Surgeon Canadian Research Chair in Neuroscience (Tier 1) Hospital General de Agudos Ignacio Pirovano University of Toronto Buenos Aires, Argentina Senior Scientist, Toronto Western Research Institute Past-President, World Society for Stereotactic and Functional Neurosurgery Toronto Western Hospital Toronto, Ontario, Canada “Definitely, this kind of video/text chapter is the “It really is a milestone in the field tumor and skull future of surgical neuro-oncology. The authors base surgery.” turn a complex issue into content that is easily Xuequan Feng, MD, PhD understood, making it clear using step-by-step Attending neurosurgeon descriptions, well-described techniques, and good Associate Professor First Center Hospital Tianjin, China case selections.” Marcos V. C. Maldaun, MD, PhD Co-Coordinator of Neurology and Neurosurgery Center Hospital Sírio Libanês Co-Coordinator of Neuroncology Pos Graduation Course Hospital Sírio Libanês São Paulo, Brazil Emeritus President of the Tumor Chapter of FLANC Foundation President of the Society for Neuro-Oncology Latin America “This is a very interesting and well-designed new “The videos are great examples for all training educational tool for residents and young neuro- neurosurgeons in the world to learn how to surgeons. Dr. Quiñones and his team were able to perform the similar surgical procedures, espe- organize the nuances of different neurosurgical cially for neurosurgeons who have had no oppor- techniques in a very effective format, designing a tunities to observe the operations in the OR. Even useful book for review of cases and techniques neurosurgeons who have performed the same prior to surgery. Congratulations!” procedures can compare their own experience to those in the videos.” Evandro de Oliveira, MD Professor of Neurosurgery Yan Qu, MD, PhD State University of Campinas – UNICAMP Professor and Chair Director, Institute of Neurological Sciences Department of Neurological Surgery São Paulo, Brazil Tangdu Hospital Forth Military Medical University Xi’an, Shaanxi P. R. China “Es un trabajo extraordinario para mejorar el apre- “The videos and chapters are professional, concise ndizaje de la neurocirugia. Felicitaciones al Dr. Q and clear. An excellent tool for young or experi- y a su grupo de colaboradores, lo que se hace en enced neurosurgeons to review the relevant equipo siempre se hace mejor.” anatomy and techniques prior to performing these surgical cases. I use this resource routinely in my Alfredo Borrero, MD, FAANS General Dean of Health Sciences practice. Dr. Quiñones and his team should be University Las Americas (UDLA) applauded for excellent teaching videos that will Quito, Ecuador serve the neurosurgery community for years to come.” Maryam Rahman, MD, MS Assistant Professor Department of Neurosurgery Preston A. Wells Jr Center for Brain Tumor Therapy University of Florida Gainesville, FL, USA “There are few neurosurgeons as qualified as “Dr. Quiñones-Hinojosa’s Video Atlas of Neurosur- Alfredo Quiñones to edit this reference work in gery: Contemporary Tumor and Skull Base Surgery is surgical neuro-oncology. Moreover both from the very exciting. The innovative combination of point of view of text and video: a masterpiece. The written text, anatomic diagrams, and video content “pearls summaries” at the close of each chapter offered in this work is a unique and effective tool are especially valuable. The images provide prac- for teaching indications and surgical techniques tical counterpoint and usefully complement the for both straightforward and complex procedures procedure. What he has demonstrated is that these in surgical neuro-oncology. This exciting, compre- procedures can be performed safely many times hensive volume will undoubtedly be a valuable with low morbidity. Quiñones’s atlas conveys resource for trainees and practicing neurosur- both the science and the art of the neurosurgery to geons alike.” guide us forward in this challenging and most Amanda M. Saratsis, MD important discipline of helping neuro-oncology Attending Physician Division of Pediatric Neurosurgery patients.” Ann & Robert H. Lurie Hospital of Chicago Assistant Professor J. L. Gil-Salú, MD Department of Neurological Surgery Chief of Neurosurgical Department Northwestern University Feinberg School of Medicine Hospital U. Puerta del Mar Chicago, Illinois, USA Cádiz, Spain “The written content is focused and concentrates “This is an innovative approach to educating neu- on the important points and becoming a true rosurgeons, and the ease of access to the material guide to surgery. Similarly the video is fantastic. I makes this a unique and powerful tool.” cannot think of a better guide for a trainee or even for a young consultant than have this book with “With Dr. Quiñones-Hinojosa’s pioneering work, its videos as part of his library. This should also be the way of the future for educating neurosurgeons important reading for neurosurgical units around is finally here. Masterfully done and meticulous the world and should be supported by both the attention to detail.” EANS and the WFNS.” Philip V. Theodosopoulos, MD Professor & Vice-Chair Jesus LaFuente Baraza, MD Chief & Director, Skull Base Tumor Program President of the European Association of Neurosurgical Societies (EANS) Co-Director, Clinical Programs Neurological Surgery University of California San Francisco San Francisco, CA, USA Video Atlas of NEUR SURGERY Contemporary Tumor and Skull Base Surgery Edited by Alfredo Quiñones-Hinojosa MD FAANS FACS Member, Miller-Coulson Academy of Clinical Excellence William J. and Charles H. Mayo Professor and Chair of Neurologic Surgery Mayo Clinic, FL, USA; Formerly Professor of Neurological Surgery and Oncology Neuroscience and Cellular and Molecular Medicine Director, Brain Tumor Surgery Program Director, Pituitary Surgery Program Department of Neurosurgery Johns Hopkins Medicine and University Baltimore, MD, USA Video Editor Jordina Rincon-Torroella MD Post-Doctoral Fellow Department of Neurosurgery The Johns Hopkins University Baltimore, MD, USA For additional online videos visit Expertconsult.com Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2017 © 2017 Elsevier Inc. All rights reserved. First edition 2017 Alfredo Quiñones-Hinojosa and Arnau Benet retain copyright for their images and video. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. ISBN: 978-0-323-26149-4 eISBN: 978-0-323-27735-8 Content Strategist: Charlotta Kryhl Content Development Specialist: Louise Cook Project Manager: Joanna Souch Design: Miles Hitchen Illustration Manager: Karen Giacomucci Illustrator: Devon Stuart Marketing Manager: Rachael Pignotti The publisher’s policy is to use paper manufactured from sustainable forests Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 Videos on ExpertConsult.com The primary content in this Video Atlas consists of step-by-step videos for each chapter – available on www.expertconsult.com. These can be used in conjunction with written chapters in this volume or as stand-alone videos. Instructions on how to access the videos are available on the inside front cover. The QR code below will direct you straight to the expertconsult site.