神经系统发现的异常情况

English | 2023 | ISBN-10: 3031425944 | 371 Pages | PDF (True) | 27 MB

Written and edited by leading international authorities in the field, this book provides an in-depth review of knowledge of the incidental findings of the nervous system, with emphasis on asymptomatic brain and spinal lesions that have the potential to cause illness. It includes very informative chapters, organized into four main groups: first, incidental findings of the brain and cranium, including intracranial, intraventricular and skull base lesions, infarcts and calcification; secondly, incidental findings of the spine and spinal cord, including spinal cord tumors, syringomyelia, arteriovenous malformations and craniovertebral junction anomalies; thirdly, incidental findings of the spinal nerves and peripheral nerves, including tumors of the plexi and peripheral nerves; and fourthly, other lesions, including acquired incidental lesions of the brain and spine as well as the medicolegal and psychiatric aspects related to these lesions. The uniqueness of this compilation lies in the fact that several abnormalities exist in the nervous system that have the potential to cause life threatening illness; yet because they are asymptomatic and incidental, this leads to major management dilemmas related to whether or not to surgically the lesion. The proponents of an early surgical management subscribe to the philosophy that getting rid of an entity earlier on when it is asymptomatic, leads to an early cure and obviates any risk of it becoming aggressive and incurable later on; those opting for a ‘wait and watch’ policy subscribe to the view that no intervention (as well as subjecting the patient to the risk of surgery) is mandated until the lesion becomes symptomatic. This may subject a person to a lifetime of anxiety related to how that lesion is going to evolve, when in all likelihood, the subject may remain asymptomatic throughout his/her life. The psychological aspects of the patient who is extremely disturbed by the presence of this incidental lesion; and, who cannot adjust to the reality that the treating doctor actually does not have a well-defined plan for it, are issues that are adequately addressed with clinical illustrations and examples. This comprehensive reference book will be an ideal source for neuroscientists at all levels, from graduate students to researchers in specific disciplines studying this region, including neurosurgeons, neurologists, neuroradiologists, neuropathologists and psychiatrists, who seek both basic and more advanced information regarding the incidental findings of the nervous system.

由该领域的国际权威人士撰稿和编辑，本书提供了神经系统偶发发现知识的全面回顾，重点在于对可能引发疾病的无症状大脑和脊髓病变的知识。它包括非常有信息性的章节，并按四个主要类别组织：首先，脑部及颅骨部位的偶发发现，包括颅内、室管膜内以及颅底病灶，梗塞和钙化；其次，脊椎和脊髓部位的偶发发现，包括脊髓肿瘤、囊性水瘤、动静脉畸形以及颅颈交界异常；第三，脊神经和周围神经的偶发发现，包括神经丛及周围神经的肿瘤；最后，其他病灶，包括大脑和脊柱的获得性偶发病以及与这些病灶相关的医事法理学和精神病学方面。本书的独特之处在于神经系统中存在几种可能导致致命疾病的异常情况；但由于它们是无症状且偶然发现的，这导致了有关是否进行手术治疗的重大管理难题。早期手术管理的支持者相信，当这些异常状态尚未出现症状时将其移除会导致更早治愈，并避免其在未来变得更具侵略性而无法治愈的风险；而采取“观察再看”政策的人则认为只有在病灶成为症状后才需要干预（以及患者需承担手术风险）。这可能导致一个长期与该病变的发展情况相关的焦虑感。患者的心理状况，特别是那些因存在这种偶发异常而感到极度不安，并且难以适应治疗医生实际上并不具备明确计划去处理这一问题的情况；这些问题通过临床插图和例子得到了充分的解决。本书是一本全面的参考书籍，适合各个层次的研究人员使用，从研究生到专门领域研究该地区的人士（包括神经外科医生、神经科医生、神经放射学家和神经病理学家），他们都在寻求有关神经系统偶发发现的基本及更高级的信息。

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