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• Section I: History of Brainstem Surgery
Chapter 1: History of Brainstem Surgery
• Section II: Anatomy, Development, and Pathology of the Brainstem, Thalamus, and Pineal Region
Chapter 2: Anatomy of the Brainstem, Thalamus, Pineal Region, and Cranial Nerves
Chapter 3: Development of the Human Brainstem and Its Vasculature
Chapter 4: Pathology of the Brainstem
• Section III: Examination, Imaging, and Monitoring for Brainstem Surgery
Chapter 5: Imaging Anatomy and Pathology of the Brainstem, Thalamus, and Pineal Region
Chapter 6: Neuromonitoring for Brainstem Surgery
Chapter 7: Neurologic Examination of the Brainstem and Thalamus
• Section IV: Surgical Approaches to the Brainstem, Thalamus, and Pineal Region
Chapter 8: Surgical Approaches to the Ventral Brainstem and Thalamus
Chapter 9: Approaches to the Dorsal Brainstem, Thalamus, and Pineal Region
Chapter 10: Skull Base Approaches to the Lateral Brainstem and Cranial Nerves
Chapter 11: Endoscopic Approaches to the Brainstem
Chapter 12: Safe Entry Zones to the Brainstem
• Section V: Comprehensive Management of Tumors of the Brainstem, Thalamus, and Pineal Region
Chapter 13: Adult Brainstem Gliomas
Chapter 14: Pediatric Brainstem Tumors
Chapter 15: Tumors of the Thalamus
Chapter 16: Tumors of the Third Ventricle
Chapter 17: Tumors of the Fourth Ventricle
Chapter 18: Tumors of the Cerebellopontine Angle
Chapter 19: Pineal Region Tumors
Chapter 20: Stereotactic Radiosurgery for Tumors of the Brainstem, Thalamus, and Pineal Region
Chapter 21: Radiotherapy for Pineal, Thalamic, and Brainstem Tumors
Chapter 22: Neuro-Oncologic Considerations for Pineal, Thalamic, and Brainstem Tumors
• Section VI: Comprehensive Management of Vascular Pathology of the Brainstem and Thalamus
Chapter 23: Brainstem Ischemia, Stroke, and Endovascular Revascularization of the Posterior Circulation
Chapter 24: Microsurgical Embolectomy for Emergency Revascularization of the Brainstem
Chapter 25: Brainstem and Thalamic Intraparenchymal Hemorrhage
Chapter 26: Surgical Management of Posterior Circulation Aneurysms
Chapter 27: Endovascular Management of Aneurysms of the Posterior Circulation
Chapter 28: Surgical Management of Thalamic and Brainstem Arteriovenous Malformations
Chapter 29: Endovascular Management of Brainstem and Thalamic Arteriovenous Malformations
Chapter 30: Surgery for Thalamic and Brainstem Cavernous Malformations
Chapter 31: Revascularization of the Brainstem
Chapter 32: Stereotactic Radiosurgery for AVMs of the Basal Ganglia, Thalamus, and Brainstem
• Section VII: Implants and Cranial Nerve Repair
Chapter 33: Auditory Brainstem Implants

The ultimate guide to navigating and treating brainstem pathologies from master neurosurgeon Robert Spetzler
The brainstem is one of the last bastions of surgical prohibition because of its densely packed ascending and descending tracts and nuclei carrying information to and from the brain. Although 10% of all pediatric tumors and 5% of all vascular anomalies occur in the brainstem, neurosurgeons have traditionally resisted dissecting lesions in this area. Recent advances in imaging, microscopy, anesthesia, and operative techniques have expanded the treatment paradigm for this most eloquent region of the brain.
Surgery of the Brainstem, by internationally renowned neurosurgeons Robert F. Spetzler, M. Yashar S. Kalani, and Michael T. Lawton, along with an impressive cadre of global experts, is a comprehensive guide to managing disorders of the brainstem, thalamic region, and basal ganglia. Organized in seven sections with 33 chapters, the text opens with four sections covering a variety of topics. Section I presents the history of brainstem surgery; Section II examines anatomy, development, and pathology; Section III reviews patient examination, imaging, and monitoring; and Section IV provides a succinct overview of surgical approaches. Sections V-VII cover a wide range of adult and pediatric tumors, ischemia, stroke, aneurysms, arteriovenous malformations, and cerebral cavernous malformations. More than 500 high-quality clinical images, medical illustrations, and online videos enhance the text.

Key Highlights
• A full spectrum of treatment modalities and outcomes, including open surgery, endoscopic approaches, stereotactic radiosurgery, radiotherapy, endovascular techniques, and revascularization
• An anatomy chapter featuring stunning Rhoton-style anatomical dissections delineates critical landmarks in the brainstem, thalamus, pineal region, and cranial nerves
• Detailed discussion of patient positioning and exposure of various brainstem domains
• Pearls on overcoming psychological, pathological, and anatomical barriers and managing complications

Understanding the basic anatomy, pathology, and clinical complexities of the brainstem and thalamic regions is essential for safe navigation and treatment. This remarkable book will provide neurosurgeons with additional insights on performing resections and achieving the best possible outcomes for patients with pathologic conditions in this delicate region.
This book includes complimentary access to a digital copy on