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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.
Pages i-xii
Front Matter
Pages 1-1
Benign Enlargement of the Subarachnoid Spaces and Subdural Collections
Pages 3-17
Incidental Intracranial Calcifications
Pages 19-33
Pages 35-42
Pages 43-47
Pages 49-53
Pages 55-70
Pages 71-87
Unruptured Incidental Intracranial Aneurysms
Pages 89-102
Incidental Cavernous Malformations
Pages 103-106
Incidental Intracranial Arterial Dolichoectasia
Pages 107-111
Incidental Benign Developmental Venous Anomaly
Pages 113-121
Incidental Intracranial Large Vessel Occlusion
Pages 123-131
Pages 133-139
Pages 141-149
Pages 151-158
Pages 159-166
Dandy–Walker Variant: A Continuum of Dandy–Walker Complex
Pages 167-176
Pages 177-190
Asymptomatic Craniofacial Fibrous Dysplasia
Pages 191-195
Incidental Lacunar and Cortical Infarcts
Pages 197-206
Incidental Findings in Intracranial Lipoma
Pages 207-214
Front Matter
Pages 215-215
Pages 217-229
Pages 231-236
Incidental Spinal Cysts of Lumbosacral Region
Pages 237-246
Pages 247-258
Incidental Spinal Vascular Malformations
Pages 259-272
Asymptomatic Hydromyelia and Syringomyelia
Pages 273-282
Pages 283-289
Front Matter
Pages 291-291
Incidental Atlanto Axial Dislocation
Pages 293-305
Incidentalomas of Spine and Peripheral Nervous System
Pages 307-313
Front Matter
Pages 315-315
Acquired Incidental Findings of the Brain and Spine
Pages 317-332
Incidental Lesions of the Brain with Potential Clinical Implications in Psychiatry
Pages 333-337
Medicolegal and Ethical Aspects of Incidental Neurological Findings
Pages 339-347
Pages 349-359
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