Re-Engineering of the Damaged Brain and Spinal Cord

Evidence-Based Neurorehabilitation

Buch | Hardcover

XVI, 240 Seiten

2005 | 2005
Springer Wien (Verlag)
978-3-211-24150-9 (ISBN)

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Re-EngineeringoftheDamagedBrainandSpinalCord isdedicatedtoTetsuoKanno,M. D. ProfessorofNeurosurgery Bypresenting theoriginal papers thatmakeupthis thefeaturesofthelocalmedicallandscapeinthe- third supplement we wish to make a further contri- gionswheretheyareenacted. Whatismore,progr- bution to the issue of functional rehabilitation, this sivenew?ndingsmustbealsosubjectedtoafrequent soimportantandfascinatingmodernareaofresearch revision. Ontopofthis,itshouldnotbeforgottenthat inthe?eldofneurosciences. Thecongresspaperswe even when committal therapy guidelines are c- haveselectedconstituteagoodre?ectionofthetrans- sistentlyapplied,thereareconsiderablevariationsin disciplinary objectives. The literature references are therangeofpotentialcomplicationsandintheo- designedasaguidetoleadtheinterestedreadertoa comeofprospectivecontrolledmulti-centreandmul- deeperandmoredetailedunderstandingoftheindi- nationalstudiesontheissueofqualitymanagement. vidualissues. Functionalrehabilitationhasbeenanoriginaltask The demand for evidence-based medicine is well ofneurosurgeryfromtheveryoutset. The1990shave justi?ed; however, it rapidly comes up against the enteredtheannalsofbrainresearchasthe Decadeof limitsoffeasibility,especiallywherecontrolledthe- theBrain . Sincethentherehasbeenaneverstronger peuticstudiesareconcerned. TheCochrancollection growthofneuroscienti?cinterestworldwide,accom- of high-quality evidence-based healthcare databases paniedbysubstantial?nancialengagement. Thishas hasthusfarbeenofnohelptousindrawingupthe- primarily resulted in advances in basic neuro- peutic recommendations for the re-engineering of biologicalandneurophysiologicalresearchandalsoin brain and spinal-cord lesions. Today as ever, the thegrowthofneuroscienti?cknowledgeaboutbasic opinion of experts and empirically based medical mechanismsformotor control,paincontrol,aware- treatment and posttraumatic neurorehabilitation ness, cognition, learning and memory. The conse- continuetooccupyanindispensablepositionforthe quencemustbetoensurethattheadvancesmadeinthe everydayclinicalpracticeofneurosurgicalandneu- neuroscienti?cresearchareaareadequatelyexpanded traumatological therapies. Promising adjunct - intopracticalneurosurgicalcareandre-engineeringof proachesincludeneuropharmacology,forcascadesof brainandspinalcordlesionsandtoensureuponnew molecular interactions are known to be underlying approaches. Following this a fundamental path will activity-dependent plasticity and skills learning, as resultinanimprovedandmoree cientpreventionin many of these processes involve the major tra- thefuture,themeasuresthatstandrightatthefore- mitters. Furthermore,biologicalinterventionsby- front of all rehabilitation principles, meaning that ingendogenousneuronsandgliaaswellasexogenous conventionalconceptsmustbemodi?edtokeeppace stemcells,bone-marrowcells,macrophages,andother withthemoretask-speci?c,intensive,andprogressive types may promote the regeneration of nerve cells, demands. In this connection a series of guidelines, tissue, and neural circuitry. Class one studies have recommendations, and expert opinions and also beenmade,andnowclasstwostudieshavebeeni- algorithms have been elaborated by national and tiated, for example in connection with acute spinal international expert panels and multidisciplinary as- cord injury (SCI). The clinical application of fu- sociationsfortheacutemedicalcareofpatients.

Evidence based neurorehabilitation.- Evidence based medicine in neurological rehabilitation - a critical review.- Quality management in traumatic brain injury (TBI) Lessons from the prospective study in 6.800 patients after acute TBI in respect of neurorehabilitation.- Posttraumatic epilepsy with special emphasis on prophylaxis and prevention.- Swallowing therapy - a prospective study on patients with neurogenic dysphagia due to unilateral paresis of the vagal nerve, Avellis' syndrome, Wallenberg's syndrome, posterior fossa tumours and cerebellar hemorrhage.- Impaired self-awareness after moderately severe to severe traumatic brain injury.- Assessment of health-related quality of life in persons after traumatic brain injury - development of the Qolibri, a specific measure.- Re-engineering of brain lesions.- RNA editing: a molecular mechanism for the fine modulation of neuronal transmission.- Inhibition of I?B? phosphorylation prevents glutamate-induced NF-?B activation and neuronal cell death.- Reorganization of cerebral circuits in human brain lesion.- Transcranial magnetic stimulation in neurorehabilitation.- Is there impairment of a specific frontal lobe circuit in head injury?.- Treating the aging brain: cortical reorganization and behavior.- The localization of central pattern generators for swallowing in humans - a clinical-anatomical study on patients with unilateral paresis of the vagal nerve, Avellis' syndrome, Wallenberg's syndrome, posterior fossa tumours and cerebellar hemorrhage.- Functional regeneration of the axotomized auditory nerve with combined neurotrophic and anti-inhibitory strategies.- Electrically evoked hearing perception by functional neurostimulation of the central auditory system.- Physiological recordings from electrodesimplanted in the basal ganglia for deep brain stimulation in Parkinson's disease. The relevance of fast subthalamic rhythms.- DBS therapy for the vegetative state and minimally conscious state.- Deep brain stimulation for idiopathic or secondary movement disorders.- Extradural Motor Cortex Stimulation (EMCS) for Parkinson's disease. History and first results by the study group of the Italian neurosurgical society.- Endocrine dysfunction following traumatic brain injury: mechanisms, pathophysiology and clinical correlations.- Taylored implants for alloplastic cranioplasty - clinical and surgical considerations.- Lessons from National and International TBI Societies and Funds like NBIRTT.- Re-engineering of spinal cord lesions.- Brachial plexus surgery (Honorary lecture).- Results in brachial plexus palsy after biceps neuro-muscular neurotization associated with neuro-neural neurotization and teno-muscular transfer.- Macrophages and dendritic cells treatment of spinal cord injury: from the bench to the clinic.- Electrophysiological effects of 4-aminopyridine on fictive locomotor activity of the rat spinal cord in vitro.- Alternative, complementary, energy-based medicine for spinal cord injury.- The effect of penile vibratory stimulation on male fertility potential, spasticity and neurogenic detrusor overactivity in spinal cord lesioned individuals.- Posttraumatic syringomyelia - a serious complication in tetra- and paraplegic patients.- Functional neurorehabilitation in locked-in syndrome following C0-C1 decompression.- Treatment options and results in cervical myelopathy.- The treatment of the sacral pressure sores in patients with spinal lesions.- Neurological-neurosurgical-neurobehavioral rehabilitation.- Phenomenological aspects of consciousness - itsdisturbance in acute and chronic stages.- Neuropsychological experiences in neurotraumatology.- Team care in ICU - Psychotherapeutic aspects and taking care of family of patients with traumatic brain injury.- Early clinical predictive factors during coma recovery.- Predicting one year clinical outcome in traumatic brain injury (TBI) at the beginning of rehabilitation.- Severe brain injuries in children.- The locked-in syndrome: a challenge for therapy.- Addendum.- WFNS committee for neurorehabilitation.- Academia Multidisciplinaria Neurotraumatologica AMN.- NBIRTT, the National Brain Injury Research, Treatment and Training Foundation.

Erscheint lt. Verlag	7.4.2005
Reihe/Serie	Acta Neurochirurgica Supplement
Mitarbeit	Sonstige Mitarbeit: G.A. Brunelli
Zusatzinfo	XVI, 240 p.
Verlagsort	Vienna
Sprache	englisch
Maße	178 x 254 mm
Gewicht	916 g
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
Schlagworte	functional rehabilitation • Gehirnchirurgie • Neurorehabilitation • Neurosciences • neurosurgery • Parkinson • Rehabilitation • rehabilitation psychology • Rückenmarkchirurgie • Surgery
ISBN-10	3-211-24150-7 / 3211241507
ISBN-13	978-3-211-24150-9 / 9783211241509
Zustand	Neuware