The Glioma Book 1st Edition PDF Free Download
It is uncommon that an author spends two years writing a book with the fervent hope that it will be rendered obsolete in short order, but that is the goal of this book. In this book, I summarize my current approach and experience with glioma surgery, which numbers about 1,000 surgeries at the time of writing. However, unlike most books in our field which aim to be a “How I Do It” tome from the master, this book aims more to be provocative, with the hope of generating a new field of thought in glioma surgery. This book is built around the idea that we can achieve better outcomes in glioma patients by updating our models of how the cerebrum works by thinking about glioma surgery in terms of large-scale brain networks, and by realizing that regardless of how we perform a glioma surgery, we are cutting around or across the parts of networks whether we are aware of it or not. A few key principles/biases which are fundamental to this book and its philosophy are outlined below. Concept 1: Our surgical models of the cerebrum are embarrassingly outdated A quick look at images of the functional anatomy of the brain with a critical eye reveals the limitations of the anatomic models locating function in the human brain used to teach people how to avoid problems in the cerebrum. Broca and Wernicke have been dead for over a century, yet we have not updated their language model very much. Wernicke’s area is defined imprecisely and can span a part of the STG or most of the left temporal lobe depending on the artist. Most of the brain is considered non-eloquent, implying it doesn’t do anything. The subcortex is mostly ignored. Most surgeons have caused a neurologic deficit that they couldn’t immediately explain. I would suggest that this results from using bad models of the brain. A better model involves more specific localization of functions, acknowledges that functionally connected areas are usually physically connected and that this is essential for them to work together, and incorporates the whole brain into its world view: the so-called non-eloquent areas are not there to soak up CSF. A large part of this book is dedicated to making more updated models of the brain relevant to neurosurgery and explaining how to utilize them.
Print Length: 350 pages
1 edition (October 25, 2019)