Overview

An incomparable collection of evidence-based cavernoma road trips through the cerebral terrain Seven Cavernomas: Tenets and Techniques for Resection is the fourth volume in a remarkable series by internationally renowned neurosurgeon Michael T. Lawton. As with the three prior volumes, Dr. Lawton leverages his vast expertise as a leading cerebrovascular neurosurgeon, sharing insights and knowledge gained from operating on over 1,400 cavernomas. Seven Cavernomas integrates quintessential clinical, anatomical, and microsurgical concepts into a comprehensive heuristic to position neurosurgeons to achieve the best patient outcomes with cavernoma microsurgical resection. Section 1 details the 10 cavernoma tenets, starting with a taxonomy for classification by location and surface representation. Subsequent chapters describe brainstem and cerebral anatomy as well as dissection techniques in detail, covering the triangle concept, arterial landmarks, hotspots of brain eloquence, recurrence, patient selection, and cartography. Section 2 examines the seven types of cavernous malformations, with insightful pearls on resection techniques. The closing chapter concludes with discussion of the future role neurosurgery will play in understanding how the brain gives us our consciousness, emotion, memory, and intelligence. Key Highlights Taxonomy of seven cavernoma types and 35 subtypes guides the neurosurgeon to choose the most optimal approaches, execute the operation skillfully, and maximize intraoperative performance Brainstem cavernous malformation cartography maps out the special relationships between the craniotomy, subarachnoid approach, anatomical triangles, safe entry zones, and arteries as vascular waypoints An impressive compendium of 65 surgical videos and eight animations captures the action, progression, movement, and technical nuances that sculpt the art of neurosurgery A total of 500 exquisitely rendered illustrations and clinical images delineate anatomical components with stunning accuracy This volume is an essential reference for every vascular neurosurgeon. The book demonstrates in meticulous detail how the art and science of map-making is a path to crystallizing the art and science of cavernoma resection. The taxonomy provides a consistent nomenclature for discussion while providing technical and navigational nuance, inspiring confidence, and empowering neurosurgeons to improve patient outcomes. This print book includes a scratch off code to access a complimentary digital copy on MedOne. Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

Full Product Details

Author:   Michael T. Lawton
Publisher:   Thieme Medical Publishers Inc
Imprint:   Thieme Medical Publishers Inc
Weight:   1.724kg
ISBN:  

9781684204946

ISBN 10:   1684204941
Pages:   452
Publication Date:   28 February 2026
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   In Print  
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Table of Contents

Section I The Tenets 1 Taxonomy 1.1 Classifying Surgical Pathology 1.2 Informing Surgical Strategy 1.3 Neuroanatomy 1.4 Neuroradiology 1.5 Neurology 1.6 Neurosurgery 1.7 Seven Cavernomas Framework 2 Subarachnoid Dissection 2.1 Seven Surgical Corridors 2.1.1 Cerebral Sulci 2.1.2 Sylvian Fissure 2.1.3 Interhemispheric Fissure 2.1.4 Ventricular System 2.1.5 Tentorial Fissure 2.1.6 Cerebellopontine Cistern 2.1.7 Cisterna Magna 2.2 Conclusion 3 Triangle Concept 3.1 The Triangle Concept 3.2 A System of Anatomical Triangles 3.3 Midbrain Triangles 3.3.1 Carotid-Oculomotor Triangle 3.3.2 Oculomotor-Tentorial Triangle 3.3.3 Supracerebellar-Supratrochlear and Supracerebellar-Infratrochlear Triangles 3.3.4 Infragalenic Triangle 3.4 Pontine Triangles 3.4.1 Posteromedial (Kawase) Triangle 3.4.2 Glossopharyngeal-Cochlear Triangle 3.4.3 Supra- and Infratrigeminal Triangles 3.4.4 Interlobular Triangle 3.5 Medullary Triangles 3.5.1 Vertebrobasilar Junctional Triangle 3.5.2 Subtonsillar Triangle 3.5.3 Vagoaccessory Triangle 3.5.4 Cerebellar Vallecular Triangle 3.6 Thalamic and Basal Ganglial Triangles 3.6.1 Supracarotid-Infrafrontal Triangle 3.6.2 Caudate-Thalamostriate Triangle 3.6.3 Septocaudate Triangle 3.6.4 Infragalenic Triangle 3.7 Cerebral and Cerebellar Triangles 3.7.1 Vallecular Triangle 3.7.2 Interlobular Triangle 3.8 Clinical Evidence 3.9 Conclusion 4 Arterial Landmarks 4.1 Rivers of the Brain 4.2 Middle Cerebral Arteries 4.3 Anterior Cerebral Arteries 4.4 Internal Carotid Artery 4.5 Posterior Cerebral Arteries 4.6 Superior Cerebellar Artery 4.7 Anterior Inferior Cerebellar Artery 4.8 Posterior Inferior Cerebellar Artery 4.9 Arterial Dissection Codes 5 Safe Entry Zones 5.1 From Inoperable to Operable 5.2 Clinical Evidence 5.3 The Safety of Safe Entry Zones 5.4 The 21 Brainstem Safe Entry Zones 5.5 Midbrain Safe Entry Zones 5.5.1 Interpeduncular Zone 5.5.2 Anterior Mesencephalic Zone 5.5.3 Lateral Mesencephalic Sulcus Zone 5.5.4 Intercollicular Zone 5.5.5 Supracollicular and Infracollicular Zones 5.6 Pontine Safe Entry Zones 5.6.1 Supratrigeminal and Infratrigeminal 5.6.2 Middle Cerebellar Peduncle or Lateral Pontine 5.6.3 Area Acustica 5.6.4 Median Sulcus (Pons) 5.6.5 Suprafacial Collicular 5.6.6 Superior Foveal 5.6.7 Pontomedullary Sulcus 5.7 Medullary Safe Entry Zones 5.7.1 Anterolateral Sulcus 5.7.2 Olive 5.7.3 Posterolateral Sulcus and Lateral Medullary 5.7.4 Median Sulcus (Medulla) 5.7.5 Infrafacial Collicular 5.7.6 Posterior Median Sulcus 5.7.7 Posterior Intermediate Sulcus 5.8 Accuracy of Preoperative MRI in Determining Surface Proximity 5.9 Neuronavigation, Hemosiderin Stain, and Neuromonitoring 5.10 Brainstem CM Taxonomy and Associated SEZs 6 Resection Technique 6.1 The Mulberry 6.2 Extracapsular Resection Technique 6.3 Intracapsular Resection Technique 6.4 Brain Transgression 6.5 Technical Overview of the Trans-MCP Approach 6.6 Superomedial Trajectory Beyond the SEZ: Superior Cerebellar Peduncle 6.7 Posteromedial Trajectory Beyond the SEZ: Pontine Tegmentum 6.8 Invisible Triangles 6.9 Orienteering Beyond 7 Eloquent Noneloquence 7.1 Ten Percent Myth 7.2 Eloquent Noneloquence 7.3 Clinical Evidence 7.4 Eloquent Cortex 7.5 Large-Scale Brain Networks 7.6 Seven Hotspots of Cerebral Eloquence 7.7 Expanding the Concept of Cerebral Eloquence 8 Residual and Recurrent Cavernous Malformations 8.1 Problem of Recurrence 8.2 Clinical Evidence 8.3 Detection 8.4 Surgical Blind Spots 8.5 Right-Angle Method 8.6 Fine Line 9 Patient Selection 9.1 Rationale for a Brainstem Cavernous Malformation Grading Scale 9.2 Lawton Brainstem CM Grading Scale 9.3 Elements of the Brainstem CM Grading System 9.3.1 Size 9.3.2 Crossing the Axial Midpoint 9.3.3 Developmental Venous Anomaly 9.3.4 Age 9.3.5 Hemorrhage 9.4 Validation of the Brainstem CM Grading System 9.5 Clinical Application 9.6 Giant Cavernomas 9.7 Hannegan's Sign 10 Neurosurgical Cartography 10.1 Jackson Hole 10.2 Cartography 10.3 Maps as Metaphors for the Seven Cavernomas 10.4 Seven Cavernomas Maps 10.5 Maps for Safe Passage 10.6 Maps for Education 10.7 Maps for Exploration 10.8 The Metaphor Section II The Seven Cavernomas 11 Superficial Cerebral Cavernous Malformations 11.1 Introduction 11.2 Neuroanatomy of Superficial Cerebral Cavernous Malformation Subtypes 11.2.1 Convexity 11.2.2 Medial 11.2.3 Basal 11.2.4 Sylvian 11.3 Clinical Evidence 11.4 Resection Strategies for Superficial Cerebral Cavernous Malformations 11.4.1 Convexity Subtype 11.4.2 Medial Subtype 11.4.3 Basal Subtype 11.4.4 Sylvian Subtype 11.5 Superficial Cerebral Cavernous Malformations and Approach Selection 11.6 Approach Technique 11.7 Presenting Symptom 11.8 Clinical Syndromes 11.9 Conclusion 12 Basal Ganglia Cavernous Malformations 12.1 Introduction 12.2 Neuroanatomy of Three Basal Ganglia Cavernous Malformation Subtypes 12.2.1 Caudate 12.2.2 Putaminal 12.2.3 Pallidal 12.3 Clinical Evidence 12.4 Basal Ganglia Cavernous Malformation Subtypes 12.4.1 Caudate 12.4.2 Putaminal 12.4.3 Pallidal 12.5 Conclusion 13 Thalamic Cavernous Malformations 13.1 Introduction 13.2 Neuroanatomy of Thalamic Cavernous Malformation Subtypes 13.2.1 Anterior 13.2.2 Medial 13.2.3 Lateral 13.2.4 Choroidal 13.2.5 Pulvinar 13.2.6 Geniculate 13.3 Clinical Evidence 13.4 Resection Strategies for Thalamic Cavernous Malformation Subtypes 13.4.1 Anterior 13.4.2 Medial 13.4.3 Lateral 13.4.4 Choroidal 13.4.5 Pulvinar 13.4.6 Geniculate 13.5 Iterative Advances 13.6 Conclusion 14 Midbrain Cavernous Malformations 14.1 Introduction 14.2 Neuroanatomy of the Five Midbrain Cavernous Malformation Subtypes 14.2.1 Interpeduncular 14.2.2 Peduncular 14.2.3 Tegmental 14.2.4 Quadrigeminal 14.2.5 Periaqueductal 14.3 Clinical Evidence 14.4 Resection Strategies for Midbrain Cavernous Malformations 14.4.1 Interpeduncular 14.4.2 Peduncular 14.4.3 Tegmental 14.4.4 Quadrigeminal 14.4.5 Periaqueductal 14.5 Conclusion 15 Pontine Cavernous Malformations 15.1 Introduction 15.2 Neuroanatomy of the Six Pontine Cavernous Malformation Subtypes 15.2.1 Basilar 15.2.2 Peritrigeminal 15.2.3 Middle Peduncular 15.2.4 Inferior Peduncular 15.2.5 Rhomboid 15.2.6 Supraolivary 15.3 Clinical Evidence 15.4 Resection Strategies for Pontine Cavernous Malformations 15.4.1 Basilar Subtype 15.4.2 Peritrigeminal Subtype 15.4.3 Middle Peduncular Subtype 15.4.4 Inferior Peduncular Subtype 15.4.5 Rhomboid Subtype 15.4.6 Supraolivary Subtype 15.5 Signs and Syndromes 16 Medullary Cavernous Malformations 16.1 Introduction 16.2 Neuroanatomy of the Five Medullary Cavernous Malformation Subtypes 16.2.1 Pyramidal 16.2.2 Olivary 16.2.3 Cuneate 16.2.4 Gracile 16.2.5 Trigonal 16.3 Clinical Evidence 16.4 Resection Strategies for Medullary Cavernous Malformations 16.4.1 Pyramidal Subtype 16.4.2 Olivary Subtype 16.4.3 Cuneate Subtype 16.4.4 Gracile Subtype 16.4.5 Trigonal Subtype 16.5 Conclusion 17 Cerebellar Cavernous Malformations 17.1 Introduction 17.2 Neuroanatomy of the Six Cerebellar Cavernous Malformation Subtypes 17.2.1 Suboccipital 17.2.2 Tentorial 17.2.3 Petrosal 17.2.4 Vermian 17.2.5 Tonsillar 17.2.6 Deep Nuclear 17.3 Clinical Evidence 17.4 Resection Strategies for Cerebellar Cavernous Malformations 17.4.1 Suboccipital, Vermian, and Tonsillar 17.4.2 Tentorial 17.4.3 Petrosal 17.4.4 Deep Nuclear 17.5 Conclusion 18 Seven Cavernomas: Project Connectomunculus and the Mind 18.1 Seven Cavernomas Cartography 18.2 The Connectomunculus 18.3 The Mind 18.4 Gallery of Functional Networks 19 Suggested Readings Contributors Index

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