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Year : 2020  |  Volume : 68  |  Issue : 2  |  Page : 530-

Surgery of the Brainstem

VS Mehta 
 Ex. HOD, Department of Neurosurgery, AIIMS, New Delhi, Chairman Neurosciences, Paras Hospital, Gurgaon, India

Correspondence Address:
V S Mehta
Chairman, Neurosurgeon, Paras Hospital, Gurgaon, New Delhi - 122 002

How to cite this article:
Mehta V S. Surgery of the Brainstem.Neurol India 2020;68:530-530

How to cite this URL:
Mehta V S. Surgery of the Brainstem. Neurol India [serial online] 2020 [cited 2022 Jun 25 ];68:530-530
Available from:

Full Text

Robert F. Spetzler et al.

Surgery of the Brainstem,

Thieme Publishers New York/Stuttgart. 2019

384 pp, 400 illustrations


ISBN: 9781626232914

eBook – Available from:, Amazon, Barnes and Noble, and iTunes

eISBN: 9781626232921

Surgery of the brainstem was since long considered as the last frontier for neurosurgeons, in view of the difficulty of approach, oft invasive nature of the pathology, and difficulty in totally excising the tumors. Most importantly, the densely packed ascending and descending tracts connecting the cortex with the periphery pose a major limitation in performing the resection of tumors in this region.

Over recent years, there have been several advances concomitant to the other areas of development. These include advances in imaging (especially fibre tractography, fMRI), advances in microscopy, endoscopy and VR technology, anesthesia and operative techniques and more recently 3D printing techniques allowing the surgeons a better understanding towards customized patient-based anatomy.

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 and medical illustrations 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.

A 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 are 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