Thieme Publishing Group

Often misunderstood and misdiagnosed, normal pressure hydrocephalus (NPH) is a disease of the elderly that is on the rise as the population ages. Its similarities to Parkinsons disease, dementia and other chronic neurodegenerative conditions make diagnosis challenging, requiring clinicians to be alert to the signs and symptoms that differentiate it. Here is the first comprehensive book on the topic, written by experts who have researched and taught courses on NPH for years. From clinical characteristics and pathophysiology to signs and symptoms, radiographic findings, diagnostic tests and state-of-the-art treatment techniques, it covers everything practitioners need to know about this multi-faceted condition. Special Features: * Describes the classic symptom triad of gait disturbance, urinary incontinence and dementia * Covers the full sequence of the diagnostic work-up, including imaging studies, non-invasive tests, and invasive procedures such as lumbar infusion and cerebrospinal tap tests* Explains the risks and benefits of surgical implantation of a ventricular-peritoneal (VP) shunt to relieve symptoms and restore function, including key criteria for evaluating shunt responsiveness * Provides the first step-by-step account of operative shunt placement by Dr. Michael Fritsch, who has performed the procedure extensively at leading neurosurgical centers throughout the world Including troubleshooting techniques following shunt surgery, long-term management of patients, prognosis for the condition and future initiatives, this all-inclusive reference makes a major contribution to the field. It is essential for neurosurgeons, neurologists, internists, residents, and other physicians who treat diseases of the elderly in everyday practice.

Covering tumors of the nose, sinuses, and nasopharynx for the first time in a single volume, this book is essential for all specialists. It incorporates the newest techniques for evaluation and treatment, including endoscopic approaches to the skull base, and offers a wealth of evidence-based data and analysis. For all members of the multidisciplinary health care teams who manage these complex cases, this book makes a major contribution to the field. Special Features: * Written by three international authorities who have published and lectured widely and conducted landmark studies in this area* Covers the full range of benign and malignant nose and sinus tumors, as well as the specific nasopharyngeal tumors that are more common to certain geographic regions (Far East) and ethnic groups (Chinese origin)* Content is based on one of the largest single institutional studies ever undertaken, plus an extensive review of the international literature * Encompasses every aspect of the field, from etiology, clinical features, histology, imaging studies, and diagnosis to natural history, treatment options, outcomes, and management of residual or recurrent disease* Includes up-to-date contributions from experts on chemoradiation and head and neck imaging With the goal of centralizing data and long-term follow-up, this comprehensive guide is invaluable for all otolaryngologists, head and neck surgeons, oncologists, neurosurgeons, and maxillofacial and plastic surgeons who treat patients with challenging sinonasal, skull base, and nasopharyngeal neoplasms. Thieme eOtolaryngology is the premier online resource for otolaryngology-head and neck surgery. For a free trial, go to: thieme.com/eototrial

Loaded with tips, tricks, and expert solutions to everyday clinical problems, this book is a must for all specialists and trainees performing cardiac catheterizations. It covers basic principles, diagnostic strategies for specific diseases, and the newest interventional techniques, giving readers the tools to successfully manage all types of valvular and structural heart disease. Special Features: * Concisely reviews the basics of cardiac catheterization, with sections on indications, risks and complications, patient preparation, equipment and laboratory setup, contrast media, and interpretation of findings* Covers the full range of interventional catheter techniques, including percutaneous coronary intervention (PCI), coronary stent implantation, rotational athetectomy, cutting balloon angioplasty, shunt closure, and much more * Examines current, evidence-based diagnostic approaches to such commonly seen conditions as valvular disease, cardiomyopathies, coronary artery disease, congenital heart disorders, pericardial disease, aortic dissection, and more* Describes key new interventions for structural heart disease, including transcatheter aortic valve implantation (TAVI), interventions for mitral regurgitation (Mitraclip), occlusion of the left atrial appendage (LAA-Occlusion), and renal nerve ablation for resistant arterial hypertension* Provides hundreds of illustrations, coronary angiograms, and radiographic images that clarify every concept* Demonstrates step-by-step approaches, case studies, and detailed angiographic sequences in nearly 400 helpful videos From the fundamentals to the newest therapeutic advances, this book provides the core information needed by every practice performing diagnostic and interventional cardiac catheterizations. It is essential for interventional cardiologists, cardiology fellows, and interventional radiologists who want to quickly increase their knowledge and skills and offer optimal care to their patients.

Orthopedic Manual Therapy presents a systematic, step-by-step guide to manual therapy for disorders of the extremities and spine. Readers will find detailed examination and treatment techniques, the newest scientific and clinical advances, and updates on pain physiology, biomechanics, neurodynamics, and the biopsychosocial model of disease as the foundation for manual therapy. Special Features * Describes every procedure in well structured, logical sequences of assessment, classification, and intervention, including core questions for patients* Covers examination and treatment of all joints, from the toes to the shoulder girdle, with new information on the sacro-iliac joint tests, as well as additional new techniques for the wrist and the hindfoot * Provides more than 500 full-color, step-by-step photographs that illustrate every technique for treating functional disorders of the locomotor system* Explains the important topic of arthrokinematics (movement of the adjacent joint surfaces) and its role in the mechanics of manual therapy* Offers a practical documentation template for recording each articulation and communicating findings to colleagues or physicians* Access to 20 instructive videos on the Thieme MediaCenter that demonstrate procedures in real-life clinical situations Complete with case studies, checklists, and study questions, this practical, didactic book is ideal as both a textbook and a reference. Students and practitioners of physical and manual therapy will find it essential for gaining the knowledge and decision-making skills to treat any musculoskeletal disorder related to posture and movement.

Focused on a modern, interdisciplinary approach to diagnosing and managing diseases of the breast, this concise book builds on the high standard set in the previous edition. It provides a complete foundation in the basic principles, radiologic appearance and underlying pathology of breast disease, without overwhelming non-pathologist members of the team with excessive detail. For effective communication at every level, Practical Breast Pathology, Second Editionprovides the clear information, case examples and superb illustrations that make it an ideal clinical problem solver. Special features of the second edition: High-quality examples of modern multimodality radiology (digital mammography, ultrasound and magnetic resonance imaging) correlated with large-format 2D and 3D histologic slides New findings on such clinically important topics as the lobar nature of breast carcinoma, multifocality, diffuse carcinomas and extent of disease, concept of the sick lobe and more Introduction of the molecular classification of invasive breast cancer Discussion of prognostic and predictive factors in breast carcinoma, such as hormone receptors and HER2 status Updates on preoperative diagnosis, including intact biopsy and radiologic assessment of the extent and distribution of lesions Enriched with new information and stunning illustrations in every chapter, Practical Breast Pathology, Second Edition is a key link in the exchange between pathologists, radiologists, oncologists and breast surgeons, as well as residents and trainees. It provides an essential framework for understanding the mammographic-pathologic correlation, leading to increased cooperation among clinical team members and significantly improved outcomes for patients.

Vascular Medicine, Second Edition presents the current methods of diagnosis and treatment across the entire specialty of angiology, providing clear guidance on vascular medicine from well-known specialists. Updates include coverage of recent advances in endovascular therapy, an introductory anatomy section in each chapter, and a detailed duplex ultrasonography section for every vascular region. This new edition also contains chapters on the increasingly important areas of acute stroke treatment and renal sympathectomy, each written by leading experts in those treatment methods. Key Features: * Focuses on the medical as well as the surgical aspects of angiology* Complete coverage of all three treatment options: conservative treatment, endovascular therapy, and surgery* Interdisciplinary approach that includes outpatient medicine, vascular medicine, cardiology, and radiology All medical specialists involved in vascular medicine, as well as interventional specialists and vascular surgeons, will find this book to be an invaluable reference throughout their careers.

This comprehensive, easy-to-consult pocket atlas is renowned for its superb illustrations and ability to depict sectional anatomy in every plane. Together with Volumes II and III, it provides a highly specialized navigational tool for all clinicians who need to master radiologic anatomy and accurately interpret CT and MR images. Special features of Pocket Atlas of Sectional Anatomy:* Didactic organization in two-page units, with high-quality radiographs on one side and brilliant, full-color diagrams on the other* Hundreds of high-resolution CT and MR images made with the latest generation of scanners (e.g., 3T MRI, 64-slice CT)* Color-coded schematic drawings that indicate the level of each section * Concise, easy-to-read labeling of all figures* Sectional enlargements and magnified views for easy classification of anatomic structures Updates for the 4th edition of Volume I: * New cranial CT imaging sequences of the axial and coronal temporal bone * Expanded MR section, with all new 3T MR images of the temporal lobe and hippocampus, basilar artery, cranial nerves, cavernous sinus, and more * New arterial MR angiography sequences of the neck and additional larynx images Compact, easy-to-use, highly visual, and designed for quick recall, this book is ideal for use in both the clinical and classroom settings.

For all radiology residents and practitioners faced with mastering the huge array of image-based measurements and classifications in orthopedics, Measurement Methods Classifications in Musculoskeletal Radiology fills an important gap.Highly practical and accessible, it presents the measurement techniques, classification systems, scoring methods, and reference values currently in use in musculoskeletal radiology in a single, comprehensive volume, stressing the significance of each for determining the stage, diagnosis, treatment, and prognosis of a wide range of orthopedic disorders. Special Features: * Gathers all currently fragmented information on musculoskeletal radiology measurements and classification systems (excluding bone fractures) into one convenient text eliminating the need for time-consuming memorization and literature searches* Covers all established measurement methods made using conventional and sectional imaging techniques* Includes nearly 400 detailed illustrations and radiological images showing reference lines, markings, orientations, and angles, with key values indicated throughout * Logically structured by anatomic sites and pathologies for easy access to information, with clinical pearls highlighted in every chapter* Offers practical guidance on the relevance and reliability of each imaging method, preferred techniques for specific diseases, and tips for achieving the clearest and most precise measurement results Ideal for use at the radiology workstation, this generously illustrated resource will also be helpful to orthopedic specialists and trauma surgeons who utilize radiologic measurements and classifications for optimal diagnostic and treatment decisions.

For all radiologists diagnosing infants and children, knowledge of best practices in pediatric imaging is essential to successful, high-quality results. This informative, reader-friendly text covers current guidelines and key topics in the field, including choice of modality, equipment and dosages, child-specific diseases, and safety factors. It is invaluable for all specialists who diagnose and manage this sensitive, highly targeted population. Special Features: * Explores the use of all standard imaging modalities in children vs. adults, especially in regard to ultrasound, CT, and MRI* Supplies more than 600 clear, clinically relevant images to help in visualizing every concept, including imaging of suspected child abuse* Shows how to adapt examination protocols and equipment requirements for the specialized needs of pediatric patients * Describes important safety protection measures in children utilizing the ALARA principle of radiation exposure (As Low As Reasonably Achievable)* Summarizes a wide array of pediatric diseases and disorders in a quick, checklist format, including clinical features, imaging findings, differential diagnosis, associated syndromes, and treatment recommendations for each* Includes lists of indications, summary tables, flowcharts of imaging protocols, case studies, and quiz questions to test your knowledge Discussing differences in body proportions, heart and respiratory rates, skeletal structure, and more, this book provides a fundamental understanding of imaging in infants and children as compared to adults. It is an ideal practice-oriented reference for residents, fellows in pediatric radiology, general radiologists, and students preparing for the pediatric sections of the national and international specialty examinations in radiology.

Highlighted by thousands of outstanding photographs and schematic illustrations, this step-by-step guide to endoscopic sinus and skull base surgery is ideal for all specialists who need to stay current in the field. In this expanded second edition, practitioners will not only find basic and advanced procedures in endoscopic sinus surgery (including key criteria for patient selection), but also four entirely new chapters on anterior skull base surgery that reflect important recent developments. Special features of the second edition: *30% larger, with nearly 1500 endoscopic images and corresponding line drawings that make every procedure easy to visualize* Provides a practical management approach that leads to optimal outcomes: Who are the best candidates for specific procedures? When should medical treatment or surgery be used? Why should surgery be undertaken? How are the operative procedures performed?* Covers the latest techniques for removal of skull base tumors and repair of skull base defects* Includes new chapters on pathophysiology of rhinosinusitis, sense of smell, applied anatomy, the endoscopically assisted bimanual operating technique (developed by the author), transorbital surgery, interdisciplinary teamwork, and more* Offers online access to 18 videos of endoscopically guided surgical procedures and patient interviews, for an excellent review and refresher From diagnosis and preoperative counseling to evidence-based procedures, complication avoidance, and postoperative management, this book covers the gamut of topics clinicians face in everyday practice. All otolaryngologists, neurosurgeons, and maxillofacial surgeons will find it essential when making diagnostic and treatment decisions involving the skull base and paranasal sinuses.

A comprehensive approach to modern caries management This systematic approach to modern caries management combines new, evidence-based treatment techniques with the scientific underpinnings of caries formation, providing an in-depth review for both clinicians in daily practice and students advancing in the field. Beginning with patho-anatomic changes in the dental hard tissues, Dental Caries: Science and Clinical Practice goes on to cover non-invasive, minimally invasive, and more aggressive interventions based on each stage of the disease. From microbiology and histology to visual, tactile and radiographic diagnosis, risk assessment, preventive measures, and tooth preservation and treatment strategies, the book is packed with valuable clinical information for all dental practitioners. Key Features: * Succinctly covers the science behind the disease, with recommendations for treatments based on assessment starting at the microscopic level * Written by a team of leading worldwide authorities on caries treatment and managementand utilizing the International Caries Detection and Assessment System (ICDAS) standard throughout* Covers the newest treatment techniques, including adhesion technology, fissure sealing and infiltration, caries removal, tooth-colored restorations, and more * Demonstrates step-by-step caries procedures in striking, full-color illustrations of adult and pediatric cases * Offers the newest thinking on early prevention and behavioral changes in oral health promotion, including the role of diet and nutrition, biofilm management, fluoride use, population-based approaches, and more Shifting to the new paradigm of heal and seal rather than the more invasive drill and fill, this beautifully illustrated text puts scientific principles into clinical action for the best results. It is an essential resource for a complete, proactive approach to caries detection, assessment, treatment, management, and prevention in contemporary dental practice.

This compact, richly illustrated text presents a uniquely visual representation of the procedures interventionalists need to master to perform peripheral vascular interventions successfully. Written and illustrated by a skilled practitioner with many years of hands-on clinical experience, it shares his knowledge, advice, and techniques, giving readers the sense of sitting side-by-side with him at the angiography table. Special Features: * More than 570 instructive, fully labeled schematic drawings showing the sequence of steps in common peripheral vascular interventions (excluding the vessels of the heart)* Covers the physiologic, anatomic, and technical fundamentals of procedures undertaken in the abdomen and lower and upper extremities* Includes detailed information on materials (e.g., stents, guidewires, cannulas, sheaths, and balloon and angiography catheters) and methods (e.g., retrograde and antegrade catheterization of the femoral artery, crossover catheterization, venous access, angiography, stent placement, local thrombolysis, and much more)* Focuses on procedures chosen for their clinical relevance and frequency of occurrence in everyday practice* Shares the authors wealth of clinical experience in time-saving tips, tricks, warning signs, risks, complications, and hazards to avoid Especially for the beginning interventional radiologist, but also for the more experienced practitioner who wants to optimize procedures, this book provides the didactic visual examples and descriptions to perform interventions confidently and successfully. It is an ideal reference and refresher for residents, fellows, and practitioners in radiology and interventional radiology, vascular surgery, and angiology.

Invaluable for all members of the stroke team, this expertly written book compiles the full range of diagnostic and interventional therapeutic techniques for acute stroke now in use in modern clinical settings throughout the world. From advanced neuroimaging studies to state-of-the art endovascular therapies, it covers the materials, instruments, devices, procedures, and strategies that lead to optimal results, and most benefit the patient, during this time-critical event. Special Features: * An interdisciplinary approach* Provides detailed how-to descriptions of all endovascular stroke treatment techniques, periprocedural monitoring, and instrumentation, with a focus on implementing these methods in everyday practice* Logically organized in didactically structured chapters on diagnosis and treatment, with sections on acute ischemic stroke, acute venous occlusions, and supra-aortic extra- and intracranial stenoses, including their etiology, pathogenesis, symptoms, imaging studies, and recommended therapies for each condition* Written by a team of renowned international specialists, who provide advice, recommendations, and practical guidelines in every chapter* Discusses the stents, retrievers, filters, and balloon systems in use today * Includes nearly 300 key images taken with the latest generation of imaging equipment * Shares helpful clinical insights in sidebar notes, cautions, tips and advice, possible complications, sources of error, and useful chapter summaries/conclusions For all neuroradiologists, radiologists, neurosurgeons, and neurologists who need concise, clinically relevant information on front-line interventional techniques for stroke treatment and prevention, this book is essential. It reviews all current methods, rates their efficacies, and makes progress toward a uniformity of protocols that can be applied in all practices managing stroke patients.

Despite significant progress in the treatment of head and neck cancer using new techniques, including organ preservation strategies, recurrence still occurs in up to 50% of patients with locally advanced disease. Head and Neck Cancer Recurrence is the first comprehensive, evidence-based reference on this complex condition, providing state-of-the-art strategies for treating and managing recurrence at each site within the head and neck. With this book at hand, specialists will have guidelines for detecting the presence of a tumor, evaluating the extent and likelihood of successful salvage, determining the most effective treatment modalities, and assessing the potential impact on outcome and function. Special features:* Brings together all the current evidence and expertise on the epidemiology, risk factors, clinical and imaging evaluation, and management of recurrent head and neck cancer tumors* Includes both curative and palliative approaches, and discusses surgical, radiotherapeutic, and chemotherapeutic strategic options* Contains substantial contributions by specialists in speech and language therapy, palliative care, psychology, epidemiology, and clinical cancer nursing to provide a holistic, multidisciplinary approach to the management of recurrence of head and neck cancers* Brings the decision-making process to life with illustrative case studies that contain patient histories, clinical findings, treatment planning, and documented results The combination of the most recent clinical advances with the latest thinking in the field makes this book an essential resource for all head and neck surgeons, clinical oncologists, radiation oncologists, nurse practitioners, allied health professionals and senior trainees working to improve patient management and outcomes in this challenging arena.

Clinical evidence clearly demonstrates that physical therapeutic measures begun as soon as possible after a stroke, often within 24 to 48 hours, greatly increase everyday competence and quality of life. Physical Therapy for the Stroke Patient: Early Stage Rehabilitation covers all the issues that physical therapists must deal with in this critical period: assessment of patients' abilities; care during the acute phase; early mobilization; effects of medication; risk factors; ethical questions; and much more. It provides complete guidelines on how to examine and treat the patient, the dosage of physical therapy required, and the key differences between early and late stage rehabilitation after stroke. Special Features: * Information-packed chapter on Optimizing Functional Motor Recovery after Stroke, written by J. Carr and R. Shepherd, pioneers in the field and the first to correlate motor learning and stroke recovery* Case studies throughout the book offering direct, hands-on examples of evaluation and treatment methods* Nearly 150 color photographs demonstrating step-by-step physical therapy techniques used in actual practice* Hundreds of references to the literature that support the evidence-based approach presented in the book For all physical and occupational therapists who must answer the question, How much therapy will help my patient?, this book provides clear, well-informed answers. Not only will it increase your therapeutic skills and confidence, but it will also expand your knowledge of the medical issues and long-term outcomes for the post-stroke patients in your care.

Now in a new, larger format, this Fifth edition of the classic Topical Diagnosis in Neurology provides the clear, integrated presentation of anatomy, function, and disorders of the central nervous system and serves as a quick reference for practitioners and trainees alike. It elucidates the neuroanatomical pathways that lead to specific clinical syndromes, and demonstrates how solid anatomical knowledge combined with a thorough neurological examination can help localize a lesion and arrive at a diagnosis. Features of the Fifth Edition: * A modern, integrated, and interdisciplinary approach to topical neurologic diagnosis, showing how knowledge of basic neuroanatomy and neurophysiology can be applied in the clinical setting * An enlarged page design that showcases more than 400 detailed anatomic illustrations and CT and MRI images of the highest quality * A logical, thematic structure, with useful summaries at the beginning of each chapter and color-coded section headings that enable readers to distinguish between neuroanatomical and clinical material at-a-glance * A collection of updated case studies, state-of-the-art imaging examples, and a new introduction to the principle components of the nervous system * A wide range of study aids and clinical correlations that support the emphasis on integrative medicine in the current medical school curriculum"/li> Topical Diagnosis in Neurology, Fifth Edition is an ideal reference for neurologists and neuroscientists who correlate neurologic diseases to anatomic location to complete a diagnosis or understand a clinical syndrome. It is also an essential tool for trainees and advanced students who need a solid grounding in key neurofunctional relationships.

Differential Diagnosis in Computed Tomography, 2nd edition, is an invaluable reference aid in the evaluation of CT images to help confidently gain a general diagnostic impression and a reasonable differential diagnosis. In contrast to disease-oriented radiology texts, this book is organized by CT findings, enabling the reader to quickly match the appropriate differential diagnosis to CT results. Special features of the second edition: * Continuation of the successful Burgener concept: Comprehensive tables describe the imaging patterns of the various diseases that may present on CT, along with other characteristically associated imaging findings and pertinent physiopathologic, pathologic, and clinical data * Over 2,000 detailed, high-quality images demonstrating a wide range of common and uncommon CT findings * Chapters organized according to anatomic regions, from the brain to the pelvis and the musculoskeletal system, with new chapters on meningeal and calvarian lesions and on trauma * Updated and revised sections reflecting the latest advances in CT technology and indications, including accurate staging of intra-articular and spinal fractures and evaluation of vascular diseases * Extensive index systematically cross-references diseases and CT findings for optimal access to information Recognizing the central role that CT plays in the field of modern medical imaging, this book is essential for physicians who want to strengthen their diagnostic acumen and CT interpretation skills: radiologists in practice; residents preparing for board exams; and any other physician charged with understanding and interpreting CT images.

An Evidence-Based Approach to Vitamins and Minerals: Health Benefits and Intake Recommendations is a trusted resource for the health professional who needs to interpret the explosion of studies on the role of micronutrients in health and disease and who is concerned about the proliferation of dietary supplements now available to the consumer. This evidence-based reference, now in a second edition, presents the most current scientific, epidemiological and clinical research on the role of vitamins and minerals in preventing disease and promoting optimal health. Organized by micronutrient, the book covers biological function, deficiency, recommended daily allowance, role in disease prevention and treatment, sources, safety, and interactions with other micronutrients and drugs--all endorsed by the internationally acclaimed Linus Pauling Institute at Oregon State University. Special Features: * Each chapter reviewed by a recognized expert in the field, who also served on the books Editorial Advisory Board * Contains the latest intake recommendations from the Linus Pauling Institute, as well as the Food and Nutrition Board of the Institute for Medicine * Provides a complete index by disease or disorder that facilitates easy location of condition-specific information found in multiple chapters * Extensively referenced, with hundreds of citations from the most current experimental, clinical and epidemiological studies * Includes useful appendices covering drug-nutrient interactions and nutrient-nutrient interactions, a glossary of terms, a units conversion table, and the Linus Pauling Institute Prescription for Health, summarizing its recommendations for a healthy diet, lifestyle, and supplement use Taking the approach that micronutrients play a significant role not only in preventing deficiency disease, but in enhancing general health and averting chronic disease, this book is essential for physicians, nutritionists, and allied health professionals who need the most reliable, up-to-date information in this rapidly expanding field.