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Special Considerations for Intracranial Tumors

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Perioperative Considerations and Positioning for Neurosurgical Procedures

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Abstract

Understanding the nuances of positioning in the surgical management of neoplastic lesions of the brain and spine is critical to performing a successful procedure. In general, there are a few standard positions that may be modulated to account for the unique nature of operating on patients with cancer. Positioning for intracranial tumors requires forethought with respect to the location of the lesion, need to control intracranial pressure which may result from perilesional edema, and comorbidities that are inherent to the population of patients with cancer. With respect to spinal tumors, care must be taken to ensure adequate exposure of the lesion, minimize blood loss, and manage ventilatory issues given that these procedures are often performed in the prone position. In this chapter, we discuss the peri- and intraoperative considerations regarding patients with intracranial and spinal neoplastic pathology.

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Author information

Authors and Affiliations

  1. Baylor College of Medicine and The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Pascal O. Zinn

  2. Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Ganesh Rao

Authors
  1. Pascal O. Zinn
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  2. Ganesh Rao
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Editor information

Editors and Affiliations

  1. Semmes-Murphey Neurologic and Spine Clinic, Memphis, Tennessee, USA

    Adam Arthur

  2. Semmes-Murphey Neurologic and Spine Clinic, Memphis, Tennessee, USA

    Kevin Foley

  3. Medical Anesthesia Group, Germantown, Tennessee, USA

    C. Wayne Hamm

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Zinn, P.O., Rao, G. (2018). Special Considerations for Intracranial Tumors. In: Arthur, A., Foley, K., Hamm, C. (eds) Perioperative Considerations and Positioning for Neurosurgical Procedures. Springer, Cham. https://doi.org/10.1007/978-3-319-72679-3_15

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  • DOI: https://doi.org/10.1007/978-3-319-72679-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72678-6

  • Online ISBN: 978-3-319-72679-3

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