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Millions of Americans suffer with
disorders and diseases of the brain.
Each year, nearly 400,000 Americans experience a
stroke, 150,000 of whom lose their lives and others face
major long-term disability.
Alzheimer’s disease affects nearly 3 million
Americans each year, leading to profound dementia and
physical incapacity before death.
Some 2 million Americans suffer from epilepsy and
500,000 from Parkinson’s disease and other involuntary
movement disorders.
Traumatic brain injuries can
dramatically affect the lives of victims and their families.
In many cases, these injuries leave victims
permanently disabled, or in need of months, and sometimes
years, of rehabilitation and therapy.
In the
U.S.
brain injury results in more trauma deaths than do injuries
to any other body region.
Brain injury incidence is highest in young people and
the elderly. Approximately
30-40% of moderate to severe head injury patients will
develop an intracranial hematoma that requires an emergency
craniotomy for evacuation.
Similarly, subarachnoid hemorrhages has been found to
be an important factor in head injury victims that may be
associated with poorer neurological outcomes when it is
present.
Brain tumor—the very word strike fear
in the heart of anyone threatened with one.
It once was considered one of the most frightful
events that could occur.
Today, however, with improving technology and the
gradual unfolding of scientific understanding of the basic
biology of brain tumors, patients and families can look to
the future with considerably more hope.
The vast majority of brain tumors are primary, with
meningioma being the most common.
Other tumors, such as the malignant astrocytomas and
the glioblastoma multiformes are responsible for the bad
reputation that brain tumors carry.
To date, the best treatment for these tumors is the
“standard therapy” that involves the combination of
surgery, radiotherapy, and chemotherapy.
Spinal disorders include abnormalities of the spinal
column, intervertebral discs, nerve roots, spinal cord and
the adjacent structures.
They represent the most common problems encountered
in general neurosurgery and are often related to
degenerative disc disease and nerve compression that require
specialized diagnosis and treatment.
Less common disorders of the spine include vascular,
neoplastic and congenial anomalies and syringomyelia that
require a highly specialized approach with precise diagnosis
and treatment for optimal outcome.