By Yasuhiro Yonekawa, Yoshiharu Sakurai, Emanuela Keller, Tetsuya Tsukahara
ISBN-10: 3211243380
ISBN-13: 9783211243381
In July 2004 experts in neurosurgery, neuroradiology, neurology and neurointensive care mentioned fresh developments on the 2d Swiss jap Joint convention on Cerebral Stroke surgical procedure, held in Zurich, Switzerland. New recommendations have been labored out throughout the convention and are released during this quantity. The ebook starts off with the subject intracranial aneurysms, discussing microsurgical and endovascular therapy modalities, in addition to new surgical methods. extra chapters take care of the administration of unruptured aneurysms and with subarachnoid hemorrhage. functional guidance for vasospasm therapy are given. including contributions approximately arteriovenous malformations and fistulas, cerebral revascularization strategies and surgical procedure on the topic of the intracranial venous procedure a accomplished evaluate approximately stroke surgical procedure is given with an interdisciplinary technique. The publication should be of curiosity for all experts concerned about treatment of cerebrovascular illness.
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Extra info for New Trends of Surgery for Cerebral Stroke and its Perioperative Management
Sample text
One or two temporal lobe bridging veins crossing to the floor of the middle fossa in the line of approach must be divided, but usually other veins on either side can be spared. The adjacent bridging veins are under stretch but they may be dissected a few millimeters from arachnoid to get more freedom for retraction. The junction of the vein of Labbe´ with the lateral sinus is further away posteriorly located and not in jeopardy in this approach. It is critical that this vein is not injured, to avoid major temporal lobe hemorrhagic infarction.
J Neurosurg 62: 340–343 6. Hakuba A, Liu S, Nishimura S (1986) The orbitozygomatic infratemporal approach: a new surgical technique. Surg Neurol 26: 271–276 7. Hernesniemi J, Vapalahti M, Niskanen M, Kari A (1992) Management outcome for vertebrobasilar artery aneurysms by early surgery. Neurosurgery 31: 857–862 38 8. Heros RC, Lee SH (1993) The combined pterional/anterior temporal approach for aneurysms of the upper basilar complex: technical report. Neurosurgery 33: 244–251 9. Ikeda K, Yamashita J, Hashimoto M, Futami K (1991) Orbitozygomatic temporopolar approach for a high basilar tip aneurysm associated with a short intracranial internal carotid artery: a new surgical approach.
The smaller this distance is, the more di‰cult is the placement of a permanent clip to the aneurysm neck or of a temporary clip to the basilar artery without additional use of posterior clinoidectomy. So the distance of more than 5 mm between the PCP and the basilar artery signifies some technical ease of this procedure also in cases with low positioned aneurysms. Craniotomy with SEAC There is no doubt that the subtemporal approach pioneered by Drake et al. is one of the standards approach for the basilar bifurcation aneurysm [2, 3].