29 Subcortical Arteriovenous MalformationsJacques J. Morcos and Taro Kaibara Indications Consideration of natural history versus treatment morbidity Arteriovenous malformation (AVM) factors: size, location, angioarchitecture (feeding/draining vessels); AVM must present to…
26 Basilar Artery AneurysmsNader Sanai and Michael T. Lawton Indications Basilar apex aneurysms Basilar bifurcation aneurysms, superior cerebellar artery aneurysms, P1 posterior cerebral artery aneurysms Ruptured Unruptured Patients who are…
24 Middle Cerebral Artery AneurysmsIan F. Dunn, Kevin Ju, and Robert M. Friedlander Indications Aneurysmal rupture of middle cerebral artery (MCA) aneurysm Immediate surgery: large perisylvian hematoma In the absence…
25 Surgical Treatment of Vertebral Artery AneurysmsRicardo J. Komotar, Maxwell B. Merkow, and Marc L. Otten Indications Posterior inferior cerebellar artery (PICA) aneurysms Vertebrobasilar junction aneurysms Note: most vertebral artery…
37 Minimally Invasive Surgery for Intracerebral HemorrhageChiraz Chaalala and Mario Zuccarello Indications Intracerebral, deep seated, or superficial supratentorial hemorrhage with or without intraventricular hemorrhage Contraindications Intracerebral hemorrhage (ICH) with underlying…
36 Intracerebral Hematoma EvacuationJ Mocco and E. Sander Connolly, Jr. Indications Lobar hemorrhages with mass effect Large nondominant basal ganglia hemorrhages with superficial extension Cerebellar hemorrhage (symptomatic or > 2…
21 Anterior Communicating Artery AneurysmsAndrew L. Ko and Gavin W. Britz ♦ Preoperative Imaging Computed Tomography Scan/Computed Tomography Angiogram Confirm evidence of subarachnoidal hemorrhage (SAH) in patients with a suspected…
20 Trauma Flap/HemicraniectomyGregory G. Heuer, Michael F. Stiefel, and Peter D. LeRoux Indications Acute subdural hematoma Select acute extradural hematoma Cranial gun shot wound Intracerebral hematomas (select cases) Cerebral swelling…
23 Ophthalmic Artery AneurysmsBrian L. Hoh and Christopher S. Ogilvy ♦ Preoperative Special Equipment Spinal drain 1-mm or 2-mm diamond burr drill for drilling of the clinoid; 5-mm burr for…
34 Superficial Temporal Artery–Middle Cerebral Artery BypassJohn A. Cowan Jr. and B. Gregory Thompson Indications Augmentation of cerebral blood flow necessary despite maximal medical therapy, as in: Severe vasculitis (e.g.,…
