Pterional Approach
Pterional Approach R. Loch Macdonald Abstract The pterional or frontotemporal craniotomy is a very common and widely used approach since it can be used for all of the common anterior…
Middle Cerebral Artery Aneurysms
Patient Selection The middle cerebral artery (MCA) originates as the largest terminal branch of the internal carotid artery, the other major branch being the anterior cerebral artery. 1, 2 The…
Aneurysm Surgery Techniques
A comprehensive set of aneurysm clips and clip appliers is critical, including several of each clip type for techniques such as tandem clipping with identical aneurysm clips. Clip appliers also…
Microsurgical Treatment of Previously Endovascularly Treated Aneurysms
Related posts: How to Repair the Intracranial Aneurysm: Clipping or Coiling Decision Making Distal Anterior Cerebral Artery Aneurysms: Anterior Interhemispheric Approach Pterional Approach Superficial Cavernous Malformations Superficial Temporal Artery to…
Brainstem Cavernous Malformations
Epidemiology Cavernous malformations (CMs) constitute 5 to 13% of all vascular lesions in the brain and spinal cord. 1 With advanced imaging techniques, the detection rate, and therefore the incidence,…
Minimally Invasive Approaches for Spontaneous Intracerebral Hemorrhage
Minimally Invasive Approaches for Spontaneous Intracerebral Hemorrhage Jennifer Kosty, Norberto Andaluz, Chiraz Chaalala, and Mario Zuccarello Abstract Minimally invasive surgical (MIS) evacuation of intracerebral hemorrhage effectively reduces clot burden with…
Infectious Intracranial Aneurysms
Patient Selection 22.1.1 Diagnosis Clinical suspicion for an infectious intracranial aneurysm should be raised in a patient with bacterial endocarditis and acute onset of neurological symptoms. 1, 2 The presumed pathophysiology…
Distal Anterior Cerebral Artery Aneurysms: Anterior Interhemispheric Approach
Clinical Presentation and Diagnostic Workup In the same manner as with aneurysms in other locations, distal anterior cerebral artery (DACA) aneurysms may present symptomatically with subarachnoid hemorrhage (SAH) or may…
Arteriovenous Malformations of the Cerebral Convexities
Preoperative Planning 23.1.1 Patient Selection All arteriovenous malformation (AVM) therapies should be directed toward prevention of hemorrhage, neurologic decline, epilepsy, and death. As a general rule, the AVM must be completely…
Endoscopic Approaches to Intracranial Aneurysms
The most important step in applying the endoscope to aneurysm surgery is the design of a small, short, lightweight scope and camera ( ▶ Fig. 19.1). The Storz Image 1…
