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…
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…
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…
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…
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…
Patient Selection The minimally invasive approach for aneurysms means small and strategically placed craniotomies ( ▶ Fig. 5.1), avoiding brain retraction and minimizing tissue damage during dissection. Acceptable minimally invasive…
Anatomical Features and Patient Selection The posterior inferior cerebellar artery (PICA) has a highly variable origin: in 90% of individuals, it originates from the so-called intradural V4 segment of the…
Operating Microscope The microscope serves two main functions—magnification and illumination—permitting smaller exposures, improved visibility for dissection of delicate tissues, and safer hemostasis when working through narrow and deep surgical corridors….
Related posts: Vascular and Microsurgical Instrumentation and Equipment Minimally Invasive Approaches for Spontaneous Intracerebral Hemorrhage Pterional Approach Superficial Cavernous Malformations Superficial Temporal Artery to Middle Cerebral Artery Bypass Transsylvian Transclinoidal…
8 5-Aminolevulinic Acid and Indocyanine Green: Fluorescence-Guided Resection of Spinal Cord Intramedullary Tumors Toshiki Endo, Tomoo Inoue, and Teiji Tominaga AbstractDuring surgery for intramedullary spinal cord tumors, it is important…
