Ophthalmic Artery Aneurysms
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…
Reversed Saphenous Vein Bypass
35 Reversed Saphenous Vein BypassMarc L. Otten, Matthew C. Garrett, and Ricardo J. Komotar Indications Established indications include patients with giant internal carotid artery (ICA) aneurysms requiring ICA occlusion but…
Posterior Communicating Artery Aneurysms
22 Posterior Communicating Artery AneurysmsChristopher C. Getch and H. Hunt Batjer Indications Ruptured posterior communicating (PCOM) artery aneurysm Symptomatic PCOM artery aneurysm with associated ipsilateral third nerve palsy Unruptured asymptomatic…
Surgical Treatment of Dural Arteriovenous Fistulas (Lateral Sinus)
30 Surgical Treatment of Dural Arteriovenous Fistulas (Lateral Sinus)Charles J. Prestigiacomo Indications Prior hemorrhage Radiographic evidence of cortical venous drainage Clearly impedes patient’s ability to perform activities of daily living…
Supratentorial Cavernous Malformations
31 Supratentorial Cavernous MalformationsJennifer Moliterno and Murat Gunel Indications Symptomatic lesions Repetitive hemorrhage Medically intractable seizures Location important Asymptomatic lesions Mostly observed, repeat imaging to rule out increase in size…
Infratentorial Cavernous Malformations
32 Infratentorial Cavernous MalformationsMichael L. DiLuna and Murat Gunel Indications Cerebellar cavernous malformation Prior hemorrhage Symptomatic Brain stem cavernous malformation Prior hemorrhage Symptomatic Progressive neurologic deficit from mass effect Accessible…
Distal Berry and Nonberry Aneurysms
27 Distal Berry and Nonberry AneurysmsHoward A. Riina and Ilya Laufer ♦ Preoperative Imaging Evaluation of all aneurysms begins with appropriate imaging Computed tomography (CT) imaging Imaging of the parenchyma…
Surgical Treatment of Cortical Arteriovenous Malformations
28 Surgical Treatment of Cortical Arteriovenous MalformationsRicardo J. Komotar, Robert M. Starke, and Marc L. Otten Indications Usually Spetzler/Martin Grade III or less (occasionally Spetzler IV); note Grade V arteriovenous…
Far Lateral Approach
15 Far Lateral ApproachDavid Gordon and Chandranath Sen Indications Approach to lesions of the anterior/anterolateral foramen magnum, inferior clivus, and upper cervical spine from the jugular bulb to the level…
Supracerebellar-Infratentorial Approach
16 Supracerebellar-Infratentorial ApproachJeffrey N. Bruce Indications Lesions of pineal region (especially midline) Dorsal midbrain lesions (e.g., quadrigeminal plate) Some cerebellar tumors ♦ Preoperative Operative Planning Review imaging (magnetic resonance imaging…
