Intraventricular and Deep Arteriovenous Malformations

Feb 17, 2020 by in NEUROSURGERY Comments Off on Intraventricular and Deep Arteriovenous Malformations

Patient Selection Choosing observation, microsurgical resection, focused irradiation, embolization, or some combination of these as the recommended management for deeply located arteriovenous malformations (AVMs) requires understanding of the risks and…

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Superficial Cavernous Malformations

Feb 17, 2020 by in NEUROSURGERY Comments Off on Superficial Cavernous Malformations

Keywords: cavernous malformation, craniotomy, vascular malformation 28.1 Patient Selection Typical computed tomographic (CT) characteristics of these lesions include focal or nodular appearing lesions with mild to moderate increase in attenuation without…

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Anterior Communicating Artery Aneurysms

Feb 17, 2020 by in NEUROSURGERY Comments Off on Anterior Communicating Artery Aneurysms

Anatomic Considerations The region of the anterior communicating artery (ACoA) has an extremely variable normal anatomy ( ▶ Fig. 8.1). The complex relationships between the blood vessels, aneurysm, and other…

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Indirect Bypasses for Moyamoya Disease

Feb 17, 2020 by in NEUROSURGERY Comments Off on Indirect Bypasses for Moyamoya Disease

Indirect Bypasses for Moyamoya Disease Edward Smith Abstract Moyamoya is a progressive intracranial arteriopathy with a high risk of stroke if left untreated. Surgical revascularization markedly reduces this risk, particularly…

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Carotid Endarterectomy

Feb 17, 2020 by in NEUROSURGERY Comments Off on Carotid Endarterectomy

Patient Selection 35.1.1 Carotid Stenosis The North American Symptomatic Carotid Endarterectomy Trial and the European Carotid Surgery Trial found that carotid endarterectomy (CEA) significantly decreased the incidence of ipsilateral stroke among…

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Fusiform, Dolichoectatic, and Dissecting Aneurysms

Feb 17, 2020 by in NEUROSURGERY Comments Off on Fusiform, Dolichoectatic, and Dissecting Aneurysms

Fusiform and Dolichoectatic Aneurysms Fusiform or dolichoectatic aneurysms cause symptoms in three ways: compression, ischemia, or rupture. Compared with saccular aneurysms, dolichoectatic aneurysms are more likely to cause compression or…

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