Advances in Surgery for Cerebral Stroke: Proceedings of the International Symposium on Surgery for Cerebral Stroke, Sendai 1987

Front Matter....Pages i-xv
Front Matter....Pages 1-1
New Brain Protective Agents and Clinical Use....Pages 3-11
Ischemic Neural Lesions in Cerebral Stroke....Pages 13-26
Future Aspects of Surgery for Cerebral Stroke....Pages 27-32
Ischemia Secondary to Atherosclerosis....Pages 33-37
Future Aspects of Surgery for Cerebral Stroke....Pages 39-47
Front Matter....Pages 49-49
Posterior Circulation Aneurysms....Pages 53-56
Surgical Management of Posterior Inferior Cerebellar Artery Aneurysms....Pages 57-61
Posterior Circulation Aneurysms....Pages 63-66
Posterior Circulation Aneurysms....Pages 67-69
Surgical Treatment of Posterior Circulating Aneurysms....Pages 71-76
Surgical Treatment of Basilar Aneurysms....Pages 77-81
Discussion....Pages 83-85
Statistical Study of Japanese Cases of Moyamoya Disease....Pages 89-94
Clinical Manifestation and Pathology of Moyamoya Disease in Northeast China....Pages 95-97
Moyamoya Disease in Beijing....Pages 99-104
Moyamoya Disease in Shanghai....Pages 105-106
Moyamoya Disease in Korea....Pages 107-109
Moyamoya Disease in Taiwan....Pages 111-114
Moyamoya Disease in Hong Kong....Pages 115-121
Moyamoya Disease in Thailand....Pages 123-124
Front Matter....Pages 49-49
Moyamoya Disease in the Philippines....Pages 125-126
Moyamoya Disease: The Australian Experience....Pages 127-128
Moyamoya Disease in South America....Pages 129-132
Long-Term Follow-up Study of STA-MCA Anastomosis and EMS in Moyamoya Disease....Pages 133-136
Encephaloduroarteriosynangiosis....Pages 137-140
Revascularization Surgery for 50 Patients with Moyamoya Disease....Pages 141-149
CBF and Metabolism in Moyamoya Disease Following Cervical Sympathectomy....Pages 151-155
Discussion....Pages 157-157
Extracranial-Intracranial Bypass Surgery....Pages 161-164
Extracranial-Intracranial Bypass for Cerebral Revascularization....Pages 165-169
Investigation of the Cerebrovascular Reserve Capacity to Identify Patients with Chronic Brain Ischemia Who May Benefit from Bypass Surgery....Pages 171-172
Bypass Surgery: Indication, Timing, and Effectiveness....Pages 173-176
Follow-up Xenon Enhanced CT-CBF Measurements in Patients Treated with STA-MCA Bypass....Pages 177-181
EC-IC Bypass As a Potent Functional Collateral Circulation....Pages 183-186
Bypass Surgery for Ischemic Cerebrovascular Disease....Pages 187-192
Discussion....Pages 193-195
Stereotactic Heavy-Particle Irradiation of Intracranial Arteriovenous Malformations....Pages 199-201
Nonsurgical Treatment for AVMs....Pages 203-206
Aneurysmal Malformation of the Vein of Galen....Pages 207-211
Interventional Radiological Techniques in Cerebral AVMs....Pages 213-214
Front Matter....Pages 49-49
Nonsurgical Treatment of AVM: Development of New Liquid Embolization Method....Pages 215-224
Discussion....Pages 225-227
Overview of Cerebral Ischemia: Rationale for Cerebral Protection....Pages 231-235
The Scientific Basis of Cerebral Infarction....Pages 237-239
Effects of Dynorphin 1−13 on Opiate Binding and Dopamine and GABA Uptake in a Cat Model of Stroke....Pages 241-246
Does Glutamatergic Excitatory Synaptic Transmission Play a Role in Ischemia?....Pages 247-249
The Possible Role of Free Radical Scavengers in the Mitigation of Ischemic Brain Damage....Pages 251-255
Biochemical Events in the Ischemic Brain and Pharmacological Basis of Mannitol, Vitamin E, Glucocorticoid, and Phenytoin....Pages 257-263
Discussion....Pages 265-266
Anterior Communicating Aneurysm: Its Surgical Approach and Result....Pages 269-273
Management of Carotid-Ophthalmic Aneurysms....Pages 275-278
Surgery for Pericallosal Aneurysms....Pages 279-283
Results of the Surgical Treatment of Anterior Circulation Aneurysms....Pages 285-289
Bifrontal Interhemispheric Approach to Aneurysms of the Anterior Communicating Artery....Pages 291-295
Discussion....Pages 297-300
Management of Supratentorial Saccular Aneurysms with Special Reference to the Timing and Results of Surgery....Pages 303-309
Indications and Timing of Surgery on Ruptured Intracranial Aneurysms....Pages 311-315
Management of Patients with Ruptured Cerebral Aneurysms....Pages 317-321
Timing and Grading in the Surgical Treatment for Aneurysm....Pages 323-328
Timing and Risk Factors in Surgery of Ruptured Cerebral Aneurysms....Pages 329-333
Front Matter....Pages 49-49
Results of Ultra-Early Surgery on Intracranial Aneurysms by the Sendai Group of Neurosurgeons....Pages 335-339
Discussion....Pages 341-343
Total Management of Cerebral Atherosclerosis....Pages 347-349
Surgical Management of Extracranial Atherosclerosis: Indications and Timming....Pages 351-354
Pitfalls During Carotid Endarterectomy....Pages 355-359
Surgical Treatment of Atherosclerotic Extracranial Lesions....Pages 361-365
Surgical Treatment of Extracranial Internal Carotid Malformations....Pages 367-371
Surgical Treatment of Extracranial Atherosclerotic Lesions....Pages 373-376
Carotid Endarterectomy without Internal Shunt in 83 Cases....Pages 377-380
Discussion....Pages 381-383
Progress in the Approach to Vasospasm....Pages 387-392
Current Topics in Cerebral Vasospasm....Pages 393-396
Preliminary Experience with the Treatment of Intracranial Vasospasm by Transvascular Balloon Angioplasty....Pages 397-398
Management of Subarachnoid Hemorrhage....Pages 399-403
Cerebral Microthrombosis, Synthesis Imbalance of TXA 2 -PGI 2 , and Subarachnoid Focal Acidosis in the Pathogenesis of Symptomatic Cerebral Vasospasm....Pages 405-410
The Therapeutic Methods for Cerebral Vasospasm....Pages 411-414
Discussion....Pages 415-416
Endoscopic Evacuation of Intracranial Hematomas....Pages 419-421
Spontaneous Intracerebral Hemorrhage....Pages 423-425
The Evolution of Our Surgical Approach in Hypertonic Hematomas....Pages 427-432
Front Matter....Pages 49-49
Aspiration Surgery for Hypertensive Brain Hemorrhage in the Acute Stage....Pages 433-441
Stereotactic Evacuation of Hypertensive Intracerebral Hematoma Using Plasminogen Activator....Pages 443-448
CT-Guided Stereotaxic Aspiration of Intracerebral Hematoma on 168 Cases....Pages 449-453
Discussion....Pages 455-458
Management of Deep-Seated Cerebral AVMs....Pages 461-465
Surgical Treatment for Deep-Seated or Large AVMs....Pages 467-474
Radical Open Surgery of Supra-Tentorial Arteriovenous Malformations....Pages 475-480
Operative Selection of Patients with Arteriovenous Malformations....Pages 481-486
Discussion on Intracranial Arteriovenous Malformations....Pages 487-488
Surgical Treatment for Deep-Seated or Large AVM....Pages 489-493
Discussion....Pages 495-497
Surgical Management of Giant Intracranial Aneurysms....Pages 501-503
Giant Aneurysms....Pages 505-511
Giant Aneurysms of the Carotid and Middle Cerebral Arteries....Pages 513-517
Surgical Management of Giant Intracranial Aneurysms....Pages 519-522
Surgical Treatment for Giant Intracranial Aneurysms....Pages 523-530
Discussion....Pages 531-533
Revascularization in the Acute Stage of Cerebral Ischemia....Pages 537-540
Revascularization in the Acute State of Cerebral Ischemia....Pages 541-544
Acute Cerebral Revascularization: Indications and Limits....Pages 545-548
Front Matter....Pages 49-49
Cerebral Revascularization....Pages 549-554
Peracute Revascularization for the Cases of Major Trunk Occlusion of Major Stroke Type....Pages 555-557
Acute Stage Revascularization Under the Administration of a New Cerebral Protective Agent, “Sendai Cocktail”....Pages 559-562
Discussion....Pages 563-565
Operative Thrombosis of Aneurysms and Fistulae....Pages 569-572
Intraoperative Metallic Thrombosis of Carotid-Cavernous Fistula....Pages 573-576
Treatment of Durai Arteriovenous Fistulae....Pages 577-581
Anatomy of the Cavernous Sinus and Durai AVM....Pages 583-587
Intravascular Neurosurgery and the Treatment of Abnormalities in the Central Nervous System....Pages 589-594
Discussion....Pages 595-597
Front Matter....Pages 599-599
Selection of Candidates for EC/IC Bypass and Evaluation of the Benefit of This Surgery Through a SPECT Study....Pages 601-604
Single Photon Emission Study of Hemodynamic Reserve in Internal Carotid Occlusions....Pages 605-607
Preoperative Evaluation and Postoperative Follow-up of Extra-Intracranial Arterial Bypass in Ischemic Cerebrovascular Disease....Pages 609-613
Effect of Preexisting STA-MCA Bypass on rCBF and SSEP’s Following Acute Stroke in Dogs....Pages 615-619
The Effect of Mannitol, Nimodipine, and Indomethacin, Singly or in Combination, on Cerebral Ischemia....Pages 621-625
Recovery of Cortical Evoked Potential and LCGU Following Transient MCA Occlusion in the Rat....Pages 627-631
Sequential Changes of Brain Metabolism During Temporary Global Ischemia in the Rat Detected by Simultaneous 1H and 31P MRS....Pages 633-637
Microsurgical Anatomy of the Posterior Clinoid Region....Pages 639-642
Acute Surgery for Ruptured Posterior Circulation Aneurysms....Pages 643-647
Long-Term Operative Results in a Series of 450 Consecutive Anterior Circulation Aneurysms....Pages 649-652
Front Matter....Pages 599-599
“Scavenger Surgery” for Prevention of Vasospasm Following Subarachnoid Hemorrhage....Pages 653-657
Treatment of Ruptured Cerebral Aneurysms in the Acute Stage....Pages 659-662
Outcome of Aggressive Aneurysm Treatment with Early Operation and Adjunct Nimodipine in a Strictly Defined Swedish Population Served by a Small Neurosurgical Unit....Pages 663-666
Clinical Examination of the Somatosensory Evoked Potential, Auditory Brainstem Response, and Electroencephalography with Ruptured Cerebral Aneurysm in the Acute Stage....Pages 667-669
Somatosensory Evoked Potential Monitoring in Aneurysm Surgery....Pages 671-674
The Role of Intraoperative Monitoring of Sensory Evoked Potentials During Cerebrovascular Surgery....Pages 675-678
Increase in Cerebral Blood Flow Produced by a Serotonin Antagonist Following Experimental Carotid Arteriotomy....Pages 679-683
Cerebral Blood Flow Monitoring in Early Stage of Subarachnoid Hemorrhage....Pages 685-689
Clinical and Experimental Studies of Leukotrienes in Subarachnoid Hemorrhage....Pages 691-695
Catecholaminergic and Peptidergic Pathways Involved in the Development of Cerebral Vasospasm Following an Experimental SAH in the Rat....Pages 697-704
Preventive Action of Cisternal Heparin Injection for Vasoconstriction After Experimental Subarachnoid Hemorrhage....Pages 705-709
Role of Prostacyclin, Thromboxane A 2 , and Leukotrienes in Experimental Cerebral Vasospasm....Pages 711-715
Topographic Peculiarity in Spastic Changes of the Cerebral Artery After Subarachnoid Hemorrhage....Pages 717-720
Surgical Indication and Approach to Deep-Seated Arteriovenous Malformation....Pages 721-725
Prediction of Postoperative Perfusion Breakthrough During Removal of High-Flow Arteriovenous Malformation....Pages 727-730
Problems in Surgical Management of Giant Intracranial Aneurysms....Pages 731-735
Sequential Imaging of Giant IC Aneurysm Following IC Ligation Combined with EC/IC Bypass....Pages 737-739
Clinical Aspects of Endovascular Treatment of Cerebral Aneurysms....Pages 741-743
Back Matter....Pages 745-751