Microneurosurgery: volume. 2

Acknowledgements
......Page 4
Preface
......Page 5
Contents
......Page 6
Ruptured Cerebral Aneurysm with Symptoms of Meningeal Irritation
......Page 9
Unruptured Cerebral Aneurysm
......Page 10
Timing of Operation
......Page 16
General Medical Condition
......Page 25
Relationship to Angiographically Demonstrated Vasospasm
......Page 26
Relationship to Intracranial Pressure
......Page 36
General Medical Care
......Page 37
Antifibrinolytic Agents
......Page 38
Unruptured Asymptomatic Aneurysms
......Page 39
Age
......Page 40
Children
......Page 41
Laterality
......Page 43
Aneurysms of the Cervical ICA
......Page 44
Intracavernous Aneurysms
......Page 48
Cervical Carotid Ligation
......Page 49
Clinical Presentation and Operative Results
......Page 50
Summary
......Page 52
Laterality and Multiplicity of Aneurysms
......Page 55
Initial Approach and Proximal Control
......Page 56
Exposure of the Opthalmic Artery
......Page 57
Multiple and Bilateral Aneurysms
......Page 58
Undipped aneurysms
......Page 59
Clinical Presentation and Operative Results
......Page 60
Timing and Results
......Page 66
Summary
......Page 67
Clinical Presentarion and Operative Results
......Page 70
Clinical Presentation and Operative Results
......Page 71
Operative Technique
......Page 72
Clinical Presentation and Operative Results
......Page 80
Summary
......Page 82
General Remarks
......Page 83
Direction of Fundus
......Page 84
Relationship to the Subarachnoid Cisterns
......Page 87
Relationship to Posterior Communicating Artery
......Page 89
Relationship to the Oculomotor Nerve
......Page 90
Identification of the Posterior Communicating Artery
......Page 91
Identification of the Oculomotor Nerve
......Page 95
Dissection of Aneurysm Neck
......Page 96
Coagulation
......Page 97
Clip Application
......Page 98
Clinical Presentation and Operative Results
......Page 101
Relationship to the Anterior Choroidal Artery
......Page 112
Multiple and Bilateral Aneurysms
......Page 113
Clip Application
......Page 115
Clinical Presentation and Operative Results
......Page 116
Summary
......Page 119
Anatomical Relationships
......Page 122
Dissection of the Lamina Terminalis Cistern
......Page 126
Ligature and Clip Application
......Page 127
Summary
......Page 128
Bilateral and Multiple Aneurysms
......Page 129
Clinical Presentation and Operative Results
......Page 131
Summary of ICA Aneurysms
......Page 135
Anatomical Relationships
......Page 137
Initial Exposure
......Page 145
Dissection of Aneurysm
......Page 147
Clip Application
......Page 149
Summary of Operative Technique
......Page 152
Bilateral and Multiple Aneurysms
......Page 153
Giant Aneurysms......Page 159
Clinical Presentation and Operative Results
......Page 162
Conclusion
......Page 177
Anatomical Relationships
......Page 178
Operative Technique
......Page 180
Clinical Presentation and Operative Results
......Page 181
Anatomical Relationships
......Page 182
Operative Technique
......Page 198
Clinical Presentation and Operative Results
......Page 213
Summary
......Page 234
Anatomical Relationships
......Page 237
Operative Technique
......Page 239
Clinical Presentation and Operative Results
......Page 242
5. Vertebrobasilar Aneurysms
......Page 245
Anatomical Relationships
......Page 246
Operative Technique
......Page 250
Clinical Presentation and Operative Results
......Page 260
Operative Technique
......Page 271
Clinical Presentation and Operative Results
......Page 273
Operative Technique
......Page 274
Clinical Presentation and Operative Results
......Page 279
Anatomical Relationships
......Page 280
Operative Technique
......Page 281
Clinical Presentation and Operative Results
......Page 282
Clinical Presentation and Operative Results
......Page 283
Opreative Technique
......Page 285
Clinical Presentation and Operative Results
......Page 286
Operative Technique and Results
......Page 287
Distal Superior Cerebellar Artery Aneurysms
......Page 294
Succular Aneursysms of the Vertebral Artery
......Page 296
Fusiform Aneurysms of the Vertrbral Artery
......Page 301
Distal Posterior Inferior Cerebellar Artery Aneurysms
......Page 305
6. Giant Intracranial Aneurysms
......Page 311
7. Multiple aneurysms
......Page 320
8. Unoperated Cases
......Page 344
Classification
......Page 346
Central Nervous System Complication
......Page 348
Conclusion
......Page 353
10. Addendum
......Page 355
11. Final Comments
......Page 363
References
......Page 365