New Trends in Management of Cerebro-Vascular Malformations: Proceedings of the International Conference Verona, Italy, June 8–12, 1992

Front Matter....Pages I-XIV
History and Epidemiology of SAH and Cerebrovascular Malformations....Pages 3-15
Clinical Usefulness of Magnetic Resonance Angiography in Neurosurgical Practice....Pages 16-23
Front Matter....Pages 25-25
New Evidence Pointing to Oxyhemoglobin as the Cause of Vasospasm....Pages 27-31
Recent Advances in Research of Cerebral Vasospasm — Possible Participation of Endothelin in the Genesis of Vasospasm....Pages 32-37
Cerebral Blood Flow in Middle Cerebral Ischaemia is Increased by Calcitonin Gene-Related Peptide....Pages 38-40
Anticoagulation Factors, Protein C, Protein S, and Antithrombin III in Subarachnoid Haemorrhage Patients....Pages 41-42
A Study on Cisternal CSF Levels of Endothelin-1 After Subarachnoid Haemorrhage....Pages 43-47
Early Blood-Brain Barrier Changes After Experimental Subarachnoid Haemorrhage: a Quantitative and Electron Microscopy Study....Pages 48-51
Prevention of Experimental Vasospasm with Intermittent Intracisternal rtPA....Pages 52-55
Cerebral Blood Flow Assessment Following Subarachnoid Hemorrhage....Pages 59-66
Haemodynamic Evaluation of Cerebral Perfusion After Subarachnoid Haemorrhage — a Review....Pages 67-70
Transcranial Doppler Evaluation of Cerebral Perfusion After SAH....Pages 71-75
Combined Transcranial Doppler Sonography and rCBF Measurements in the Early Stage of Subarachnoid Hemorrhage....Pages 76-81
Principles of Pharmaceutical Therapy for Vasospasm Following Subarachnoid Hemorrhage....Pages 85-89
A Calcium Antagonist in Aneurysmal SAH....Pages 90-94
Nimodipine and Cerebral Vasospasm: Review of Effects and Mechanisms....Pages 95-98
Tirilazad and Aneurysmal Subarachnoid Hemorrhage....Pages 99-101
Effect of Calcitonin Gene-Related Peptide on Outcome of Ischaemic Deficits After Subarachnoid Haemorrhage European CGRP in Subarachnoid Haemorrhage Study Group....Pages 102-106
Clinical Effects of Nimodipine in Prevention of Vasospasm After Subarachnoid Hemorrhage....Pages 107-112
Prevention of Cerebral Vasospasm — Cisternal Irrigation Therapy with Urokinase and Ascorbic Acid....Pages 113-120
Front Matter....Pages 25-25
Angioplasty of Cerebral Vasospasm....Pages 141-145
Balloon Angioplasty for the Treatment of Symptomatic Vasospasm....Pages 146-150
Intra-Arterial Papaverine for the Treatment of Cerebral Vasospasm....Pages 151-153
Papaverine for the Treatment of Cerebral Vasospasm After Subarachnoid Hemorrhage....Pages 154-156
Anesthesia in Aneurysm Surgery....Pages 159-163
Special Anesthetic Considerations for Management of Cerebral Aneurysm Clipping....Pages 164-173
Total Intravenous Anesthesia Using Propofol for Burst Suppression in Cerebral Aneurysm Surgery: Preliminary Report of 44 Cases....Pages 174-175
Temporary Clipping in Aneurysm Surgery....Pages 176-179
Limits of Temporary Arterial Occlusion....Pages 180-184
Deep Hypothermic Circulatory Arrest as an Adjunct to Complex Intracranial Aneurysm Surgery....Pages 185-191
Clipping Techniques for Partially Thrombosed Giant Aneurysms....Pages 195-197
Complication Avoidance for Large and Giant Carotid Ophthalmic Aneurysms....Pages 198-202
Direct Microsurgical Approach to Giant Intracranial Aneurysms. Considerations, Technical Notes and Results in a Series of 47 Cases....Pages 203-211
Surgical Treatment of Large and Giant Carotid-ophthalmic Artery Aneurysms....Pages 212-216
Vertebrobasilar Artery Aneurysms: Current Management Techniques....Pages 219-227
The Transsylvian Approach to Basilar Aneurysms....Pages 228-230
Intracisternal Recombinant Tissue Plasminogen Activator After Aneurysmal Subarachnoid Hemorrhage: Results of a Preliminary Study....Pages 121-124
Intracisternal Therapy with Tissue Plasminogen Activator for the Prevention of Vasospasm in Patients with Aneurysmal Subarachnoid Hemorrhage. A Review....Pages 125-131
The Use of Dobutamine to Enhance Cardiac Performance and Improve Outcome in Patients Refractory to Hypervolemic Therapy for Cerebral Vasospasm: a Preliminary Study....Pages 132-135
Single Intracisternal Injection of Recombinant Tissue Type Plasminogen Activator for Prevention of Cerebral Vasospasm....Pages 136-138
Front Matter....Pages 25-25
Transclinoid-Transsellar-Transcavernous Approach to Basilar Tip Aneurysms....Pages 231-237
Combined Pterional-Subtemporal Approach to Upper Basilar Artery Aneurysms....Pages 238-243
Early Surgery for Ruptured Aneurysms of the Posterior Circulation — 60 Consecutive Cases....Pages 244-249
Retrolabyrinthine Trans-Sigmoid (RLTS) Approach to Aneurysms of the Basilar Trunk and Vertebrobasilar Junction: an Update....Pages 250-252
An Anterior Approach to Aneurysms of the Vertebro-Basilar Junction....Pages 253-254
Anterior Transpetrosal Approach for Basilar Trunk Aneurysms — Further Experience....Pages 255-260
Standard and Giant Aneurysms: the Role of Endovascular Therapy....Pages 263-268
Endovascular Treatment of Intracranial Saccular Aneurysms with GDC Platinum Detachable Coils: Small-Necked Aneurysms....Pages 269-271
Internal Carotid Artery Balloon Test Occlusion Does Require Quantitative Assessment of CBF....Pages 272-274
Endovascular Treatment of Giant Intracranial Aneurysms by Balloon Occlusion of the Parent Vessel: Clinical and Diagnostic Follow-up....Pages 275-282
Acute Medical and Surgical Management of Severely III Aneurysm Patients: a Review....Pages 285-290
Strategy of Surgical Treatment in Severely III Patients After Aneurysmal Subarachnoid Hemorrhage....Pages 291-293
Unruptured Intracranial Aneurysms — Current Concepts and Future Directions....Pages 294-295
Validity of Surgical Treatment of Unruptured Aneurysms....Pages 296-299
The Fate of Patients with Incidental Intracavernous Carotid Artery Aneurysms (ICCAA)....Pages 300-303
Surgical and Endovascular Approaches to Intracavernous Aneurysms....Pages 304-309
Aneurysm Rests in a Surgical Series of 275 Patients (Five Years): Incidence, Prognostic and Therapeutic Implications....Pages 310-315
Recurrent Subarachnoid Hemorrhage After Aneurysm Surgery....Pages 316-320
Front Matter....Pages 321-321
Classification of Arteriovenous Malformations....Pages 323-327
A New Grading System for Cerebral Arteriovenous Malformations....Pages 328-332
Front Matter....Pages 321-321
Use of the Callosal Grid System for Cortical Localization....Pages 333-338
Hemodynamics of Cerebral Angiomas: Perioperative Angiography, Transcranial and Intraoperative Doppler Studies....Pages 341-349
Cerebrovascular Reserve Capacity in AVM Patients....Pages 350-351
Vasodilatory Challenge with rCBF Measurement in Patients with Cerebral AVMs: a Preliminary Report....Pages 352-355
Clinical Evaluation of Cerebral Perfusion in AVM Patients....Pages 356-363
The Role of Hemodynamic Assessment in Patients with Cerebral AVMs....Pages 364-372
Selective Flow Modulation of Proximal Feeding Arteries in Surgery of High-Flow Cerebral Arteriovenous Malformations....Pages 373-376
Perioperative Management of High-Flow Arteriovenous Malformations: Hemodynamic Monitoring and Anesthetic Considerations....Pages 377-381
Deep Barbiturate Anesthesia in the Multi-Staged Treatment of Large Deep AVMs....Pages 382-389
Medial Hemisphere and Tentorial Ring AVMs....Pages 390-392
Surgical Experience with Callosal-Cingular and Inferior Limbic AVMs....Pages 395-398
Stereotactic Uses in the Treatment of Deep “Inaccessible” AVMs and a Comparison with Radiosurgery....Pages 399-409
Surgical Removal of Thalamic Arteriovenous Malformation — Transventricular Approach, Sitting Position, Intraoperative Angiography....Pages 410-413
Treatment of Deep Basal Cerebral Arteriovenous Malformations....Pages 414-421
The Surgery of Posterior Fossa Arteriovenous Malformations....Pages 422-425
Surgical Experience with Cerebellar AVMs....Pages 426-429
Overview of Embolic Materials and Clinical Use of EVAL....Pages 430-437
Use of Ethanol in Preoperative AVM Embolization....Pages 441-445
Embolization of Cerebral AVMs with Polylene Threads: Technical Procedure, Results and Complications....Pages 446-451
Front Matter....Pages 452-462
The Role of Embolization in the Surgical Resection of AVMs....Pages 321-321
Further Experience in the Treatment of Cerebral Arteriovenous Malformations with Embolization Plus Surgery....Pages 489-494
The Team Approach to Combined Embolization and Resection of Arteriovenous Malformations....Pages 495-502
Staged Occlusion of Arteriovenous Malformations....Pages 503-506
Outcome from Multimodality Treatment of Arteriovenous Malformations....Pages 507-511
Therapeutic Strategies for Brain AVMs. An Assessment of Benefits and Risks of Surgical and Endovascular Therapy....Pages 512-514
Transcranial Doppler Sonography After Embolization and Staged Operation of AVMs and Balloon Occlusion of Carotid-Cavernous Sinus Fistula....Pages 515-521
Cavernous Malformations of the Brain Stem....Pages 463-470
Cavernomas of the Basal Ganglia, Brain Stem and Spinal Cord. Surgical Strategy and Results....Pages 525-532
Sellar and Parasellar Extra-Axial Cavernous Hemangiomas....Pages 533-537
Intracranial Cavernous Angiomas: a Simple Method for Their Surgical Approach....Pages 538-541
Auditory Evoked Responses and Blink Reflex in Brain-Stem Cavernous Angiomas. Report of 7 Cases....Pages 542-545
Endovascular Management of Vein of Galen Malformations....Pages 546-549
Dural Arteriovenous Fistulas: the Role of Endovascular Therapy....Pages 553-558
Treatment of 23 Dural AVMs Located at the Transverse and Sigmoid Sinuses....Pages 559-565
Diagnosis and Management of Venous Angiomas....Pages 565-569
Management of Venous Angiomas of the Brain....Pages 570-573
Gamma Knife Radiosurgery in Cerebral Vascular Malformations....Pages 574-580
Back Matter....Pages 473-485
....Pages 581-585