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Benefit from the expertise of world-renowned neurosurgeons, who share their strategies for managing a wide range of cerebral and spinal conditions involving vascular and tumor pathology. Presented in a case format, the book details problems, history, surgical tactics, procedures, and postoperative course, followed by a valuable section of comments from the experts. You will find insights on such complex procedures as clipping of giant intracranial aneurysms, removal of brain stem tumors, bypass surgery with radial artery graft and more. The resulting work is a compilation that explains some of the most difficult clinical problems in the field while enhancing your ability to treat more routine cases.
By turning their talents to the toughest cases, Dr. Kobayashi and his colleagues have created a reference that is certain to advance the practice of neurosurgery at every level, with treatments that are more accurate, less invasive, and safe.
Table of Contents
Foreword
Preface
Message
Lessons in Neurosurgery
Microsurgical Anatomy: The Present and Future
Current Perspectives in Neurosurgery
I. Vascular Lesions
Multiple paraclinoid aneusyms
Multiple aneurysms treated via frontal interhemispheric approach,
Surgical Management of a Challenging Giant Paraclinoid Aneurysm
Giant aneurysm of the subclinoidal (anterior genu) ICA treated with aneurysm resection and reconstruction of ICA with venous patch.
Giant intracavernous aneurysm and carotid ophthalmic aneurysm.
Giant internal carotid artery-superior hypophyseal artery aneurysm.
An internal carotid artery giant aneurysm presenting regrowth after neck clipping.
Emergency recanalization of the inferior M2 trunk by arteriotomy and retrival of migrated guglielmi detachable coil, and clipping of superior wall aneurysm of proximal internal carotid artery.
Large aneurysm of the internal carotid artery obliterated with seven fenestrated clips under intraoperative monitoring of anterior arterial blood flow insufficiency.
A case of Giant anterior communicating artery aneurysm complicated by visual deterioration after coiling
Giant fusiform aneurysm of the middle cerebral artery.
Treatment of difficult MCA aneurysm
Subtemporal approach to a basilar bifurcation aneurysm with failed surgery.
An extremely high positioned giant basilar top aneurysm operated via intratemporal approach.
Backwards projecting, ruptured basilar bifurcation aneurysm combined with hypoplasia of the internal carotid artery
Management of A Giant Mid-Basilar Artery Fusiform Aneurysm
Basilar trunk aneurysm - retrolabyrinthine approach.
Combined endovascular and surgical treatment of large basilar trunk aneurysm in a child.
Partially thrombosed giant dissecting aneurysm vertebral artery: Treatment strategies.
Collateralization via vasa vasorum: a determinant of therapeutic efficacy of coil embolization of the thrombosed giant aneurysm of the vertebral artery.
Contralateral approach for a large thrombosed aneurysm of the vertebral artery
Giant anterior cerebellar artery (AICA) aneurysm in a 6-year-old boy treated with hypothermic cardiac arrest
Occipital artery: Superior cerebellar artery bypass (Paramedian supracerebellar approach) for Vertebrobasilar TIAs due to a severe Basilar artery Stenosis
A case of right carotid endarterectomy and axillar-axillar bypass for symptomatic carotid stenosis with innominate arterial occlusion.
A case of carotid artery reconstruction.
A large cerebellopontine angle AVM
Retrograde venous thrombosis after excision of a cerebral arteriovenous malformation
II. Brain Tumors
Dominant Hemisphere Insular Tumor
Surgical removal of pilocytic astrocytoma from brain stem and thalamus.
A large ependymoma with intratumoral hemorrhage in the medulla oblongata
Angiomatous acoustic neuroma
Total removal of a large vestibular schwannoma with hearing preservation
Removal of vestibular schwannoma in the internal auditory canal with the aid of neuroendoscopy.
Large trigeminal neurinoma
Combined Crnio-orbital Zygomatic and Petrosal Approach for A Giant Retrochiasmatic Craniopharyngioma
Optico-condylar transpetrosal approach (an extensive middle fossa approach) for radical removal of a large calcified craniopharyngioma
A case of midline suprasellar tumor removed by an extendedd transsphenoidal skull base technique.
Total removal of a recurrent craniopharyngioma.
Subarachnoid hemorrage with bilateral aneurysms and apoplexy of pituitary adenoma.
Giant non-secreting pituitary adenoma.
Olfactory neuroblastoma with brain invasion
Giant olfactory groove meningioma
Supraorbital key-hole craniotomy for frontobasal meningioma.
Giant skull base meningioma invading carotid artery
Clinoidal meningioma encasing the internal carotid artery
Visual improvement in a clinoidal meningioma extending into the optic canal
Huge falx meningioma removed by using end-to-end anastomosis of the superficial cortical vein for obtaining a wide operative field
Meningioma of the petrous and clival region
Radical total resection of giant petrocllival meningioma
A large petroclival meningioma with a fibrous capsule
Large meningioma of the jugular tubercle and foramen magum
Surgical removal of giant meningeal hemangiopericytoma
Approach to lesions in and around the cavernous sinus: A formidable challenge
Extensive intra-extradural chordoma of the whole clivus
Management of An Extensive Recurrent Clivus Chordoma
Chordoma
Huge chondrosarcoma in the skull base
A case of unusual giant and complex bifrontal cavernoma
Cerebral peduncle cavernoma with recurrent hemorrhage
A case of cavernous hemangioma in the brachium pontis
Cavernous angioma in the medulla oblongata with venous malformation
III. Spinal Lesions
Intramedullary spinal arteriovenous malformation
Large intradural-extramedullary cervical spine tumor
Spinal meningioma
A case of complex chordoma of mid and upper cervical spine in an eleven year old
Intra-osseous tumor of the cervical spine
Osteolytic tumor of the Th2 vertebral body, causing progressive paraparesis in a 19-year-old
C2 over C3 spondylosis in a case with absent posterior elements of axis
IV. Miscellaneous Lesions
Rasmussens encephalitis causing epilepsy partialis continua.
Fibrous dysplasia of the paranasal sinuses and anterior cranial base
.ISBN - 9781588902245
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Pages : 354
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